Please do a paragraph about this post with this instruction .

post most have 4 or more sentences .

you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings, ask questions of each other, etc

According to an article l in The American Nurse Today a clinical nurse leader (CNL) is a master level clinician. It has been compared to the APRN because of the advance knowledge of pharmacology and physical assessments. However, the CNL is not part of a medical team and does not specialize (often referred to as generalists). CNL’s also provide education to the many professional groups that work in a facility: interdisciplinary and inter-professional. They often focus on point of care and evidence based practice, evaluate clinical interventions, work as co-coordinators of care, and work on the organizations agendas and goals (Monaghan, 2011).

• The article identified 6 key roles of the CNL that must be incorporated to be effective ((Monaghan, 2011)
• Leadership and change
• Interdisciplinary relationships
• Knowledge transfer
• Outcomes management
• Clinician at the point of care
• Professional development

The Veteran Health Administration has used CNL’s and noted a success with integrating them into the system. The need for sitters for patients with dementia has decreased, decrease in perioperative and GI patient cancellations, increase of teaching during discharge, decrease in VAPs, and increase in nursing hours. It was also noted in the article
that facilities outside of the VHA have seen a decrease in bed sores, falls, and nosocomial infections (Monaghan, 2011).

Work place advocacy promotes better patient care and empowerment to the nurses who are involved. When the voice of nurses is strengthened, and heard patient receive better care and workplace morale increases. Shared governance is an example of empowering nurses to participate in work place advocacy. Shared governance is defined as a “model of nursing practice designed to integrate core values and beliefs that professional practice embraces, as a means of achieving quality care” (Anthony, 2004). Implementing the shared governance model directly correlates with nursing retention, satisfaction, and improvement in the work environment.

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