The clinical nurse leader (CNL) role is being rapidly implemented in healthcare settings. A major component of the CNL role is to provide a leader at the center of the microsystem to promote quality outcomes. To examine the impact of CNLs at the Department of Veterans Affairs Tennessee Valley Healthcare System, outcomes from 5 diverse microsystems were evaluated before and after CNL implementation using electronic scheduling system reports, patient medical records, and quality improvement reports. Statistically significant improvements were found in all 5 of the indicators evaluated. The authors discuss the implications of improvement for clinical, satisfaction, and financial performance.
Authors' Affiliations: Assistant Professor (Dr Hix), Middle Tennessee State University, Murfreesboro; Assistant Professor (Dr McKeon), University of Tennessee Health Science Center, Memphis; Interim Chief Nurse for Education Affiliation and Research (Ms Walters), Department of Veterans Affairs Tennessee Valley Healthcare System, Nashville.
Corresponding author: Dr Hix, Middle Tennessee State University, PO Box 81, Murfreesboro, TN 37129 (firstname.lastname@example.org).