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.
There are six elements to the CNL role, they are:
leadership and change, interdisciplinary relationships, knowledge transfer, outcomes management, clinician at the point of care, and professional development. CNLs should be assigned to a specific unit of the hospital or area. They are not a direct caregiver, but a facilitaor of direct care. They work with the healthcare team to provide support, assessment of patients that have complicated healthcare needs, discharge planning and rehab needs. They are a point of contact for this patient and frees the bedside nurse from having to manage this aspect of care. They are qualified to provide evidence-based practice and co-coordinate the care of patients. The VA hospitals have implemented the role of a CNL and have noticed an increase of hours by the bedside nurse per pratient, a reduction in sitter hours for dementia patients, an increase in providing medication and discharge teaching and a reduction in ventilator associated pneumonia. Other facilities have noticed a reduction in falls, pressure ulcers and nosocomial infections. I find this interesting because the CNL is not a direct caregiver, but they are available as a resource and to hold the healthcare team accountable. www.americannursetoday.com
The CNL is an advanced generalist clinician with education at the master's degree level. The CNL must bring a high level of clinical competence and knowledge to the point of care and to serve as a resource for the nursing team. The master’s degree with a major in nursing will prepare graduates for an advanced generalist role. The role of the CNL
Clinician:designer/coordinator/integrator/evaluator of care to individuals, families, groups, communities, and populations....
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