The CNL. Is an experienced. Nurse possessing a graduate degree, who provides clinical leadership in all healthcare settings, implements outcomes-based practice and quality improvement strategies, engages in clinical practice and creates and manages microsystems of care that are responsive to the healthcare needs of individuals and families
-delivery systems may have elements of the various designs present in the system is use in any organization
-each unit’s care delivery structure should facilitate meeting the goals of the organization be cost-effective,satisfy th patient , provide role satisfaction to nurses , allow implementation of the nursing process and provide for adequate communication among healthcare providers
-when work is redesigned it frequently has personal consequences for employees that must be considered .social interactions , the degree of autonomy, the abilities and skills necessary, employee evaluation and communication patterns are often affected by work redesign