COMMENT 4

 
The development of the Clinical Nurse leader role   began in 2003-2004 as response to quality and safety reports made by   the IOM. A Advanced master’s level educated, specialized nurse   with competencies in health system clinical leadership. Provides   direct clinical leadership at the point of care to insure safe,   evidenced-based care targeted towards high quality patient   outcomes.  The educational requirements of a CNL is a existing   Master of Science.  Those who are RN nurses can find pathways in   forms of ADN to MSN and BSN to MSN.  Non-nurses who have a   masters can enter nursing at a advanced level after completing a   transition-to-professional-practice period (Reid & Dennison 2011)
     A master’s prepared nurse may sit for an   exam to obtain the Clinical Nurse Leader designation the graduate   level nurse must graduate from a accredited CNL education program,   pass the CNL examination, possess a current, active, and have a   unrestricted RN license (Commission on Nurse Certification 2017).
     This prepares the CNL to practice across a   continuum of care in any healthcare settings.  The CNL serves as   a resource for nursing teams with a high level of clinical competence   and knowledge of point of care, evidence-based practice, latest   innovations in care delivery how to implement all in a cost effective   highly productive environment.  The CNL also evaluates patient   outcomes, risks and builds report with inter-professional healthcare   teams to improve patient outcomes and the nursing process (Commission   on Nurse Certification 2017).
     In acute care or community healthcare the CNL   works as a bond between direct care teams, the patient, and other   healthcare professionals.  The CNL is necessary to increase   nursing knowledge base and education, provide cost effective quality   care and move the nursing profession to a place of equality with other   providers.  

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