END-OF-PROGRAM COMPETENCIES & REQUIRED CLINICAL EXPERIENCES FOR THE CLINICAL NURSE LEADER –
This section delineates the competencies expected of every graduate of a CNL master’s degree education program. A minimum set of clinical experiences required to attain the end-of–program competencies also is included. Describe the activities you completed over your six semesters that met each Clinical Experience in the column below. Do not remove existing text and add your activities in blue text in the left hand column as shown in the bullet points below.
Graduate Level Curriculum Elements | CNL Role Functions | CNL Role Expectations | End of Program Competencies | Required Clinical Experiences |
Nursing Leadership | Advocate |
| 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
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Nursing Leadership | Advocate |
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| 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.
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| Member of a 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
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Care Environment Management | Team Manager |
| 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
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| Information Manager |
| 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.
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| Systems Analyst/Risk Anticipator |
| 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:
. Work with quality improvement team and engage in designing and implementing a process for improving patient safety.
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Clinical Outcomes Management
| Clinician |
| 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 interdisciplinary plans of care based on best practice guidelines and evidence-based practice.
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Clinical Outcomes Management
| Outcomes Manager |
| 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
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Clinical Outcomes Management
| Educator |
| 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.
I developed an education plan for nurses regarding cultural competency in care and discharge of Latino patients.
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.
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