Answering the Question, “What Is a Clinical Nurse Leader?”

Bombard, Emily; Chapman, Kimberly; Doyle, Marcy; Wright, Danielle K.; Shippee-Rice, Raelene; Kasik, Dot Radius

doi:10.1016/j.profnurs.2010.04.001

Cited by 13 publications

(7 citation statements)

References 16 publications

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“…Wienand, Shah, Hatcher, & Jordan, 2015;Weckman, 2008), and quality leaders (e.g. Bombard et al, 2010;Wesolowski, Casey, Berry, & Gannon, 2014). Their published scholarship however arguably goes well beyond these job titles; for example reviewing the literature on topics of interest and describing preceptor/residency program development and implementation.…”

Section: Comparing Findings With Cnl Job Analysesmentioning

confidence: 99%

Roles enacted by Clinical Nurse Leaders across the healthcare spectrum: A systematic literature review

Clavo-Hall

Bender

Harvath

2018

Journal of Professional Nursing

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The Clinical Nurse Leader (CNL) is a master's prepared nurse envisioned to provide clinical leadership at the microsystem level to ensure safe, high quality patient-centered care. The American Association of Colleges of Nurses defined ten 'fundamental aspects' of CNL practice, but as the certified CNL population grows, data suggest they are filling a variety of positions besides formally designated CNL roles. This article reports the results of a systematic review of CNL literature to better understand what roles and activities certified CNLs are enacting when not hired into formally designated CNL roles. Sixty-nine articles met inclusion criteria. Roles identified include: faculty, 62%; clinical management/executive, 12%; specialty clinician, 11%; and staff nurse, 9%. In these roles, certified CNLs are reviewing literature, conducting research, and/or writing commentaries on CNL education and practice and other health foci such as alarm fatigue, insulin practices, and physical exercise for cancer-related fatigue. Results indicate that despite a lack of formal tracking of certified CNLs over time, the available information identifies a variety of roles and job titles used by this group of professional nurses. The study findings add to the body of knowledge informing overall understanding of the CNL initiative.

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Section: Comparing Findings With Cnl Job Analysesmentioning

confidence: 99%

Roles enacted by Clinical Nurse Leaders across the healthcare spectrum: A systematic literature review

Clavo-Hall

Bender

Harvath

2018

Journal of Professional Nursing

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“…Bombard et al (2010) conducted an action research study to explore a cohort of four direct-entry master's student's CNL clinical immersion and postcertification transition experience. Participants used a variety of data collection methods (see Table 2) and content analysis to identify major themes defining the CNL transition experience.…”

Section: Cnl Researchmentioning

confidence: 99%

“…The investigator concludes that the CNL may be influential in reducing epidemic rates of nursing stress and turnover and should be further investigated. Bender et al (2012) conducted a quasi-experimental interrupted time series study to measure patient satisfaction with multiple aspects of care 10 months before and 12 months after integration of a CNL role on a progressive care unit, compared to a similar unit that did not have CNLs. The setting was a 26-bed unit within a 119-bed academic medical center.…”

Section: Quantitative Cnl Researchmentioning

confidence: 99%

The Current Evidence Base for the Clinical Nurse Leader: A Narrative Review of the Literature

Bender

2014

Journal of Professional Nursing

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The clinical nurse leader (CNL) is a relatively new nursing role, introduced in 2003 through the American Association of Colleges of Nursing (AACN). A narrative review of the extant CNL literature was conducted with the aim of comprehensively summarizing the broad and methodologically diverse CNL evidence base. The review included 25 implementation reports, 1 CNL job analysis, 7 qualitative and/or survey studies, and 3 quantitative studies. All CNL implementation reports and studies described improved care quality outcomes after introduction of the role into a care delivery microsystem. Despite preliminary evidence supporting the CNL as an innovative new nursing role capable of consistently improving care quality wherever it is implemented, CNLs are still struggling to define the role to themselves and to the health care spectrum at large. Although the AACN CNL White Paper provides a concise model for CNL educational curriculum and end competencies, there is a compelling need for further research to substantively delineate the CNL role in practice, define care delivery structures and processes that influence CNL integration, and develop indicators capable of capturing CNL-specific contributions to improved care quality. (Index words: Clinical nurse leader; CNL; Review) J Prof Nurs 30:110-123, 2014.

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“…The clinical nurse leader practices transformational leadership, an exemplary professional practice, and implementation of new knowledge [ 18 , 19 ]. Thus, the evidence also reports capacity for clinical leadership, team leadership, information management, and resource management, and adds the defense not only of patients but of communities and health programs, presenting a potential for practice in new environments [ 14 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

“…Gilmartin states that self-confidence is a significant predictor of successful career transitions [ 21 ]. The confidence of co-workers and managers in clinical nurse leaders becomes crucial to their ability to perform their roles effectively, notably in promoting overall team performance, job satisfaction, and retention of nurses [ 18 ]. Clinical nurse leaders with more developed self-efficacy have improved performances [ 3 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Translation, Adaptation, and Validation of the Self-Efficacy Scale for Clinical Nurse Leaders for the Portuguese Culture

Carvalho

Gaspar

Potra

et al. 2022

IJERPH

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Studies related to the competencies of clinical nurse leaders as an advanced practice demonstrate that they are an asset to health organizations. However, it is pertinent to use an instrument to measure the self-efficacy of clinical nurse leaders in Portugal to facilitate managers’ decision-making. In this study, we aimed to translate, adapt, and validate the Clinical Nurse Leader Self-Efficacy Scale for the Portuguese cultural context. This is a quantitative, observational, and descriptive cross-sectional study. The sample of this study was non-probabilistic and intentional, consisting of 329 nurses responsible for shift and specialist nurses. The translation and validation process followed the internationally recognized guidelines on the psychometric properties of measurement instruments. The factor analysis explained 62.1% of the variance and had a seven-dimensional structure. The seven factors were: Patient-Centred Care; Unit Management; Clinical Leadership; Strategic Leadership; Team Management; Cost Reduction; and Care Planning. The confirmatory analysis showed that the seven-factor model achieved a suitable adjustment in the Portuguese context. The self-efficacy scale for clinical nurse leaders can be considered a valid and reliable instrument for application in Portugal in any care context. This scale allows the assessment of the nurse’s perception of their ability to intervene effectively as a clinical leader in their care team.

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Answering the Question, “What Is a Clinical Nurse Leader?”

Cited by 13 publications

References 16 publications

Roles enacted by Clinical Nurse Leaders across the healthcare spectrum: A systematic literature review

Roles enacted by Clinical Nurse Leaders across the healthcare spectrum: A systematic literature review

The Current Evidence Base for the Clinical Nurse Leader: A Narrative Review of the Literature

Translation, Adaptation, and Validation of the Self-Efficacy Scale for Clinical Nurse Leaders for the Portuguese Culture

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