Stage I. Establishing a Sense of Urgency


  1. Examining the market and competitive realities.

  2. Identifying and discussing crises (real and potential) problems to be addressed and major opportunities.

  3. Avoiding complacency

  4. Suggested References

    1. Presentations

      1. PowerPoints - AACN-CNL Web site

      2. Bednash, P. Changing the Face of Nursing

    2. Books/Articles

      1. AACN, (2002) Hallmarks of the Professional Nurse Practice Environment

        Hallmarks brochure

      2. AACN. (2003). Working White Paper on the Role of the Clinical Nurse Leader.

      3. Agency for Healthcare Research and Quality (AHRQ): Nursing Research; Nurses at AHRQ; Research Funding; Tools and Resources

      4. AHRQ: Quality Tools News

      5. American Hospital Association Commission on Workforce for Hospitals and Health Systems. (2002). In our hands, how hospital leaders can build a thriving workforce. Chicago, IL: American Hospital Association.

      6. Beginning the Work: Implications for the Practice Environment Video Presentation by Dr. Gail Wolf

      7. Buerhaus, P., Staiger, D.O., & Auerbach, D.I. (2000). Implications of an aging registered nurse workforce. Journal of the American Medical Association, 283, 22.

      8. Drenkard, K. (2004). The clinical nurse leader: A response from practice. Journal of Professional Nursing, 20 (2), 89-96.

      9. Institute for Healthcare Improverment (IHI) initiatives

      10. Institute of Medicine. (1999). To Err is Human: Building a Safer Health System. Washington, DC. National Academies Press.

      11. Institute of Medicine. (2001). Crossing the quality chasm. Washington, DC. National Academies Press.

      12. Institute of Medicine (2004). Keeping Patients Safe: Transforming the work environment of nurses. Washington D.C. National Academies Press.

      13. Joint Commission on Accreditation of Healthcare Organizations. (2002). Healthcare at the crossroads. Strategies for addressing the evolving nursing crisis. Chicago.

      14. Leapfrog Group for Patient Safety

      15. Rusch, L. & Bakewell-Sachs, S. (2007). The CNL: A gateway to better care? Nursing Management. 32-40.

      16. Sanford, J., Hall, P., & Roussel, L. (2007). The clinical nurse leader: new role in nursing. Mississippi RN, 69 (1), 17.

      17. Tornabeni, J. (2006). The Evolution of a Revolution in Nursing. Journal of Nursing Administration, 36(1), 3-6.


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