Description/Overview: In response to the growing concern over patient safety, quality, and health care outcomes, the American Association of Colleges of Nursing (AACN), created the role of the Clinical Nurse Leader (CNL). CNL practice involves team development, microsystem assessment, process development, treatment, and ongoing evaluation. Implementing the role at the microsystem level has resulted in role ambiguity, increased cost, and lack of quantifiable measures of influence. By strategizing how to integrate the role in practice, nursing utilized two CNLs in a different manner than what was recommended by the AACN white paper. The purpose of this presentation is to describe how the CNL skill set is used in an innovative, nontraditional role. Applying the principles of the curriculum’s core competencies, the CNLs’ influence has been maximized by using the role at the macrosystem level. The unique aspects of this role include evaluation of practice, driving evidence based practice to the bedside, supporting care across the continuum, integration of technology and mentoring staff nurses as leaders. Their leadership has resulted in a) improvement of patient safety and quality, b) standardization of practice, and c) increased collaboration among a variety of disciplines. They have influenced over 48 interdisciplinary teams, 27 hospital wide clinical practice changes, and multiple quality improvements. In two years, they have led nursing in the process of evaluating 3126 practice standards. As nurse leaders seek ways to utilize the CNL skill set it is essential that they are open to the endless possibilities for the role within their organization.

Learner Objective #1: Describe the use of the Clinical Nurse Leader skill set at the macrosystem level.

Learner Objective #2: Describe the quantifiable measures of influence of the Clinical Nurse Leader in a non-traditional role.