ISBN-10:
1284032884
ISBN-13:
2901284032887
Pub. Date:
07/12/2013
Publisher:
Jones & Bartlett Learning
Initiating And Sustaining The Clinical Nurse Leader Role / Edition 2

Initiating And Sustaining The Clinical Nurse Leader Role / Edition 2

by James L. Harris

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Overview

Initiating And Sustaining The Clinical Nurse Leader Role / Edition 2

UnitI Introduction
Chapter1 The Clinical Nurse Leader Footprint
Chapter2 The CNL as a Leader in the Microsystem
UnitII Academic, Clinical, and Community Partnerships
Chapter3 Value of Communication for Improving Care
Chapter4 Networking and Community Advocacy
Chapter5 Preparing Preceptors for CNL Immersions
Chapter6 Creative and Meaningful Clinical Immersions
UnitIII Achieving a High Reliability Organization
Chapter7 Quality Improvement and Safety: Imperatives for CNL Practice
Chapter8 Analyzing and Managing Data: The Clinical Nurse Leader's Role
Chapter9 Transitions in Care: Clinical Nurse Leader Role in Care Coordination
Chapter10 Improvement Science and Team Science: Links to Innovation, Effectiveness, and Safety
Chapter11 Using Evidence to Guide CNL Practice Outcomes
UnitIV Health Promotion and Disease Prevention: Essentials for the CNL
Chapter12 Health Policy Engagement and Advocacy
Chapter13 Population Health and Management CNL Role
Chapter14 Collaboration and Interprofessional Teams
UnitV Foundations for CNL Success
Chapter15 Project Management Basics: Tools, Scope, Design, and Evaluation Creating Projects for Sustained Improvement
Chapter16 Using Informatics and Healthcare Technologies to Guide CNL Practice
Chapter17 Achieving Excellence in CNL Practice
Chapter18 Advancing the Clinical Nurse Leader Through Certification, Professionalism, and Residency Programs
Chapter19 The Clinical Nurse Leader: A Catalyst for Advancing Nursing

Product Details

ISBN-13: 2901284032887
Publisher: Jones & Bartlett Learning
Publication date: 07/12/2013
Edition description: Older Edition
Pages: 532
Product dimensions: 5.90(w) x 8.90(h) x 0.90(d)

About the Author

Professor, University of South Alabama, Mobile, Alabama


Visiting Professor, Texas Woman's University, Denton, Texas


ACNS-BC, CNL, Assistant Dean for Practice, Grand Valley State University, Grand Rapids, Michigan

Table of Contents

Foreword xi

Acknowledgments xiii

Chapter Contributors xiv

Exemplar Contributors xv

Unit 1 Introduction

Chapter 1 The Clinical Nurse Leader Footprint James L. Harris Linda A. Roussel Patricia L. Thomas 3

Introduction 4

Clinical Nurse Leader Footprint Past and Present 5

Future Implications for CNL Education and Practice 7

From Evolution to a Peaceful Revolution 8

Summary 9

References 10

Chapter 2 The CNL as a Leader in the Microsystem Patricia L. Thomas Linda A. Roussel 23

Creating a Value-Driven Approach to Care in a High-Reliability Organization 24

Process Excellence Training 28

Healthcare Economics 29

Risk Management 30

Change Paradigms 30

The CNL Role 33

Conclusion 34

Summary 35

References 35

Unit 2 Academic, Clinical, and Community Partnerships

Chapter 3 Value of Communication for Improving Care Deborah Antai-Otong James L. Harris 51

Introduction 52

Effective Communication 52

Building Alliances with Others 54

Using Clinical Decision Support Tools to Communicate Plans and Outcomes 55

Meeting the Triple and Quadruple Aims: The Clinical Nurse Leader's Contribution 56

Summary 57

References 57

Chapter 4 Networking and Community Advocacy Linda A. Roussel Alice J. Godfrey Lonnie Williams 65

Introduction 66

Preparation of the CNL 67

Leadership and Interdisciplinary Team Building 68

Complexity and Community Networking 68

Tools and Models for the CNL's Roles in Networking and Advocacy 69

Community Assessment 74

Summary 75

References 77

Chapter 5 Preparing Preceptors for CNL Immersions Kristen Noles Susan Wilkinson 89

Preceptors, Preceptees, and Core Competencies of Each 90

The CNL Clinical Immersion and Requisites for a Successful Immersion 93

Dedicated Learning Environment and Life-Long Learning Trajectory 94

Developing Meaningful and Sustainable Clinical Immersion Projects 95

Examples of Clinical Immersion Projects and Impact on the Healthcare System 100

Summary 102

References 103

Chapter 6 Creative and Meaningful Clinical Immersions Patricia L. Thomas James L. Harris Linda A. Roussel 109

Introduction 110

Using Data and Resources to Identify Needs and Craft Meaningful Clinical Immersions 111

Applying the Business Model to CNL Clinical Immersions 114

The Usefulness of Portfolios 114

Performance Contracts 116

Measurement of CNL Success 117

Summary 117

References 118

Unit 3 Achieving a High Reliability Organization

Chapter 7 Quality Improvement and Safety: imperatives for CNL Practice Patricia L. Thomas 125

Introduction 126

Background 128

Risk Anticipation, Risk Assessment, and Risk Management 129

Quality Improvement, Evidence-Based Practice, and the CNL Role 131

Defined Aim or Purpose 132

Review of the Literature 133

Resources to Facilitate Improvement 133

Mapping Current Processes 134

Root-Cause Analysis 134

Selecting Appropriate Tools 134

Selecting Measures and Metrics 134

Rapid Cycle Review 135

Relevance of the Microsystem 135

Systematic and Purposeful Identification of Quality Improvement Initiatives 136

Team Leader Tools for Success 137

Linking Quality Improvement to the Clinical Immersion Experience and the Daily Life of a CNL 138

Conclusion 139

Summary 139

References 140

Suggested Reading 142

Chapter 8 Analyzing and Managing Data: The Clinical Nurse Leader's Role James M. Smith 161

Introduction 162

Let's Improve … And Lets Do It Now! 163

Causes of Problems 164

Study the Process: Find the Solution 164

Something Else 166

Analyzing Data: Tests of Statistical Significance 167

Analyzing Data: Correlations 170

Presenting Data 172

Summary 175

References 175

Chapter 9 Transitions in Care: Clinical Nurse Leader Role in Care Coordination Linda A. Roussel 179

Introduction 180

Distinction between Transitional Care and Transitions of Care 183

Transitions in Care and Its Impact on Quality and Safe Patient Outcomes 184

Root Causes of Ineffective Transitions of Care 185

Transitions of Care Models: Major Component of the Most Commonly Used Frameworks 186

References 188

Chapter 10 Improvement Science and Team Science: Links to Innovation, Effectiveness, and Safety Kathleen R. Stevens 205

Introduction 206

Background 207

The Importance of Improvement Science 207

Research Priorities in Improvement Science 211

The Need for Priorities for Improvement Research 212

Developing Consensus on Improvement Research Priorities 212

Summary 215

References 215

Chapter 11 Using Evidence to Guide CNL Practice Outcomes Clista C. Clanton Linda A. Roussel 219

Introduction 220

EBP Core Competency: Conduct Searches to Locate Primary Research Studies in Multiple Databases/Assemble Clinical Practice Guidelines from Various Sources 222

EBP Core Competency: From Multiple Sources, Locate Evidence Summary Reports for Practice Implications in Context of EBP 223

EBP Core Competency: Using Existing Standards, Critically Appraise Evidence Summaries for Practice Implications in the Context of EBP 226

EBP Competency: Assemble Evidence Resources from Multiple Sources on Selected Topics into Reference

Management Software 233

Summary 234

References 234

Unit 4 Health Promotion and Disease Prevention: Essentials for the CNL

Chapter 12 Health Policy Engagement and Advocacy James L. Harris 245

Introduction 246

Health Policy, Engagement, and Advocacy Defined 246

Unintended Consequences of Health Policy: CNLs Respond 249

Trends and Impacts of Health Policy 250

Summary 252

References 253

Chapter 13 Population Health and Management CNL Role Linda A. Roussel Margaret Moore-Nadler 257

Population Health 258

Health Promotion and Illness Prevention: Overview 259

Historical Perspective: International Governments/United Nations 259

Global Trends in Health 260

Understanding the Larger Perspective 264

The Business of Health Care 265

The CNL's Role in the Evolving Healthcare System 266

The CNL's Role in Increasing Patient Engagement and Partnerships 267

The CNLs Role in Shared Responsibility and Accountability 268

The CNL's Role in Changing Health Risk Factors 268

The CNL's Role in Health Promotion/Primary Prevention 269

The CNL's Role in Disease/Secondary Prevention 270

The CNL's Role in Rehabilitation/Tertiary Prevention 271

The CNL's Role in Promoting Health 271

Patient-Centered Care 271

Summary 275

References 276

Chapter 14 Collaboration and Interprofessional Teams James L. Harris 287

Introduction 288

Synergistic Interprofessional Teams 289

Value and Interprofessional Team Collaboration 291

Interprofessional Competency Development and Team Effectiveness 292

Emotional Intelligence and Interprofessional Teams 292

Summary 293

References 294

Unit 5 Foundations for CNL Success

Chapter 15 Project Management Basics: Tools, Scope, Design, and Evaluation Creating Projects for Sustained Improvement Alice Poyss Patricia L. Thomas 311

CNL Competencies 312

Introduction 313

Interprofessional and Organizational Team Leaders in Project Management 314

Examples of the End of a Microsystem Assessment 318

Evaluation of the Improvement Plan 322

Project Plan 323

Summary 324

References 325

Chapter 16 Using Informatics and Healthcare Technologies to Guide CNL Practice Julia Stocker Schneider 335

Introduction 336

Healthcare and Nursing Informatics 336

Information Technology hi Health Care 337

The Electronic Health Record 337

Computerized Provider Order Entry 338

Clinical Decision Support (CDS) 338

Technology to Support Medication Administration 338

EHR Reporting and Analytic Functions 339

Health IT Adoption 339

Nursing Informatics Competencies 340

CNL Informatics Competencies 340

Information Systems Evaluation and the Systems Life cycle 342

Informatics Support of Patient Care 343

Technology Use to Support Care Coordination 343

Patient Education and Consumer Health 344

Data Analytics to Improve Care Safety and Quality 345

Informatics Ethics, Privacy, and Security 346

Summary 346

References 348

Chapter 17 Achieving Excellence in CNL Practice Linda A. Roussel Patricia L. Thomas James L. Harris 357

Introduction 358

Science of Innovation 358

The Need for Clinical Leadership 361

Clinical Leadership Behaviors 361

Information Management, Technology, and Analysis 362

Engagement, Teams, Satisfaction, and Outcomes 363

Contemporary Leadership Theories 363

Stewardship 365

Commitment to the Growth of People 365

Microsystem Partnerships and Clinical Leadership 367

CNLs in Action 367

Conclusion 367

Summary 368

References 369

Chapter 18 Advancing the Clinical Nurse Leader Through Certification, Professionalism, and Residency Programs James L. Harris 379

Introduction 380

Clinical Nurse Leader Transition to Practice 381

Clinical Nurse Leader Certification 383

The Clinical Nurse Leader Association 387

Summary 388

References 388

Chapter 19 The Clinical Nurse Leader: A Catalyst for Advancing Nursing Michael R. Bleich 391

Introduction 392

The National Academies and the Institute of Medicine 393

Findings and Recommendations 394

The Clinical Nurse Leader. A Catalyst for Change, a Strategic Nursing Asset 396

The CNL as a Health Leader 398

Summary 398

References 399

Index 403

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