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Personal CNL Portfolio N266 Healthcare System 5-15-13 Jennifer Lee

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The American Association of the Colleges of Nursing (AACN) developed the role of a clinical nurse leader (CNL) in hopes to tackle the complexities and challenges of the quality of care in the present healthcare system (Wilson et al., 2013). CNLs is a mastered prepared advanced generalists nurse who works as a lateral integrator, clinician, outcomes manager, information manager, team manager, systems analyst/ risk anticipator, and client advocate (AACN, 2007). As a lateral integrator, CNLs will have the time that bedside nurses do not to find resources to educate and advocate for their patients to ensure that all patients are receiving high quality care (Wilson, 2013). As a clinician working in collaboration with other clinical staff, CNLs are able to identify inefficiencies and redundancies of policies and protocols and will work as a team manager to find a solution to improve the delivery of care for patients (Wilson et al., 2013). CNLs work as an outcomes manager as well to improve patient outcomes with the goal of improving quality of care and reducing institutional infection rates. In addition to being an outcomes manager, CNLs also work as an information manager by utilizing information systems and technology to practice and implementing evidence-based practice (EBP) (AACN, 2007). Not only do CNLs use EBP to improve quality of care and to reduce medical costs, CNLs also understand how structures and processes work within an institution and with that knowledge, CNLs can take the appropriate steps to address the root cause of a problem to implement change (Wilson, 2013). In summary, CNLs works within the microsystem to identify root causes, implement EBP, and modify interventions to meet individual needs to improve patient outcome and reduce hospital costs (Wilson, 2013). My personal philosophy of nursing stems back to Florence Nightingales employment of the concept of advocacy in the nursing profession. Nightingales contribution to the profession helped nurses advocate not only for those that are unable to advocate for themselves, but also

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advocating for patients safety to improve patient outcome (Selander & Crane, 2012). To advocate for patients, nurses should have integrity, preserve human dignity, and value social justice (AACN, 2007). Nurses not only advocate for their patients, but they are also life-long learners and educators. Nurses advocate for patients by utilizing EBP to implement the safest and effective practice to educate not only the patient, but also families, groups, communities, and health care providers of their findings to improve quality of care (AACN, 2007). I believe nursing is centered in patient care in which secondary prevention and upstream social determinants are ways in which nurses can advocate for their patients (Braveman et al., 2011). Nursing means being accountable for the patients well-being in all aspects, including viewing the patient holistic care. Core Competency I. Health care systems and policy Sub-Competencies N266 Healthcare systems/Organizations: Major Characteristics of U.S. Health Care Delivery understanding how health care delivery systems are organized. N266 Health care systems/ Organizations: Poster of what we think U.S. Health Care system is organized. N266 Healthcare systems/ Organization: Medicaid/Medicare 101 cost factors in delivery care. N266 Healthcare systems/ Organization: Real CNLs speak about their experience working collaboratively with other health care providers (HCP) to change policies and protocols. N260 Secondary Prevention: Lecture on Theoretical Application of Addressing Health-related Problems creating a video on a model to address importance of screening. N267 Healthcare policy N174 Physical Assessment Head to toe physical assessment; learning to ask specific questions to narrow health problem. N250 Ethics: Presentation on vulnerable population in front of cohort. N250 Ethics: writing a letter to Nursing Manager to suggest intervention to prevent burnout nurses. N250 Ethics: Clean water access presentation in front of cohort.

II. Communication

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III. Critical Thinking

IV. Provider and manager of care

V. Nurse technology and resource management

VI. Member of a profession VII. Lifelong learner

N250 Ethics : Lias Assignment work in groups to create a dialogue from a narrative and coming together to write a paper together. N252 Health Promotions: Preventing Alcoholism in Early Adulthood presentation in front of cohort. N225A Advanced Pharmacology I: Educational video on various drugs in the same class. N204 Research Design and Critique: research paper on topic of choice. N465A Med Surg: Clinicals communicating with Liaison, Preceptor, and RN. N465A and N465B Med Surg: Post Conference discuss why certain care is provided and what measures to take to prevent harm to hospitalized patients. N260 Secondary Prevention: Lecture on Theoretical Application of Addressing Health-related Problems creating a video on a model to address importance of screening. N225A Advanced Pharmacology I: Educational video on various drugs in the same class. N268 Systems (Hospital Unit): Individual Level N171 Public Health Nursing N260 Secondary Prevention: Evidence Based Screening Video Case Presentation Secondary Prevention: Implementing a Screening Guideline in Clinical Practice using AHRQ app on iPod to obtain convenient recommendations from the USPSTF Preventive Services Database. N269 Quality Improvement & Population-Based Quality of Practice N266 Healthcare systems/Organization: Kay Baker lecture on the Role of CNL in Healthcare N266 Health care systems/ Organization: Personal CNL Portfolio N269 Quality Improvement & Population-Based Quality of Practice. EKG, chemotherapy, biotherapy and various other certifications nursing students can obtain. UCLA Flying Samaritans Students provide free medical care for unprivileged people in Mexico. Doctor and students work together to diagnose patient.

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Reference American Association of Colleges of Nursing (2007). White Paper on the Education and Role of the Clinical Nurse Leader. Available at:, accessed 13 May 2013. Braveman, P., Egerter, S., & Williams, D.R. (2011). The social determinants of health: Coming of age. Annual Review of Public Health (32), 381-398. Doi:10.1146/annurev-publhealth-031210-101218 Selanders, L., & Crane, P., (January 31, 2012). The voice of Florence Nightingale on advocacy. OJIN: The Online Journal of Issues in Nursing (17), Manuscript 1. DOI: 10.3912/OJIN.Vol17No01Man01 Wilson, L., Orff, S., Gerry, T, et al. (2013). Evolution of an innovative role: the clinical nurse leader. Journal of Nursing Management (21), 175-181. DOI: 10.1111/j.13652834.2012.01454.x