The role of clinical nurse specialists in the implementation and sustainability of a practice change

“…Service improvement and changes in care are dependent upon effective CL (Babine, Honess, Wierman, & Hallen, ; Clark, ; Ennis et al, ; Jeon et al, ; Khadjehturian, ; Stanley, ). However, participants recognized a number of barriers that hindered their effectiveness as CL in the R&R environment.…”

Section: Discussionmentioning

confidence: 99%

Clinical leadership and rural and remote practice: A qualitative study

Stanley

2019

J Nurs Manag

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Aim To explore how clinical leadership is perceived by nurses in rural and remote areas of New South Wales, Australia. Background There are few empirical studies aimed at understanding clinical leadership from a rural and remote perspective. Methods A qualitative approach, based on interpretive phenomenology, used thematic analysis of recorded and transcribed interviews. Ethical approval was secured, 56 interviews were undertaken, across 14 different rural and remote health facilities, with nurses across the spectrum of practice. Results Thematic analysis led to five themes and findings that support an understanding of clinical leadership from a rural and remote context. Clinical leaders were seen to considerably impact on the initiation of change and quality of care. They also faced barriers if the health facility was poorly staffed, lacked support and if the community were strongly co‐dependent. Conclusion In rural and remote areas, clinical leadership is evident to support change, innovation and care quality. Implications for Nursing Management Managers should be aware that staff shortages and challenges to staff retention or the initiation of change are affected by poor clinical leadership. This paper suggests that managers who facilitate clinical leadership are better able to support professional education and greater efficiencies in the delivery of quality health care.

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“…for all staff (i.e., nurses, resident physicians, nursing assistants, physical therapists, occupational therapists and social workers). Previous experiences with delirium education, allowed this team to modify and adapt the content of the education, implementation and dissemination throughout the organisation (Babine, Honess, Wierman, & Hallen, ).…”

Section: Methodsmentioning

confidence: 99%

Falls and delirium in an acute care setting: A retrospective chart review before and after an organisation‐wide interprofessional education

Babine

Hyrkäs

Hallen

et al. 2018

Journal of Clinical Nursing

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The role of clinical nurse specialists in the implementation and sustainability of a practice change

Abstract: In addition to leadership, CNS availability on the patient care units is imperative to staff acceptance and sustainability of a practice change.

Cited by 22 publications

References 20 publications

Description of work processes used by clinical nurse specialists to improve patient outcomes

Description of work processes used by clinical nurse specialists to improve patient outcomes

Clinical leadership and rural and remote practice: A qualitative study

Falls and delirium in an acute care setting: A retrospective chart review before and after an organisation‐wide interprofessional education

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