Factors Influencing Implementation Success of the Clinical Nurse Leader Care Delivery Model: Findings From a...

Area of Science:

• Nursing leadership
• Healthcare management
• Organizational science

Background:

• The Clinical Nurse Leader (CNL) care model, established in 2007, lacks comprehensive implementation guidance.
• Understanding optimal CNL implementation strategies remains a challenge for healthcare organizations.

Purpose of the Study:

• To investigate the relationship between CNL domains and successful implementation of the CNL model.
• To utilize a validated CNL Practice Survey to assess factors influencing CNL implementation.

Main Methods:

• A mixed-methods approach was employed for data analysis.
• A nationwide survey was administered in 2015 to clinicians and administrators involved in CNL initiatives (n = 920).

Main Results:

• Of 920 respondents, 543 (59%) reported CNL success scores, with 349 (38%) providing qualitative comments.
• Negative comments significantly correlated with lower average CNL success scores.
• Barriers identified in negative comments predominantly related to Readiness and Structuring domains.

Conclusions:

• Findings highlight the critical role of structural domains in CNL implementation.
• Strategic targeting of Readiness and Structuring domains can enhance CNL implementation success.
• This research provides actionable insights for healthcare settings preparing for CNL integration.