Related Experiment Video
Updated: Feb 16, 2026
Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
Published on: August 29, 2025
Developing the Clinical Nurse Leader Survey Instrument: A Modified Delphi Study.
Miriam Bender1, Alice Avolio, Patricia Baker
1Sue & Bill Gross School of Nursing, University of California, Irvine (Dr Bender); VA Portland Health Care System, Portland, Oregon (Dr Avolio); UT Health School of Nursing, San Antonio, Texas (Ms Baker); University of South Alabama, Mobile (Dr Harris); St Lucie Medical Center, Port St Lucie, Florida (Ms Hilton); Evaluation and Assessment Unit, Department of Health Care Organization and Policy, The University of Alabama at Birmingham (Dr Hites); University of Alabama, Birmingham (Dr Roussel); Maine Medical Center, Portland (Ms Shirley); Kirkhoff College of Nursing, Cook-DeVos Center for Health Sciences, Grand Rapids, Michigan (Dr Thomas); and Central Texas Veterans Health Care System, Temple (Dr Williams).
This study developed and validated the Clinical Nurse Leader (CNL) Practice Survey. This tool measures CNL roles to link practice to improved patient quality and safety outcomes.
Area of Science:
- Nursing
- Healthcare Quality
- Health Services Research
Background:
- The Clinical Nurse Leader (CNL) role is an emerging model for integrated care delivery.
- Growing adoption across health systems necessitates robust evidence linking CNL practice to outcomes.
- Measuring CNL practice is crucial for demonstrating its impact on quality and safety.
Purpose of the Study:
- To develop and test the validity of the CNL Practice Survey instrument.
- To create a reliable tool for measuring CNL practice.
- To establish a foundation for linking CNL roles to quality and safety improvements.
Main Methods:
- A modified Delphi approach was employed.
- An expert panel of CNLs participated in the development and testing.
- Face, content, and construct validity of the survey were assessed.
Main Results:
- The CNL Practice Survey instrument was developed.
- The survey demonstrated face, content, and construct validity.
- The instrument is suitable for measuring CNL practice.
Conclusions:
- The validated CNL Practice Survey can be used to measure CNL roles.
- This instrument will aid in linking CNL practice to quality and safety outcomes.
- Further research can utilize this tool to build the evidence base for the CNL model.
Related Concept Videos
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:15Nursing Evaluation
01:25Formulating and Validating Nursing Diagnosis II
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
01:15Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...