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Roles enacted by Clinical Nurse Leaders across the healthcare spectrum: A systematic literature review

机译:临床护士领导人在医疗保健频谱上颁布的角色:系统文献综述

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摘要

The Clinical Nurse Leader (CNL) is a master's prepared nurse envisioned to provide clinical leadership at the microsystem level to ensure safe, high quality patient-centered care. The American Association of Colleges of Nurses defined ten ‘fundamental aspects’ of CNL practice, but as the certified CNL population grows, data suggest they are filling a variety of positions besides formally designated CNL roles. This article reports the results of a systematic review of CNL literature to better understand what roles and activities certified CNLs are enacting when not hired into formally designated CNL roles. Sixty-nine articles met inclusion criteria. Roles identified include: faculty, 62%; clinical management/executive, 12%; specialty clinician, 11%; and staff nurse, 9%. In these roles, certified CNLs are reviewing literature, conducting research, and/or writing commentaries on CNL education and practice and other health foci such as alarm fatigue, insulin practices, and physical exercise for cancer-related fatigue. Results indicate that despite a lack of formal tracking of certified CNLs over time, the available information identifies a variety of roles and job titles used by this group of professional nurses. The study findings add to the body of knowledge informing overall understanding of the CNL initiative.
机译:临床护士领导者(CNL)是一家硕士准备的护士,设想提供在微系统级别的临床领导,以确保安全,高品质的患者为中心的护理。美国护士的大学协会定义了CNL练习的十大“基本方面”,但随着认证的CNL人口的增长,数据建议他们填补了各种位置,除了正式指定的CNL角色。本文报告了CNL文献系统审查的结果,以更好地了解CNL在未被雇用入载于正式指定的CNL角色时颁布的角色和活动。六十九的文章符合纳入标准。确定的角色包括:教师,62%;临床管理/执行,12%;特产临床医生,11%;和员工护士,9%。在这些角色中,认证的CNL正在审查文献,进行关于CNL教育和实践以及其他健康灶等报告疲劳,胰岛素实践和癌症患者的体育锻炼的评论。结果表明,尽管随着时间的推移缺乏认证的CNL,但可用的信息确定了这组专业护士使用的各种角色和职称。研究结果增加了知识体,了解对CNL倡议的全面了解。

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