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Diffusion of a Nurse-led Healthcare Innovation

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.

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