A collaborative model for the CNL and CNS

Baker, Kathy A.; Rushing, Joanne; True, Barbara; Rodriguez, Les

doi:10.1097/01.numa.0000466494.38698.13

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…25 The body of evidence supporting the impact of the CNS and CNL roles on quality outcomes is growing. 23,25,26 In this project, CNSs led the efforts in creating the initiative, teaming up with information services to build an innovative electronic dashboard, partnering with Infection Prevention, and creating a process that would directly address opportunities identified at a macrosystem level. CNLs were then able to help coach, mentor, and oversee clinical practice within the microsystem at the point of care by providing real-time coaching and feedback with the CNSs and Infection Prevention nurses to help change practice.…”

Section: Discussionmentioning

confidence: 99%

CLABSI Rounding Team

Pate

Brelewski

Rutledge

et al. 2022

Journal of Nursing Care Quality

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Background: Central line-associated bloodstream infections (CLABSIs) are an ongoing concern in health care, resulting in increased mortality, morbidity, length of stay, and additional costs to hospitals. Local Problem: Despite intermittent improvements in CLABSI rates within our facility, long-term sustainment has been challenging. Methods: This was a quality improvement project including a collaborative rounding approach supported by specialty nursing roles. Interventions: In addition to implementing a variety of evidence-based interventions, the rounding team performed audits to assess performance and created focused education tools to address the identified opportunities within each individual unit. Results: High levels of engagement as evidenced by increased audit completion resulted in CLABSI reductions. However, 2 peaks in CLABSI rates were associated with higher volumes of coronavirus disease (COVID-19) hospitalizations and decreased audits. Conclusions: Despite challenges correlated with COVID-19, a collaborative rounding team promotes and enhances awareness of prevention methods and a culture of safety.

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Section: Discussionmentioning

confidence: 99%

CLABSI Rounding Team

Pate

Brelewski

Rutledge

et al. 2022

Journal of Nursing Care Quality

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“…The CNS-CNL dyad partnership model promotes communication pathways to maximize each role's function in addressing clinical opportunities and promoting adoption of clinical change. A cornerstone feature of the model is the intersecting collaboration at the unit level 5 . This axis point is where role synergy occurs.…”

Section: Description Of Projectmentioning

confidence: 99%

“…A cornerstone feature of the model is the intersecting collaboration at the unit level. 5 This axis point is where role synergy occurs. Addressing clinical practice challenges together from different role perspectives and skill sets interconnects microsystem issues to macrosystem supports.…”

Section: Cnl Role Descriptionmentioning

confidence: 99%

“…This ensured synergy without duplication between the 2 roles. With role clarity, the CNS-CNL dyad partnership creates synergy and interconnects quality improvement, professional development, and evidence-based practices from microsystem to macrosystem levels 5 …”

Section: Introductionmentioning

confidence: 99%

“…With role clarity, the CNS-CNL dyad partnership creates synergy and interconnects quality improvement, professional development, and evidence-based practices from microsystem to macrosystem levels. 5 The next step in formalizing the role was to select clinical units to pilot the dyad partnership model. Prior to the COVID-19 pandemic, the task force identified potential clinical units with opportunity to implement the dyad based on planned population transitions, education or quality improvement needs, and/or strong nursing leadership support.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Nurse Specialist and Clinical Nurse Leader Dyad

et al. 2022

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Purpose/ObjectivesThis article describes an innovative clinical nurse specialist (CNS) and clinical nurse leader (CNL) dyad partnership model. Complexity science framework and clinical exemplars demonstrate how the CNS and CNL roles function synergistically to stabilize complex patient care.Description of the Project/ProgramIn spring of 2020, the COVID-19 crisis presented an immediate opportunity to leverage the increased demand for clinical change by leading, designing, and capturing the value of CNS-CNL dyad to achieve goals.OutcomeThe exemplars outline how the partnership promoted translation of knowledge to care for 21 new patient populations and created training for the complex respiratory management during the 6-month project. Rapid response utilization increased from an average of 5 to 10 per month. There was no change in the number of code blue activations on the unit. The third exemplar promoted personal protective equipment clarity and attention to nurse safety. Twelve percent of total staff (n = 104) were diagnosed with COVID-19. Staffing remained stable with 1% resignations (n = 3).ConclusionThe CNS-CNL dyad revealed an infrastructure built to withstand forces of institutional change. The clinical exemplars provide details for leaders to understand how these separate roles partner to translate knowledge and skills and sustain complex change to meet quality goals.

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Advanced Nursing Practice: The Way to Go? – How to Progress in Your Speciality

Zumstein‐Shaha

2019

Principles of Specialty Nursing

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A collaborative model for the CNL and CNS

Cited by 6 publications

References 5 publications

CLABSI Rounding Team

CLABSI Rounding Team

Clinical Nurse Specialist and Clinical Nurse Leader Dyad

Advanced Nursing Practice: The Way to Go? – How to Progress in Your Speciality

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