Innovative Partnerships: The Clinical Nurse Leader Role in Diverse Clinical Settings

Lammon, Carol Ann Barnett; Stanton, Marietta P.; Blakney, John L.

doi:10.1016/j.profnurs.2010.06.004

Cited by 16 publications

(15 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the midst of healthcare transformation and evolution, where patient engagement is an imperative to catalyze the delivery system reform (Carman et al, 2013; Fisher et al, 2016), nursing plays a critical role in the effort to make patients fully engaged in their disease management (Lammon et al, 2010; Barello et al, 2012). Professional nurses across Western countries have a well-established tradition of engaging patients in the medical course and are trained to embrace clinical models which endorse “autonomous and collaborative care of patients of all ages, families, groups, and communities, sick or well and in all clinical settings” (International Council of Nurses, 2010; Pelletier and Stichler, 2013).…”

Section: Introductionmentioning

confidence: 99%

An Educational Intervention to Train Professional Nurses in Promoting Patient Engagement: A Pilot Feasibility Study

et al. 2017

View full text Add to dashboard Cite

Introduction: Growing evidence recognizes that patients who are motivated to take an active role in their care can experience a range of health benefits and reduced healthcare costs. Nurses play a critical role in the effort to make patients fully engaged in their disease management. Trainings devoted to increase nurses' skills and knowledge to assess and promote patient engagement are today a medical education priority. To address this goal, we developed a program of nurse education training in patient engagement strategies (NET-PES). This paper presents pilot feasibility study and preliminary participants outcomes for NET-PES.Methods: This is a pilot feasibility study of a 2-session program on patient engagement designed to improve professional nurses' ability to engage chronic patients in their medical journey; the training mainly focused on passing patient engagement assessment skills to clinicians as a crucial mean to improve care experience. A pre-post pilot evaluation of NET-PES included 46 nurses working with chronic conditions. A course specific competence test has been developed and validated to measure patient engagement skills. The design included self-report questionnaire completed before and after the training for evaluation purposes. Participants met in a large group for didactic presentations and then they were split into small groups in which they used role-play and case discussion to reflect upon the value of patient engagement measurement in relation to difficult cases from own practice.Results: Forty-six nurses participated in the training program. The satisfaction questionnaire showed that the program met the educational objectives and was considered to be useful and relevant by the participants. Results demonstrated changes on clinicians' attitudes and skills in promoting engagement. Moreover, practitioners demonstrated increases on confidence regarding their ability to support their patients' engagement in the care process.Conclusions: Learning programs teaching nurses about patient engagement strategies and assessment measures in clinical practice are key in supporting the realization of patient engagement in healthcare. Training nurses in this area is feasible and accepted and might have an impact on their ability to engage patients in the chronic care journey. Due to the limitation of the research design, further research is needed to assess the effectiveness of such a program and to verify if the benefits envisaged in this pilot are maintained on a long-term perspective and to test results by employing a randomized control study design.

show abstract

Section: Introductionmentioning

confidence: 99%

An Educational Intervention to Train Professional Nurses in Promoting Patient Engagement: A Pilot Feasibility Study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In recent years, clinical nurse leaders with a master's degree have been recognized as advanced nurse generalists. This role requires in-depth knowledge of management, leadership, evidence-based practice, risk appraisal, and outcomes analysis, and is accountable for providing high-quality care [27]. Because education preparation differences affect the levels of nursing professionalism, it is critical to develop various educational programs for nurses, and to provide encouraging environments for obtaining higher degrees [12].…”

Section: Self-regulation and Autonomymentioning

confidence: 99%

An International Comparison of Professional Behaviors among Nurse Leaders in the U.S.A. and Japan

Tanaka¹,

Taketomi²,

Yonemitsu³

et al. 2015

Int J Nurs Clin Pract

View full text Add to dashboard Cite

Objective: Nursing professionalism is considered an essential component of nursing leadership, however, little is known about the levels of nursing professionalism from the global point of view. This study aimed to compare nursing professionalism among nurse leaders in the United States of America (U.S.A.) and Japan. Methods: This study used a descriptive design with cross-cultural comparative. Wheel of Professionalism in Nursing Model was applied as a theoretical framework and the corresponding inventory, Behavioral Inventory for Professionalism in Nursing, was used to measure the level of professionalism. The sample was 126 nurse leaders from the U.S.A. and 182 nurse leaders from Japan. The 308 respondents' professional scores were compared by intervention groups using t-test. The Chi-square test and Fisher's exact test were performed to evaluate the degree of professional behaviors between the countries. Results:The results revealed that the mean total score of professionalism was significantly high in the U.S.A. The mean scores of professionalism subscales were also significantly high in the U.S.A. in the categories of education preparation, community service, theory development, and self-regulation and autonomy, whereas publication and communication, and research development were significantly high in Japan.

show abstract

“…Qualitative analysis of open-ended questions resulted in the identification of four emerging themes of CNL practice: (a) responsibility for outcomes improvement, (b) use of evidence as a basis for practice, (c) importance of mentoring and developing staff, and Stanton et al, 2008, Lammon, Stanton, & Blakney 2010 (d) involvement in special organizational projects. The investigators conclude that the CNL "travels well" and is adaptable to a wide variety of clinical microsystems and that evidence-based practice, outcomes management, and staff education are critical aspects of the role.…”

Section: Qualitative 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

View full text Add to dashboard Cite

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.

show abstract

Innovative Partnerships: The Clinical Nurse Leader Role in Diverse Clinical Settings

Cited by 16 publications

References 1 publication

An Educational Intervention to Train Professional Nurses in Promoting Patient Engagement: A Pilot Feasibility Study

An Educational Intervention to Train Professional Nurses in Promoting Patient Engagement: A Pilot Feasibility Study

An International Comparison of Professional Behaviors among Nurse Leaders in the U.S.A. and Japan

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

Contact Info

Product

Resources

About