The Influence of the Clinical Nurse Leader Role on Healthcare Quality: A Narrative Review of Patient Outcomes, Care Coordination, and System-Level Efficacy
Abstract
Background: Clinical Nurse Leader (CNL), initiated by the American Association of Colleges of Nursing in 2004, is a master-prepared role developed to enhance patient outcomes and microsystem-level care coordination in opposition to growing complexity in healthcare. Aim: This narrative review synthesizes evidence regarding the influence of the CNL on patient safety, quality, satisfaction, readmission, and care coordination, with challenges and future directions. Methods: A Systematic review of various studies in PubMed, CINAHL, and Scopus was conducted, synthesizing quantitative and qualitative information. Two tables summarize CNL interventions and outcomes. Results: CNLs reduced hospital-acquired infection (e.g., 20–40% reduction in CAUTIs), improved chronic disease management (5–10% reduction in HbA1c), enhanced patient satisfaction (10–15%), and reduced 30-day readmissions (10–25%). They enhanced interdisciplinary collaboration (15–20% improved communication) and optimized use of resources (10–15% shorter waits). Barriers are role ambiguity and uneven measures, for which there is sparse international evidence. Conclusions: CNLs have a substantial positive impact on patient outcomes and care coordination and align with healthcare reform objectives. Normalized measures, longitudinal data, and international studies are necessary to extend their influence, especially in underserved areas.
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References
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Copyright (c) 2025 Hawraa Abdulhadi Haashim Alsadah, Nouf nasser abdulaziz almulhim, Zainab Abdullah Alburayh, Fatimah Yousef Abdullah Alobud, Sawsan Hussain Mohammed Alawad, Rawan fahad abdultif alzuwayyid, Rawan abdulrahman al marzooq, Asala Hamdan Alruwaili, FATIMAH YASSEN ABDULLAH ALALAWI, HASSAN ALI ABDULLAH ALNAZR
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