Comment 1 -2

Comment1

Clinical nurse leader role (CNL) is  a new specialty developed in nursing to prepare highly skilled nurses    to focus on the improvement of quality and safety outcomes for patients. According to IOM report on 1999 large number of death occurred as result of avoidable medical errors. In response to this   American Association of Colleges of Nursing(AACN) launched the role of clinical nurse leader ,to educate and strengthen nurses to improve safety, quality and better outcomes of care delivered. The CNLs provide education to all and corporate with evidence based practice (“Clarifying the clinical nurse leader role: guardian of care – American Nurse Today”, 2018).

The clinical nurse leader (CNL) is an advanced clinician with master’s level education. Education is necessary to bring clinical competence and knowledge to serve as a resource to entire nursing team. CNLs  who works with multi-disciplinary team of physicians, pharmacists, social workers clinical nurse specialists’.CNL collect and evaluate treatment results .CNLoften manages other nursing staff and even serve as a resource to the entire team.CNL s require strong problem  solving and critical thinking skills to evaluate the quality of patient  care (2018) .

Comment2

Clinical nurse leaders (CNL) are nurses that can be described as advanced generalists. They serve general populations within medical care. CNLs will deal with oncology patients, bariatric patients, cardiology patients, etc. These patients will have a variety of diagnoses and treatment plans that the CNL will have to be familiar with. As such this places CNLs as prime educators within the medical system that educate the groups with whom they work on the most current evidence based practice. As a result this improves the delivery of patient care. For example, CNLs will work with clinical nurse educators (CNE) to address areas of educational gaps for the staff. They will then assess the feedback given by the staff to note areas of improvement and/or success (Monaghan, 2011).

In order to become a qualified CNL, one must have a nursing degree and  complete a master’s degree in order to ensure clinical competency and mastery. After which, a program designed to teach the role of CNL to the students (Stanley, 2018).

The success of CNLs has been quantified many times over particularly in the Veterans Health Administration (VHA). With the implementation of CNL roles, the VHA has documented an increase in nursing hours per patient day, reduction of sitter hours for patients with dementia, decrease in preoperative and gastrointestinal patient cancellations, and increase in the compliance of providing discharge teaching by the nursing staff, reduction in ventilator-associated pneumonia, reduction in falls, nosocomial infections, and pressure ulcers” (Monaghan, 2011).

 
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