To Err is Human: Building a Safer Health System, assignment help
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The origins of the CNL date back to 1999 when the Institute of Medicine (IOM) produced the report To Err is Human: Building a Safer Health System , which highlighted the large number of patient deaths that occurred as a result of avoidable medical errors.
In response to this and subsequent papers by the IOM, the American Association of Colleges of Nursing issued a White Paper on the Education and Role of the Clinical Nurse Leader™ . This paper identified an approach to strengthening nursing leadership at the “point at which care is delivered” to improve patient safety and strengthen the quality and outcomes of the care delivered
CNLs provide education to all the different professional groups they work with as they integrate evidence-based practice and change at the point of care. They are likely to liaise with the CNE as part of the unit leadership team when areas of educational need are identified and work with them to monitor and feedback on the effectiveness of the educational interventions provided by either CNEs or CNLs.
In their Transforming Practice, Transforming Care™ model for the clinician at the point of care, Monaghan and Swihart identified six elements of the CNL role, all of which are inter-related and need to be mastered:
· Leadership and change
· Interdisciplinary relationships
· Knowledge transfer
· Outcomes management
· Clinician at the point of care
· Professional development
Their role is not primarily as a direct caregiver but rather a facilitator of direct care. They work with the clinical staff who are involved in the care of the patients; provide support and assessment of patients who have complex healthcare, discharge, and rehabilitation needs; provide direction and delegation to care delivery for this group; make referrals when necessary; round with the medical and interdisciplinary teams; and coach and support the direct caregivers in their unit or environment of care.
While CNLs have a shared goal with every other healthcare worker in providing the best and safest care possible to their patients and clients they serve, they are also the final piece of the clinical puzzle to achieving them. As we continue to see their numbers grow and more of their successes reported, we will also see that they are indeed the guardians of quality care.
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