CNLs are generalist master’s-degree prepared nurses who are responsible for the
care coordination of specific groups of patients within clinical microsystems (AACN,
2007). A distinct skill of CNLs is their ability to focus on systems level thinking, while
working at the point of care. CNLs infuse and advocate for evidence-based practice
within microsystems to improve the quality of care. They also monitor and evaluate
patient and staff quality outcomes (AACN, 2007).
According to the AACN (2013), fundamental characteristics of CNL practice can
be delineated. CNLs provide clinical leadership for patient-care practices and delivery,
including the design, coordination, and evaluation of care for individuals, families,
groups, and populations. CNLs work collaboratively to identify, evaluate and
improvement of point-of-care outcomes. CNLs anticipate risk and work with frontline
nurses to design and implement evidence-based practice. CNLs serve as team leaders
who collaborate with interdisciplinary and inter professional team members. Lastly,
CNLs advocate for patients, families, and communities. Given these specific
responsibilities, persons assuming this new role must be properly educated and evaluated
on their ability to successfully fulfill the role in practice (AACN, 2013).