The clinical nurse leader
(CNL) role was developed as a strategy for redesigning care delivery to address quality and safety gaps in health care. However, innovation
competencies have never been assessed in this group.
The purpose of this study was to determine whether CNLs have different perceptions of innovation
and their own competence to lead it, compared with other nurse leaders.
A web-enabled concurrent mixed-method survey design was used to compare self-reported innovation
competencies between nurses in a leadership role and certified CNLs at a large academic medical center.
A statistically significant difference between groups was found for only 1 competency
, with non-CNLs rating themselves as more competent in the use of unconventional approaches than CNLs. Qualitative data showed wide variation in recognition of innovation
and how it is defined.
Replication of this study is needed with an increased sample size of CNLs to determine whether curriculum change is needed.