Stage IV. Communicating the Change Vision


  1. Using every vehicle possible to constantly communicate the new vision and strategies

  2. Having the guiding coalition role model the behavior expected of others

  3. Emphasizing the expected positive outcomes

  4. Forming practice agency task force to analyze/recommend system changes

  5. Suggested References

    1. AACN Web site

    2. AONE Joins Clinical Nurse Leader Implementation Task Force

    3. Journal Articles

      1. Haase-Herrick, K. (2005). The opportunities of stewardship. Nursing Administration Quarterly, 29, 115-118.

      2. Harris, J. & Roussel, L. (2009). Initiating and sustaining the clinical nurse leader role: a practical guide.  Boston: Jones and Bartlett.

      3. Maag, M.M., Buccheri, R., Capella, E. & Jennings, D. (2006). A conceptual framework for a clinical nurse leader program. Journal of Professional Nursing, 22(6), 367-372.

      4. Seed, M.S., Torkelson, D.J., & Karshmer, J.F. (2009). The clinical nurse leader: helping psychiatric mental health nurses transform their practice. Journal of American Psychiatric Nurses Association, 15(2), 120-125.

      5. Sherman, R.O. (2008). Factors influencing organizational participation in the Clinical Nurse Leader project. Nursing Economic$, 26(4), 236-241.

      6. Smith, S.L., Manfredi, T., Hagos, O., Drummond-Huth, B., Moore, P. (2006) Application of the Clinical Nurse Leader Role in an Acute Care Delivery Model. Journal of Nursing Administration, 36(1), 29-33.

      7. Stanhope, M. & Turner, L.P. (2006). Diffusion of the clinical nurse leader innovation. Journal of Nursing Administration, 36(9), 385-389.

      8. Wiggins, M. (2008). The partnership care delivery model: an examination of the core concept and the need for a new model of care.  Journal of Nursing Management (16), 629-638.

      9. Wiggins, M.S. (2006). The Partnership Care Delivery Model. Journal of Nursing Administration, 36(7/8), 341-345.


    4. Clinical Nurse Leader DVD (Department of Veteran's Affairs), a 15 minute video about the implementation of the CNL in the Veteran's Affairs Health Care System

    5. AACN FAQ sheets

    6. Drenkard, K. (2004). Clinical Nurse Leader Pilot: Critical Success Factors


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