The clinical nurse leader: promoting patient-centered outcomes.
In 2004, a 551-bed nonprofit hospital launched a pilot of the unit-based clinical nurse leader (CNL) role to support staff nurses and their patients. Thus far, the role has demonstrated great promise in promoting individual patient-centered outcomes, although the pilot has identified potential adaptations to enhance aggregate outcomes. These include decreasing the patient-to-CNL ratio, increasing CNL availability to 7 days a week, and reconsidering whether to fill CNL positions with nurses who were prepared as nurse practitioners.
Bowcutt
Marilyn
M
Patient Care Services, University Health Care System, Augusta, GA 30901, USA.
Wall
Jane
J
Goolsby
Mary Jo
MJ
D002983:Clinical Competence; D003266:Continuity of Patient Care; D005845:Georgia; D006293:Health Promotion / Q000458:organization & administration; D006785:Hospitals, University; D006801:Humans; D007587:Job Description; D007857:Leadership; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D010347:Patient Care Planning; D010351:Patient Discharge; D010353:Patient Education as Topic; D018802:Patient-Centered Care / Q000458:organization & administration*; D010865:Pilot Projects; D016730:Program Development; D015397:Program Evaluation