The Role Of A Clinical Nurse Leader

American Association of College of Nursing (2012).White Paper on The Role of the Clinical Nurse Leader Retrived from: http://www.aacn.nche.edu/publications/white-papers/cnl

You make great points analyzing the evolution of Clinical Nurse Leader (CNL). It was interesting to learn that the CNL was the first new role in nursing since the nurse practitioner was introduced over many years ago. “The CNL evolved after the AACN convened a task force to identify ways to improve quality of patient care and determine how to prepare nurses with the skills and competencies needed to thrive in the current and future healthcare system” (Stavrianopoulos, 2012). In the health care organizations, CNLs play a significant role and are responsible for patient outcomes by applying evidence-based practices. They design, implement, and evaluate patient care by coordinating, delegating, and supervising the care provided by the healthcare

Never has it been more critical to provide high quality care in the hospital while being cost effective. The American Association of Colleges of Nursing (American Association of Colleges of Nursing [AACN], 2005) has created the Clinical Nurse Leader (CNL) role to introduce lateral integration of care for specified groups by creatively and intentionally using a variety of health care resources (AACN, 2005). The CNL’s purpose is to aid in various departments of the health care system including the psychiatric department. Although there is continuous tension between medical care and psychiatric care and choosing which is more important for a patient, the Clinical Nurse Leader is intended to bridge the gap

Preventable hospital readmissions remain among one of the many serious quality issues plaguing the healthcare industry today. Readmissions can carry fiscal implications, impact patient safety, and outcomes of care (Helm, Alaeddini, Bretthauer, & Skolarus, 2016). The cost of unplanned hospital readmissions is estimated to be upwards of $15 billion dollars annually of which $12 billion has been associated with preventable admissions (Helm et al., 2016). It is highly recognized that as many as 20% of Medicare beneficiaries are presently being readmitted within 30 days of discharge (Hunter, Nelson, & Birmingham,

Errors pervade in our lives whether it is our home, in our workplace, or in our society. The effects of healthcare errors have impacted all our lives either directly or indirectly. Patient safety and quality care are at the core of healthcare system which strongly depends upon nurses. “To achieve goals in patient safety and quality, thereby improve healthcare, nurses must assume the leadership role. Nurses need to ensure that they and other healthcare providers center healthcare on patients and their families. Even though the quality and safety of healthcare is heavily influenced by the complex nature

Doctor of Nursing Practitioner and Clinical Nurse Leader emerged as an answer to the immediate IOM health care concerns and to the potential health care problems in the future. As collaborators, both DNP and CNL can bring the latest evidence-based practice to the table to better patient outcomes. This type of collaboration and communication is crucial to effectively managed patient care as they move from acute care to outpatient settings.

The experience nurses have in taking care of patient is studied by other experienced nurses. These expert observations of patient care, patient input in the care they receive, and the resulting patient care outcomes is a simple definition of evidence base practice (EBP). In this discussion I will explain the role of nurse leaders in promoting EBP, and the strategies used to implement EBP into a medical organization’s patient care practices. I will discuss how nurses implement EBP into cultures that seem etched in stone, the current issues with implementing EBP, current trends, and how organizational infrastructure and culture help or hinder implementation of EBP. Finally I will explain how EBP is implemented in the hospital organization I work for, and give a comparison of nursing work group culture with organizational cultures.

As a healthcare organization, there is a heavy focus on Learning within the Patient Care Services division. Nurse Managers in excellent HCOs lead teams accountable for operating scorecards. They work directly with physician leaders of the service lines, identifying OFIs, participating in PITs, and negotiating improvement goals. They are also supported by a strong nursing organization led by a chief nursing officer (CNO) or nurse executive with an organization to ensure credentialing, manage nurse training and development, recruit and retain a competent and proficient nursing workforce, implement nursing practice standards and functional protocols, and maintain consistent performance of nursing activities. The CNO is a member of senior management and acts as the principal strategic and operational executive to ensure uniform achievement of good nursing practice.

As a nurse leader, it is important to have a strong work ethic, efficiency, dependability, and ability to organize. They should also be a well-organized coordinator, knowledgeable collaborator, and skilled delegator who practice safe and effective care. If I am to be a Unit Director, I choose the transformational leadership style. I believe that the best nursing leadership style related to lessened mortality rate of the patient is the transformational leadership, which is inspiring followers to perform beyond expectations for the good of the organization. It is also argued that transformational leadership is identified as a positive contributor to safer practice with fewer turnover trends compared to other leadership styles (How Nursing…,

Programs must be in place and brought forth to the governance body to support and maintain strong nurse leadership at an institution. It is important, firstly to support the nursing leaders emotionally by providing meetings for them to voice their frustrations, concerns, and possible solutions. Furthermore, education needs to be made available to enable the nurse leader to pursue higher degrees, gain additional knowledge, and participate in a rich learning environment. This will empower the leader to be able to be supportive of the staff. Furthermore, seminars and organizations can help the nurse leader where they can gain support and additional knowledge outside the institution. The governance body must be made aware of the growing evidence in the literature that impacts a healthy working environment with positive patient outcomes. Evidence-based literature can provide the information needed to

Strong nurse leadership is essential in creating a healthy working environment especially at the unit level where direct patient care is delivered. The role of the Nurse Executive in this position has transformed over the last two decades. These leaders frequently have multiple unit responsibility as well as increased accountability for budget, staffing and regulatory compliance (Sherman and Pross 2010). The American Organization of Nurse Executives (AONE) believe that these leaders set the practice of ensuring quality, safe, patient centered care is delivered in an efficient manner. These Nurse Executives are key in improving the patient experience and improving the health of populations decreasing the per capita health care cost.

Someone who is a good leader is flexible, empathetic, educated and also as a grasp on many other leadership skills. They also have a grasp on emotional intelligence along with their intelligent in their line of work. Emotional intelligence is important in being a leader and is especially important for a nursing leader as they are in constant contact with people (Huber 2014).

Nursing leaders play a fundamental role in the complex health care system. They are vital in ensuring change and innovation occurs around them. In this paper, a community specific nursing shortage will be explained and the outcomes if no changes happen. A detailed discussion into the various change initiatives that could improve the nursing shortage will occur. Following that, a critique of the initiatives will be discussed. Finally, the LEADS framework will be applied to the issue and explored through a nurse leader view.

Helping with the Leadership role while the we are without a CNO. Assisted with scheduling of the Nurses. Work as a Infection Control Coordinator.

The role of nurses has historically been one of partnerships. Nurses serve as the adhesive of healthcare by interacting and partnering with professionals in the care process. Whether a family member, laboratory technician, physician or even a nutrition aide delivering a tray the nurse has always been there to interact at all levels of care. Baccalaureates prepared nurses provide patient ¬centered care by respecting values, and serving patient needs as effective advocates. Patient advocacy is paramount in the nursing professional requiring nurses to deliver exceptional care, evaluate outcomes, and serve as leaders in the improvement of health care (AACN, 2016).