Developing the Clinical Nurse Leader Survey Instrument

Abstract

Clinical nurse leader (CNL)-integrated care delivery is an emerging nursing model, with growing adoption in diverse health systems. To generate a robust evidence base for this promising nursing model, it is necessary to measure CNL practice to explicitly link it to observed quality and safety outcome improvements. This study used a modified Delphi approach with an expert CNL panel to develop and test the face, content, and construct validity of the CNL Practice Survey instrument.

Organising nursing practice into care models that catalyse quality: A clinical nurse leader case study

“…Despite promising early data, until recently clinical nurse leader practice and the mechanisms by which CNL‐integration into care delivery leads to reported outcomes were underspecified, with no clear understanding of what CNL practice ‘is’, or the pathway leading to reported outcomes (Williams & Bender, ). To reduce this significant knowledge gap, a multi‐disciplinary team worked to develop (Bender, , ), refine (Bender et al., ) and empirically validate (Bender, Williams, Su, & Hites, ) a CNL Practice Model conceptualizing the model's characteristics and hypothesizing their mechanisms of action. In these studies, CNL practice was validated as an ongoing process of continuous clinical leadership, whereby clinical nurse leaders continuously enact four core practices: (1) facilitate effective ongoing communication, including the creation of multi‐modal communication tools and rounding structures; (2) strengthen intra and inter professional relationships by establishing a network of multi‐professional microsystem partners; (3) create and sustain teams by bringing people from all disciplines and departments affected by care processes to work together and improve them; and (4) support staff engagement via an ongoing, consistent supportive presence, the provision of resources based on in‐the‐moment needs, and by empowering staff to perform to their full scope of practice and identify and create solutions for patient care needs.…”

A study protocol to evaluate the implementation and effectiveness of the Clinical Nurse Leader Care Model in improving quality and safety outcomes

“…Study 2 developed and validated a CNL Practice Model (Bender et al, 2017 ) and CNL Practice Survey (Bender et al., 2018 ) that conceptualize and measure model constructs, including CNL structure and practice attributes.…”

Developing and Validating an Instrument for Social Content Management

“…In a Delphi technique, past researches usually focused on the analysis of the response from the experts and not on the process and validity of the instrument used to assess the experts' opinions. Studies like [23] used quantitative analysis to determine content validity of the instrument. In [23], they used a measure called the index of content validity introduced by [21].…”

“…Studies like [23] used quantitative analysis to determine content validity of the instrument. In [23], they used a measure called the index of content validity introduced by [21].…”