Which is provide an example of how you assisted and individual to maintain their health, independence and well-being"

Please reflect on the End of Program Competencies and discuss which competency(s) you feel most confident about with your current experience and abilities and which competency(s) you feel you will need to work on.

How do you see caring science and complexity science guiding your professional practice?

How do you think you will integrate change theory as a Clinical Nurse Leader? Have you seen some changes implemented in practice that would have benefited from the use of change theory to guide or sustain the change?

Compose an Elevator Speech on the role of the Clinical Nurse Leader. This is the speech you will use when someone asks you, so ""What's a Clinical Nurse Leader?""

AACN End-of-Program Competencies & Required Clinical Experiences

for the Clinical Nurse Leadersm -

May 2006

This document delineates the competencies expected of every graduate of a CNLsm master's education program. A minimum set of clinical experiences required to attain the end-of-program competencies also is included.

Graduate Level

Curriculum

Elements

CNLsm Role Functions

CNLsm Role Expectations

End of Program Competencies

Required Clinical Experiences

Nursing Leadership

Advocate

� Keeps clients well informed

� Includes clients in care planning

� Advocates for the profession

� Works with interdisciplinary team

� Strives to achieve social justice within the microsystem

Effects change through advocacy for the profession, interdisciplinary health care team and the client.

Communicates effectively to achieve quality client outcomes and lateral integration of care for a cohort of clients.

Identify clinical and cost outcomes that improve safety, effectiveness, timeliness, efficiency, quality and client-centered care.

Communicate within a conflict milieu with nurses and other health care professionals who provide care to the same clients in that setting and in other settings.

Review and evaluate patient care guidelines/protocols and implement a guideline to address an identified patient care issue like pain management or readiness for discharge; follow-up to evaluate the impact on the issue.

Discover, disseminate and apply evidence for practice and for changing practice.

Participate in development of or change in policy within the health care organization.

Identify potential equity and justice issues within the health care setting related to client care.

Present to appointed/elected officials regarding a health care issue with a proposal for change.

AACN CNL End-of-Program Competencies & Required Clinical Experiences May 2006 1

Nursing Leadership

Advocate

Analyze the care of a patient cohort and the care environment in light of ANA Nursing Standards of Care and the Code of Ethics.

Analyze interdisciplinary patterns of communication and chain of command both internal and external to the unit that impact care.

Member of a Profession

� Effects change in health care practice

� Effects change in health outcomes

� Effects change in the profession

Actively pursues new knowledge and skills as the CNL role, needs of clients, and the health care system evolve.

Develop a life long learning plan for self.

Speak at a public engagement to a public forum

Participate in a professional organization/or agency wide committee

Care Environment Management

Team Manager

� Properly delegates and manages

� Uses team resources effectively

� Serves as leader/partner on interdisciplinary team

Properly delegates and utilizes the nursing team resources (human and fiscal) and serves as a leader and partner in the interdisciplinary health care team.

Identifies clinical and cost outcomes that improve safety, effectiveness, timeliness, efficiency, quality, and the degree to which they are client-centered.

Design, coordinate, & evaluate plans of care for a cohort of patients incorporating patient/family input and team member input.

Monitor/delegate care in the patient care setting.

Present to the multidisciplinary team a cost saving idea that improves patient care outcomes and improves efficiency

Conduct a multidisciplinary team meeting; incorporate client and/or family as part of the team meeting

Information Manager

� Uses information systems/

technologies

� Improves health care outcomes

Uses information systems and technology at the point of care to improve health care outcomes.

Using patient information system data, design and implement a plan of care for a cohort of patients.

Use aggregate data sets to prepare reports and justify needs for select care improvements.

Evaluate the impact of new technologies on nursing staff, patients and families. AACN CNL End-of-Program Competencies & Required Clinical Experiences May 2006 2

Systems Analyst/Risk Anticipator

� Participates in system reviews

� Evaluates/anticipates client risks to improve patient

safety

Participates in systems review to critically evaluate and anticipate risks to client safety to improve quality of client care delivery.

Participate in establishing and reviewing interdisciplinary patient care plans with team.

Apply evidence-based practice as basis for client care decisions

Conduct a microsystem analysis by:

�Identifying a clinical issue with a focus on a population.

�Conducting a trend analysis of incident reports

�Evaluating a sentinel event and conducting a root cause analysis (RCA)

� Incorporating analysis of outcome data

�Analyzing barriers and facilitators within the organization related to the identified issue

�Writing an action plan related to the analysis

�Presenting/disseminating to appropriate audience.

Work with quality improvement team and engage in designing and implementing a process for improving patient safety.

Clinical Outcomes Management

Clinician

� Designs/coordinates/evaluates care

� Delivers care in a timely, cost effective manner

� Emphasizes health promotion/risk reduction

Assumes accountability for healthcare outcomes for a specific group of clients within a unit or setting recognizing the influence of the meso- and macrosystems on the microsystem.

Assimilates and applies research-based information to design, implement and evaluate client plans of care.

Plan and delegate care for clients with multiple chronic health problems, identify nursing interventions to impact outcomes of care.

Using an existing database, evaluate aggregate care outcomes for a designated microsystem with focus on specific nursing interventions

Contribute to interdisciplary plans of care based on best practice guidelines and evidence-based practice.

AACN CNL End-of-Program Competencies & Required Clinical Experiences May 2006 3

Clinical Outcomes Management

Outcomes Manager

� Uses data to change practice and improve outcomes.

� Achieves optimal client outcomes

Synthesizes data, information and knowledge to evaluate and achieve optimal client and care environment outcomes.

Coordinate care for a group of patients based on desired outcomes consistent with evidence-based guidelines and quality care standards.

Revise patient care based on analysis of outcomes and evidence-based knowledge.

Analyze unit resources and set priorities for maximizing outcomes

Conduct a patient care team research review seminar

Clinical Outcomes Management

Educator

� Uses teaching/learning principles/strategies

� Uses current information/ materials/techniques

� Facilitates clients learning, anticipating their health trajectory needs.

� Facilitates client care using evidence-based resources.

� Facilitates group & other health professions' learning and professional development

Uses appropriate teaching/learning principles and strategies as well as current information, materials and technologies to facilitate the learning of clients, groups and other health care professionals.

Present a seminar or case study at a grand rounds or team meeting.

Conduct health education of individual patient or cohort based on risk profile.

Create or review an education module directed at patients and staff; develop a self-management guide for patients and families.

Develop and implement a professional development session for other professional nursing and ancillary staff.

Develop a health education plan for a unit-specific issue common to multiple clients.

Implement & evaluate the health education plan, evaluating the role of the team, the teaching learning methods used, the client interactions, the expected & actual outcomes, including health status changes.

AACN CNL End-of-Program Competencies & Required Clinical Experiences May 2006 4"