Sue & Bill Gross School of Nursing, University of California Irvine (Dr Bender); Central Texas Veterans Health System, Temple (Dr Williams); and Wound Care at Torrance Memorial Medical Center, Torrance, California (Ms Chandler).
J Nurs Care Qual. 2023;38(4):327-334. doi: 10.1097/NCQ.0000000000000706. Epub 2023 Mar 22.
The clinical nurse leader (CNL) care model has existed since 2007. However, there is limited understanding how the model can best be implemented.
A validated CNL Practice Survey measuring domains theorized to influence CNL implementation was used to examine the link between CNL domains and CNL implementation success.
Mixed methods were used to analyze data from a nationwide 2015 survey administered to clinicians and administrators involved in CNL initiatives.
Of total respondents (n = 920), 543 (59%) provided success scores, with 349 (38%) providing comments. Respondents with negative comments gave significantly lower average CNL success scores. The majority of negative comments mapped onto Readiness and Structuring domains, providing details of barriers to CNL implementation success.
Findings provide information about structural domains that can be strategically targeted to better prepare settings for CNL implementation and success.
临床护理领导人（CNL）护理模式自 2007 年以来就已经存在。然而，对于如何最好地实施该模式，人们的理解有限。
使用经过验证的 CNL 实践调查来衡量理论上影响 CNL 实施的领域，以检验 CNL 领域与 CNL 实施成功之间的联系。
采用混合方法分析了 2015 年全国范围内针对参与 CNL 计划的临床医生和管理人员进行的调查数据。
在总共的受访者（n=920）中，有 543 名（59%）提供了成功评分，其中 349 名（38%）提供了评论。有负面评论的受访者给出的平均 CNL 成功评分明显较低。大多数负面评论都映射到了准备和结构领域，详细说明了 CNL 实施成功的障碍。
这些发现提供了有关结构领域的信息，这些信息可以有策略地针对特定领域，为 CNL 的实施和成功做好更好的准备。
