Teamwork and Collaboration for the Clinical Nurse Leader: An Unfolding Case Study

Saturday, 16 November 2013

Meg Zomorodi, RN, CNL, PhD
School of Nursing, 526 Carrington Hall, Chapel Hill, NC

Learning Objective 1: The learner will be able to identify the role of the Clinical Nurse Leader in improving patient outcomes in the healthcare setting.

Learning Objective 2: The learner will be able to discuss the role of evidence based practice when developing an unfolding case study for students and inter-professional experts.

The Clinical Nurse Leader (CNL) role is an emerging role in healthcare today. However, many healthcare organizations are unclear of what exactly the role encompasses. Additionally there are not many opportunities for students to shadow or precept the CNL role, as few certified CNLs exist in our local area. Therefore, creative teaching strategies must be implemented in order to expose the students to the role of the CNL as well as educate service providers about the importance of the role. One intervention aimed to increase awareness of the CNL role from the student and provider perspective was to create an unfolding case study simulation. This simulation, based on a complex patient with breast cancer, served as a way to simulate the role of the CNL across the healthcare continuum. Students were provided with initial information about the patient and asked to pose questions to an interprofessional panel in order to identify care needs for the patient. The panel consisted of an outcomes management nurse, nurse educator, social worker, physician, acute care nurse practitioner, and multi-cultural/generational expert. This experience was designed to simulate a provider conference in the healthcare setting; caring for a complex patient from admission to discharge. Along with identifying the primary care needs, students researched the pathophysiology, pharmacology, and health assessment trajectory of the patient and developed a care plan which was patient centered, outcomes driven, and collaborated with diverse members of the care team. Evaluation of the experience reported that both students and panel members developed a deeper appreciation for the CNL role and desired more opportunities for teamwork and collaboration.