CNL practice encompasses five domains: Preparation for CNL Practice; the
Structure of CNL Practice; the Core P henom enon of CNL Practice - C ontinuous
Leadership a t th e Point-of-Practice; O utcom es o f CNL Practice; and A cceptance.
These dom ains in teract to produce th e stru ctu re, function, and outcom es of CNL
practice. The core phenom enon of CNL practice involves developing re la tio n sh ip s
across professions to pro m o te and m anage inform ation exchange, sh ared d ecisio n m
aking, and effective care processes. The m odel highlights the im p o rtan ce o f a
system atic approach to CNL developm ent and im plem entation: th e ex ten t to w hich
each dom ain is adequately ad d ressed influences the d eg ree of CNL success.