Examining the Relationship Between Differing Implementation Patterns of an Evidence-Informed Frontline Nursing Care...

Area of Science:

• Nursing
• Healthcare Management
• Quality Improvement

Background:

• The Clinical Nurse Leader (CNL) care model offers an alternative to traditional nursing staff ratio models.
• Variability in CNL model implementation and outcomes necessitates further investigation.

Purpose of the Study:

• To identify implementation patterns of the CNL care model across diverse clinical units.
• To examine the relationship between these patterns and implementation success.

Main Methods:

• A psychometrically validated survey instrument was used to assess CNL model domains and implementation success.
• Data from 1223 participants across 66 units in 9 hospitals were analyzed using a Bayesian framework.

Main Results:

• Specific patterns in organizational readiness and unit-level workflow were identified.
• The outcome domain was most consistently predictive of implementation success.
• Efficacious pathways for improved care environments and quality were suggested by patterns in Readiness, Structuring, and CNL Practice.

Conclusions:

• Findings highlight actionable implementation strategies for the CNL care model.
• The study provides evidence for successful adoption of the CNL model to enhance care quality and work environments.