CNL: Direct Clinical Leadership

This assignment provides an analysis of an observation of patient experience in a clinical area, following the assignment brief outlined in appendix A.

CNP’s role requires leadership qualifications. Therefore, advance practice nurses should be knowledgeable and demonstrate critical thinking skills. Leadership skills should help foster collaboration, while providing improvements for cost effective health care. It’s important for leaders to be able to initiate change and have communication skills. Collaboration

The CNS can be defined as an expert in their field (Hamric, Hanson, Tracy, O;Grady, 2013). Hamric, Hanson, Tracy, and O’Brady (2013), also states that the CNS had a positive effect of patient outcomes and nursing care improvement (p. 13). CNSs have very specialized skills that are need in practices, organizations and hospitals. As mentioned by Hamric, Hanson, Tracy, O;Grady (2013), “Specialists in nursing were important to patients and physicians” (p. 14). According to (Stephens, 2009) Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas. These reasons are why I think that CNSs are a valuable nursing

Nursing-sensitive indicators reflect the structure, process and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (e.g.,

Nursing sensitive indicators reflect the structure, process and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care. ("Nursing world," 2013) Having knowledge of these indicators

Chief nursing officer (CNO) is required to have either a master’s degree or a baccalaureate degree or doctorate degree in nursing (Eligibility Requirements, 2018). The CNO oversees nurse educators, nurse leaders, and maintenance the Magnet recognition standards (Eligibility Requirements, 2018). Nurse managers must have at a baccalaureate degree in nursing at the minimum, and they are responsible for all nurses and other providers in the facility as well as staffing, staff education, budget, and outcomes (Eligibility Requirements, 2018). Nurses in nurse leader roles must have a baccalaureate degree in nursing at the minimum (Eligibility Requirements, 2018). Nurse educators and floor nurses are two examples of nurse leaders who report to the CNO (Eligibility Requirements, 2018)

According to the Clinical Leadership & Management Review, (2008) healthcare spending is currently taking up 16.2 percent of our nation’s economy. According to the Centers for Medicare and Medicaid Services, cost is expected to rise to twenty percent by 2015. Nearly, seventy percent of medical decisions are based on laboratory tests, yet the costs of lab tests account for only four percent of the total in health care costs. Annual sales for clinical laboratory testing in the U.S. in 2001 were thirty-five billion, and are expected to grow at four percent annually (Johnson, 2008). Upon looking at annual global growth rate, laboratory testing is projected to increase by 5.5 percent (Johnson, 2008). As a result, laboratories as a business plays a significant role, on how health care dollars are spent. Additionally, laboratories offer a tremendous service for a reasonable price by providing quality, state-of-the-art services and fair reimbursement that is essential.

identify the educational preparation and role(s) of the clinical nurse leader (CNL) designation. Give an example of how the CNL influences direct patient care whether in a hospital or out in the community.

The CNO oversees the entire nursing department and the daily operations of the hospital which also includes risk management depart-ment and the education department. The CNO position is an executive position in this organization, it is the highest nursing management position. One of the leadership practices that are observed is weekly nursing leadership meetings. This meeting con-sist of managers and directors from all medical department, along with educators of medical units. These meetings are kept in effort to maintain communication among units and managers and directors. These meetings are imperative because this is where new ideas are introduce and shared. These meetings allow for corrections in plans and assist with feedback from implementations of new policies and procedures. Additional to monitoring progress with each unit, it also monitors the productivity of each unit by examining their budgets and expenditures and use of staff. The second leadership practice are daily huddles with the executive teams and directors. These morning huddles allow each department to report off to each other by highlighting goals for the day, amount of patients on each unit or any immediate concerns that needs to be address. These huddles are extremely helpful to the entire organization so management is not blind sided by issues from staff or customers such as the patients. Huddles are helpful because it allows upper management to address urgent situations

The above quote by the National Quality Board (NQB) should reflect the personal motivation of the newly qualified nurse. When stepping onto a ward for the first time, the newly qualified nurse will be considering what they can do to pave the way toward the best care possible for patients. Developing leadership skills is one way in which the newly qualified nurse can take initiative to optimize workplace activity and ensure patients have the best care experience possible (Curtis et al. 2011, Morley et al. 2013).

There seems to be many different titles for the same positions. I am definitely starting to get confused. You mentioned your facility using Patient Care Managers, is this similar to Patient Care Coordinator, Case Managers or CNLs? I think a Patient Care Manager would be an uncertified version of a CNL from what I could find on the All Nurses website (All Nurses, 2011). I can see your point in the long term sustainability of the position. The title and role of Clinical Nurse Leader has been around since 2007 (University of San Francisco, 2011). It has been reported that CNL add value in their role through and longer term job sustainability through their focus on safety and quality of service to save their facilities

Working in the health care environment the world needs effective, wise and visionary leaders, leadership matters in every organisation to change the health care environment so it may continue to grow to ensure it gives us better evidence based practice (Evans & M.L, 2015, p 34-50). All health care professionals are required at some point in their position to engage in management or leadership. As an AIN, EN or RN they all have a responsibility to educate, lead and manage within the health care profession (Innis & Berta, 2016, p.2-22). This allows each individual to develop useful and excellent leadership skills and management strategies to be able to educate and lead an exceptional team (Innis & Berta, 2016, p. 2-22). Although our greatest

With the many challenges healthcare leaders face, it is important for leaders to develop many different leadership styles to accomplish the organizations mission and ensure organizational success. In my organization, this has required the adoption of the situational leadership approach, where effective leaders adapt their leadership style to manage particular situations (Giltinane, 2013, p. 38).

In my future role as an advance practice nurse I will be spending my time interacting with patients discussing their complaints

As a competent registered nurse, my career goal is to become a healthcare quality improvement leader, a position that would enhance my commitment in promoting patient safety. I not only believe in enhancing the capacity of other care providers, but also in improving the quality of the healing environment for the benefit of both patients and their care providers. This means not only promoting collaboration with the multidisciplinary teams, but also building the necessary healing partnerships with our patients. To enhance the quality of the healing environment, I aspire to continue analyzing researches for evidence based practices and advocating for their actualization. I will continue focusing my time and energy in encouraging other nurses to improve their skills through formal education, so they can empower themselves as advocates of quality improvement for the benefit of their patients and coworkers.