RESUMO
AIM(S): This article describes the evolution of the clinical nurse leader role and demonstrates the vital nature of partnerships between academia and practice in the design and implementation of this new role. BACKGROUND: The health care system as it exists in the United States may put patients at risk in terms of safety and quality of care. Nursing leadership from across the US recognized a need for nursing practice and academia to work in partnership to develop workable and effective solutions. The vision was of a nurse generalist who would be prepared to address the complexities that make the current systems dysfunctional. EVALUATION: Review, share experiences and discuss the benefits of engaging stakeholders with broad and diverse viewpoints. KEY ISSUES: Engaging a group of stakeholders with diverse backgrounds, varied world views and experiences for the purpose of developing common mutually beneficial goals, creates synergy and greater commitment to the goals, which results in success. CONCLUSION(S): The power of partnership in the development and implementation of the CNL is evident. Old ways of trying to 'go it alone' are no longer viable in a complex health care environment. IMPLICATIONS FOR NURSING MANAGEMENT: With continued collaboration, practice and academia can continue to confront challenges and develop effective solutions.
Assuntos
Liderança , Papel do Profissional de Enfermagem , Supervisão de Enfermagem/organização & administração , Enfermagem/tendências , Qualidade da Assistência à Saúde/organização & administração , Arizona , Humanos , Enfermeiros Administradores , Enfermeiros ClínicosAssuntos
Competência Clínica , Liderança , Enfermeiros Administradores/organização & administração , Papel do Profissional de Enfermagem , Competência Clínica/normas , Comunicação , Continuidade da Assistência ao Paciente/organização & administração , Comportamento Cooperativo , Currículo , Educação de Pós-Graduação em Enfermagem , Eficiência Organizacional , Necessidades e Demandas de Serviços de Saúde , Humanos , Relações Interprofissionais , Modelos de Enfermagem , Enfermeiros Administradores/educação , Enfermeiros Administradores/psicologia , Papel do Profissional de Enfermagem/psicologia , Objetivos Organizacionais , Defesa do Paciente , Equipe de Assistência ao Paciente/organização & administração , Assistência Centrada no Paciente/organização & administração , Filosofia em Enfermagem , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Escolas de Enfermagem , Sociedades de Enfermagem/organização & administração , Análise de Sistemas , Estados UnidosRESUMO
Today, healthcare organizations are faced with the growing realization that functional and professional silos within the organization are counter to the provision of efficient and effective patient care and are fertile grounds for errors or sentinel events to occur. The improvement of patient care and prevention of errors require that collaboration among professionals occur at the patient care delivery level, not just within the leadership team. A new nursing role-the clinical nurse leader, the first new nursing role advanced nationally in more than three decades--currently is under development in more than 180 pilot healthcare delivery sites across the United States and Puerto Rico. The clinical nurse leader is a master's-prepared nurse who assumes accountability for healthcare outcomes for a specific group of clients within a unit or setting through the assimilation and application of research-based information to design, implement, and evaluate client plans of care. The clinical nurse leader serves as a lateral integrator for the healthcare team and facilitates, coordinates, and oversees the care provided by the healthcare team. Healthcare administrators should seize the opportunity to work with nurses in healthcare delivery organizations to influence the early evolution and diffusion of this new role.
