(Feldman & Greenberg, 2005, p. 219)
These were necessary requirement in the 90's. Now in an ever increasing age of need for more highly educated professional, the Clinical Nurse Leader armed with a Master's degree or better, is more adapted to handle a wide range of situations and create a fulcrum from which to balance all the staff in a given unit.
Literature Review
Clinical Nurse Leader
Kennedy, M.S.. (2004) Introducing the Clinical Nurse Leader. American Journal of Nursing, 104 (10), 22.
This article is a report regarding the decisions calling for a new role for nurses. The American Association of Colleges of Nursing (AACN), held an extraordinary January 2004 meeting to take action regarding recommendations of its Task Force on Education and Regulation for Professional Nursing Practice,. The result was that they passed a resolution calling for a "new nursing professional for generalist practice," (2004, 22) the clinical nurse leader (CNL), This position would be required to hold a minimum of a masters degrees. Although the AACN views the role of the CNL as different from that of the clinical nurse specialist, the National Association of Clinical Nurse Specialists does not and this has become a political hot bed of controversy regarding the roles that each play in the leadership of a department.
Mccabe, S. (2005). I Don't See No Line. Perspectives in Psychiatric Care, 41(2), 79-88
Although mainly concerned with Opsychitric care Mccabe's article assists with the understand of the CNL position as it is evolving into the new practice of medicine as well as keeping a well educated staff present in the hospitals setting without relying solely on interns and doctors for that level of care.
Perhaps we are watching the start of an evolution. An iterative process that is bringing the pendulum of masters-level nursing back to the center. National movements are calling for the development of a generalist masters-prepared nurse, the Clinical Nurse Leader degree (AACN, 2003). Discussions of a nursing practice doctorate are increasingly gaining favor (AACN, 2004). (Mccabe, 2005, p. 88)
He does note that the lines may be a little blurred at the start of the movement towards increasing the effect that a nurses may have on the overall health of patients. He does emphasize that the lines do need to be drawn between such level of supervision as charge nurses, LPN, RN and so on so that there is no misunderstanding along the way.
Mccabe, S., & Burman, M.E. (2006). A Tale of Two APNs: Addressing Blurred Practice Boundaries in APN Practice. Perspectives in Psychiatric Care, 42(1), 3-19
Here Mccabe with Burnam further address the confusion over the roles and the myriad titlesl that have appeared in the nursing community as well as the often less evident but significant confusing issue in practice, that of blurred supervisory boundaries as indicated in the previous article..
It would seem that, given the alphabet soup asserting specialization in APNs, the scope and boundaries of their specific roles would be clear. But they are not. The boundaries of APN practice are increasingly blurred, enough so that many of us are unable "to see the line" that forms the boundary of our professional practice in the real world of clinical care. (Mccabe & Burman, 2006, p. 3)
Nursing has started to evolve down a path of what appear to be extremes,. While there are very clear and succinct specialization on the one hand there is also the "decreasing specialization on the other hand with the development of the clinical nurse leader (CNL) degree" (2006, p. 16). The further development in educational priorities for nursing has also led an increase in nurses earning a doctorate in nursing practice (DNP). This further heightens the discussions of roles, standards and practices as well as what constitutes the core of APN practice.
Until we can provide an answer to the question of whether or not our artificially derived roles produce the most efficacious outcomes, we will not know where the APN future lies, nor how to best grow our science and identity. (Mccabe & Burman, 2006, p. 18)
Nelson, R. (2005)T he Clinical Nurse Leader -- Needed or Not? American Journal of Nursing, 105 (12) 24-25,
The main focus of this article is a report which explores the initiative of the American Association of Colleges of Nurses (AACN) which has the potential to change the nurses role in supervision and education creating the need for minimally a master degree as well as a doctoral degree.
The AACN proposed the development of a new nursing role, that is, the clinical nurse leader (CNL), in 2003. A CNL will require a master's degree in nursing and will have to design, implement and evaluate client care by coordinating, delegating and supervising the care provided by the health care team, including licensed nurses, technicians...
(Feldman & Greenberg, 2005, p. 67) Staffing coordinators, often nurse leaders must seek to give priority to educational needs as a reason for adjusting and/or making schedules for staff, including offering incentives to staff not currently seeking educational goals for assisting in this priority regardless of the implementation of a tuition reimbursement program. (Feldman & Greenberg, 2005, p. 233) Nurse Leaders as Academic Theorists The fact that many nurse leaders serve
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