Stanley Joan M, Gannon Jane, Gabuat Jesse, Hartranft Susan, Adams Nancy, Mayes Christy, Shouse Gina M, Edwards Barbara A, Burch Danita
American Association of Colleges of Nursing, Washington, DC, USA.
J Nurs Manag. 2008 Jul;16(5):614-22. doi: 10.1111/j.1365-2834.2008.00899.x.
The clinical nurse leader (CNL) is a new nursing role introduced by the American Association of Colleges of Nursing (AACN). This paper describes its potential impact in practice.
Significant pressures are being placed on health care delivery systems to improve patient care outcomes and lower costs in an environment of diminishing resources.
A naturalistic approach is used to evaluate the impact the CNL has had on outcomes of care. Case studies describe the CNL implementation experiences at three different practice settings within the same geographic region.
Cost savings, including improvement on Centers for Medicare and Medicaid Services (CMS) core measures, are realized quickly in settings where the CNL role has been integrated into the care delivery model.
With the growing calls for improved outcomes and more cost-effective care, the CNL role provides an opportunity for nursing to lead innovation by maximizing health care quality while minimizing costs.
Nursing is in a unique position to address problems that plague the nation's health system. The CNL represents an exciting and promising opportunity for nursing to take a leadership role, in collaboration with multiple practice partners, and implement quality improvement and patient safety initiatives across all health care settings.
临床护理领导者（CNL）是美国护理学院协会（AACN）引入的一个新的护理角色。本文描述了其在实践中的潜在影响。
在资源日益减少的环境下，医疗保健服务系统面临着巨大压力，需要改善患者护理结果并降低成本。
采用自然主义方法评估CNL对护理结果的影响。案例研究描述了在同一地理区域内三个不同实践环境中实施CNL的经验。
在将CNL角色整合到护理服务模式的环境中，很快就能实现成本节约，包括医疗保险和医疗补助服务中心（CMS）核心指标的改善。
随着对改善护理结果和提高护理成本效益的呼声越来越高，CNL角色为护理提供了一个机会，通过最大限度地提高医疗保健质量同时最小化成本来引领创新。
护理在解决困扰国家卫生系统的问题方面具有独特地位。CNL为护理提供了一个令人兴奋且充满希望的机会，使其能够与多个实践伙伴合作，在所有医疗保健环境中发挥领导作用，实施质量改进和患者安全举措。
