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

Bender, Miriam; Spiva, LeeAnna; Wei, Su; Hites, Lisle

doi:10.1111/jonm.12596

Cited by 12 publications

(9 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous research concerning integration of the CNL role into existing care delivery systems indicates that the support of executive leadership and the subsequent restructuring of the organization to include CNL practice are essential to success. 24,25 For example, in a study querying certified CNLs about whether they are practicing in a formal CNL role or not, those who said yes also reported high levels of accountability for all 9 AACN essential areas of CNL competence than those not formally practicing in the role. 10 Many of the negative comments in this study were related to CNLs not being able to practice as CNLs, but rather as staff nurses, charge nurses, or case managers.…”

Section: Discussionmentioning

confidence: 99%

“…Our study also found that negative comments and lower implementation scores were related to ambiguous structuring of the CNL role within health care settings. Previous research concerning integration of the CNL role into existing care delivery systems indicates that the support of executive leadership and the subsequent restructuring of the organization to include CNL practice are essential to success 24,25. For example, in a study querying certified CNLs about whether they are practicing in a formal CNL role or not, those who said yes also reported high levels of accountability for all 9 AACN essential areas of CNL competence than those not formally practicing in the role 10.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Factors Influencing Implementation Success of the Clinical Nurse Leader Care Delivery Model

Bender

Williams

Chandler

2023

Journal of Nursing Care Quality

Self Cite

View full text Add to dashboard Cite

Background:The clinical nurse leader (CNL) care model has existed since 2007. However, there is limited understanding how the model can best be implemented. Purpose: A validated CNL Practice Survey measuring domains theorized to influence CNL implementation was used to examine the link between CNL domains and CNL implementation success. Methods: Mixed methods were used to analyze data from a nationwide 2015 survey administered to clinicians and administrators involved in CNL initiatives. Results: Of total respondents (n = 920), 543 (59%) provided success scores, with 349 (38%) providing comments. Respondents with negative comments gave significantly lower average CNL success scores. The majority of negative comments mapped onto Readiness and Structuring domains, providing details of barriers to CNL implementation success. Conclusions: Findings provide information about structural domains that can be strategically targeted to better prepare settings for CNL implementation and success.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors Influencing Implementation Success of the Clinical Nurse Leader Care Delivery Model

Bender

Williams

Chandler

2023

Journal of Nursing Care Quality

Self Cite

View full text Add to dashboard Cite

show abstract

“…The construction of this model has given space to reflect, and to achieve agreements that will ultimately improve the practice 13 . The clinic is an institution with a teaching vocation; therefore, the model should strengthen leadership for current and future nurses working at the clinic.…”

Section: Discussionmentioning

confidence: 99%

Nursing Care at the Service of Life: A model including charity, quality, and leadership

et al. 2021

View full text Add to dashboard Cite

Background Nursing professional practice models allow the focus on care and qualification of hospital service by articulating the theory to the practice of nursing care with the final purpose of improving the patient's and family caregivers' quality of life. Objective To describe the model “Nursing care at the service of life,” built and validated in a Colombian clinic, 2019. Method A Nursing Methodology Research developed in four consecutive steps intended to identify the need to have a theoretical framework; to build it and validate it in a collective way that included the different members of the clinic nursing staff. Results The main concepts and articulated assumptions of the nursing practice model were described. The model will help the nursing staff to achieve the institutional mission. Conclusions The professional practice Model “Nursing care at the service of life” reflects the nursing profession's charity, quality, and leadership, as a hospital care axis. The institution's nursing staff were able to identify themselves in the model's approach, also the expert criteria endorsed the construction process and content. The validation process done with the nurse's staff demonstrates that this model is accepted and useful to guide the nursing caring practices within the clinic.

show abstract

“…Study 3 (Bender et al., 2018) provided empirical evidence supporting the validity of the CNL Practice Model's conceptual domains and components, including the hypothesized mechanism of action.…”

Section: Introductionmentioning

confidence: 98%

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

et al. 2021

Self Cite

View full text Add to dashboard Cite

Aims: Patients are harmed or die every year because of unsafe, inappropriate or inadequate healthcare delivery. Registered Nurses are a recognized patient safety strategy. However, variability in research findings indicate the relationship is not as simple as "more nurses=better outcomes." Hence, currently there exists no evidence-based frontline nursing care model. One emerging model is the Clinical Nurse Leader care model. Design: This Hybrid Type II Implementation-Effectiveness study will evaluate the effect of the care model on standardized quality and safety outcomes and identify implementation characteristics that are sufficient and necessary to achieve outcomes. Methods: This study leverages a natural experiment in 66 clinical care units in nine hospitals across five states in the United States that have implemented the Clinical Nurse Leader care model. Results: Findings will elucidate Registered Nurse's mechanisms of action as organized into frontline models of care and link actions to improved care quality and safety.

show abstract

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

Abstract: Nursing practice organised to focus on microsystem care processes can catalyse multidisciplinary engagement with, and consistent enactment of, quality practices. The model has great potential for transferability across diverse health systems.

Cited by 12 publications

References 32 publications

Factors Influencing Implementation Success of the Clinical Nurse Leader Care Delivery Model

Factors Influencing Implementation Success of the Clinical Nurse Leader Care Delivery Model

Nursing Care at the Service of Life: A model including charity, quality, and leadership

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

Contact Info

Product

Resources

About