Stage V. Empowering Broad-Based Action


  1. Getting rid of obstacles

  2. Changing systems or structures that undermine the change vision

  3. Encouraging risk taking and nontraditional ideas, activities, and actions

  4. Suggested References

    1. CNL/CNS Comparison Paper (2004)

    2. Job Description: one example of an acute care job description from Maine Medical Center

    3. Performance Evaluation Tool for the Practice Setting: Cross-Setting expectations for the CNL Graduate (How Will You Know One When You See One)

    4. CNL End of Program Competencies & Required Clinical Experiences

    5. CNL End of Program Competencies Checklist

    6. Working Statement Comparing the Clinical Nurse Leader and Nurse Manager Roles: Similarities, Differences and Complementarities (2005)

    7. Preceptor Role Guidelines

    8. Curriculum development framework

    9. "Template for CNL Implementation in the Practice Setting" (Jolene Tornabeni & Gail Wolfe)

    10. Examples from the practice arena

    11. AACN Clinical Nurse Leader Pilot Project Evaluation Indicators

    12. Comparison document: AONE Guiding Principles compared to AACN Core Competencies

    13. Articles

      1. Dzurec, L.C., Allchin, L., Engler. A.J., Szarlan, J., Polifroni, E.C. & Brewer, T. (2006). Toward a qualified yes: Personal characteristics of post-baccalaureate nursing students and implementation of the clinical nurse leader role. Journal of Professional Nursing, 22(1), 15-22.

      2. Nelson, E.C., Batalden, P.B., Huber, T.P., Mohr, J.J., Godfrey, M.M., Headrick, L.A., & Wasson, J.H. (2002). Microsystems in Health Care: Part 1. Learning from high-performing front-line clinical units. Journal on Quality Improvement, 28, 472-493.

      3. Nelson, E.C., Batalden, P.B., Homa, K., Godfrey, M.M., Campbell, C., Headrick, L.A., Huber, T.P., Mohr, J.J., & Wasson, J.H. (2003). Microsystems in health care: Part 2. Creating a rich information environment. Joint Commission Journal on Quality and Safety, 29(1), 5-15.

      4. Stanhope, M., Pedersen Turner, L. (2006). Diffusion of the Clinical Nurse Leader Innovation. Journal of Nursing Administration, 36(1), 385-389.

      5. Stanton, M. (2006, Spring). The health care quality challenge and the clinical nurse leader role (CNL). Online Journal of Rural Nursing and Health Care, 6(1).

      6. Tachibana, C. & Nelson-Peterson, D.L. (2007). Implementing the clinical nurse leader role using the Virginia mason production system. Journal of Nursing Administration. 37, 477-9.


    14. Presentations

      1. Fletcher, K.A., Mission: Designing a CNL Master's Curriculum. Presented at Clinical Nurse Leader Faculty Development Workshop, University of Kansas School of Nursing, Kansas City, KS, August 9, 2005.

      2. Wiggins, M. (2006). How the CNL Role Facilitates Other Healthcare Quality Initiatives

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