title: Diffusion of a Nurse-led Healthcare Innovation: Describing Certified Clinical Nurse Leader Integration Into Care Delivery.
abstract: BACKGROUND
  The Clinical Nurse Leader™ (CNL) initiative is in its 2nd decade. Despite a growing theoretical and empirical body of CNL knowledge, little is known about CNLs themselves or where and how their competencies are being integrated into care delivery across the country.
  
  
  OBJECTIVE
  The aim of this study was to describe certified CNL characteristics and roles as part of a larger study validating a model for CNL practice.
  
  
  METHODS
  This study used a descriptive analysis of survey data from a national sample of certified CNLs.
  
  
  RESULTS
  Survey response rate was 19%. Sixty percent have greater than 10 years of RN experience, and 75% have additional specialty certifications. Fifty-eight percent are practicing in a formal CNL role and report a high degree of accountability for all 9 CNL essential competencies.
  
  
  CONCLUSIONS
  Findings help understand the extent of CNL adoption and spread across the country and the level to which the initial vision of CNL practice is being achieved.
authors.affiliation: Author Affiliations: University of California, Irvine (Dr Bender); Central Texas Veterans Health Care System, Temple (Dr Williams); and School of Public Health, University of Alabama at Birmingham (Dr Su).
authors.forename: Miriam
authors.initials: M
authors.lastname: Bender
authors.forename: Marjory
authors.initials: M
authors.lastname: Williams
authors.forename: Wei
authors.initials: W
authors.lastname: Su
mesh_terms: D000328:Adult; D004059:Diffusion of Innovation; D006801:Humans; D007857:Leadership; D008875:Middle Aged; D009720:Nurse Clinicians; D009740:Nursing Staff; D055815:Young Adult