The Opportunity for the Clinical Nurse Leader Role in Transitional Care Leadership

2.50
Hdl Handle:
http://hdl.handle.net/10755/621976
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
The Opportunity for the Clinical Nurse Leader Role in Transitional Care Leadership
Author(s):
Kohlbry, Pamela; Daugherty, JoAnn; Gorzeman, Joy A.; Parker, Joseph A.
Lead Author STTI Affiliation:
Phi Theta
Author Details:
Pamela Kohlbry, PhD, RN, CNL, Professional Experience: Currently, I serve as Associate Professor at California State University San Marcos, School of Nursing in California. I have had the privilege to be part of the school from its inception in 2006. With over 30 years nursing experience and teaching in a variety of degree programs my focus is health promotion, cultural competency, and technology applications. I helped to develop CSUSM’s BSN, ABSN, Online RN-BSN, and Master’s Programs. With a global focus to enhance nursing care I have been involved with international projects in different countries both related to research and student service learning experiences. As an active participant in STTI since 1982, I helped to establish our Phi Theta Chapter and am past Chapter President. Author Summary: Dr. Kohlbry has been a nursing educator for over 30 years. Her research focuses on cultural competency, health promotion, quality of life, innovative technology and mobile apps. She collaborates on research in the Middle East, Indonesia, and Mexico. Currently, she is working on adapting the CSUSM CNL program from a face to face to an online program. She is an avid reader and loves her rose garden. Her family is the light of her life.
Abstract:

The purpose of this presentation is to describe the opportunity for leadership of the Clinical Nurse Leader (CNL) in transitional care. Leadership in transitional care is often missing resulting in any number of healthcare challenges related to errors and quality. For example, fragmentation and specialization result in problems in patient safety, medication administration, patient education, patient follow up, and gaps in communication. Typically, it is the chronically ill with the highest potential for frequent hospital visits due to the complexity of their healthcare illnesses. These hospital visits increase when there is miscommunication, breakdown in follow up, and/or lack of patient understanding. Transitions occur among patients, families, care providers, nurses, clinicians, physicians, hospitals, care settings and all along the care continuum. When problems around transitions occur it is costly for patients, families, healthcare providers, and healthcare payors which often results in unnecessary errors and poor outcomes.

The CNL would potentially bridge gaps 1) by participation of the CNL as navigators or coaches at the point of care and across the transitional care continuum and 2) as a leader in interprofessional transitional teams. This presentation will discuss the CNL skill set and its applicability in transitional care. In the United States (US) a variety of models of transitional care have been implemented in healthcare.

Research has demonstrated a positive impact of transitional care on health outcomes while reducing costs. In a recent transitions of care model, a southern California hospital utilized a CNL in the leadership role on a transitional healthcare team. Team members were identified as Health Care Coaches (HCC). Based on research of the characteristics needed, expectations, barriers and benefits of health care coaches, qualities and characteristics were identified. Interestingly, these characteristics aligned with the skill set of the CNL. Further, in this model the transitional healthcare team leader was a CNL. aligned with the skill set of the CNL. Further, in this model the transitional healthcare team leader was a CNL. Savings documented using this model in the southern California hospital were as follows: Medicare Fee For Service 30 Day Readmission Rate from June-November, 2013 at 12.77% however, with the patients enrolled in the transitional care model, the 30 Day Readmission Rate June-November, 2013 was 7.15%. The cost for a 30 day readmission event is $14,225, with the 12.77% versus the 7.15% yielding an annualized savings of over 2.3 million dollars in one hospital alone.

The CNL brings a skill set and competencies that support organizational processes in both the microsystem and macrosystem. These abilities are essential for coordinated and successful transitional care. The presentation will compare and contrast the CNL skills with the HCC and transitional care team leader.

This presentation will discuss several current models of care and the relationship to CNL competencies and education. Characteristics for HCC in transitions of care and the alignment of CNL competencies will be identified. The topic of models of transitional care is relevant to this conference because the CNL role in nursing is particularly suited to facilitate transitions of care for the chronically ill. The model of having the CNL role in transitional care leadership and the qualification of a skill set that fosters positive patient outcomes and decreases cost is a significant opportunity for nursing to contribute to improving healthcare and evidenced based practice. There is growing research on the role of the CNL as well as the need for smooth and uncomplicated transitions between care events and systems. Further, nursing has an opportunity for leadership with the CNL in transitional care.

Keywords:
Chronically Ill Patients; Clinical Nurse Leadership; Transitions or Care
Repository Posting Date:
20-Jul-2017
Date of Publication:
20-Jul-2017
Other Identifiers:
INRC17PST528
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleThe Opportunity for the Clinical Nurse Leader Role in Transitional Care Leadershipen_US
dc.contributor.authorKohlbry, Pamelaen
dc.contributor.authorDaugherty, JoAnnen
dc.contributor.authorGorzeman, Joy A.en
dc.contributor.authorParker, Joseph A.en
dc.contributor.departmentPhi Thetaen
dc.author.detailsPamela Kohlbry, PhD, RN, CNL, Professional Experience: Currently, I serve as Associate Professor at California State University San Marcos, School of Nursing in California. I have had the privilege to be part of the school from its inception in 2006. With over 30 years nursing experience and teaching in a variety of degree programs my focus is health promotion, cultural competency, and technology applications. I helped to develop CSUSM’s BSN, ABSN, Online RN-BSN, and Master’s Programs. With a global focus to enhance nursing care I have been involved with international projects in different countries both related to research and student service learning experiences. As an active participant in STTI since 1982, I helped to establish our Phi Theta Chapter and am past Chapter President. Author Summary: Dr. Kohlbry has been a nursing educator for over 30 years. Her research focuses on cultural competency, health promotion, quality of life, innovative technology and mobile apps. She collaborates on research in the Middle East, Indonesia, and Mexico. Currently, she is working on adapting the CSUSM CNL program from a face to face to an online program. She is an avid reader and loves her rose garden. Her family is the light of her life.en
dc.identifier.urihttp://hdl.handle.net/10755/621976-
dc.description.abstract<p><span>The purpose of this presentation is to describe the opportunity for leadership of the Clinical Nurse Leader (CNL) in transitional care. Leadership in transitional care is often missing resulting in any number of healthcare challenges related to errors and quality. For example, fragmentation and specialization result in problems in patient safety, medication administration, patient education, patient follow up, and gaps in communication. Typically, it is the chronically ill with the highest potential for frequent hospital visits due to the complexity of their healthcare illnesses. These hospital visits increase when there is miscommunication, breakdown in follow up, and/or lack of patient understanding. Transitions occur among patients, families, care providers, nurses, clinicians, physicians, hospitals, care settings and all along the care continuum. When problems around transitions occur it is costly for patients, families, healthcare providers, and healthcare payors which often results in unnecessary errors and poor outcomes.</span></p> <p>The CNL would potentially bridge gaps 1) by participation of the CNL as navigators or coaches at the point of care and across the transitional care continuum and 2) as a leader in interprofessional transitional teams. This presentation will discuss the CNL skill set and its applicability in transitional care. In the United States (US) a variety of models of transitional care have been implemented in healthcare.</p> <p>Research has demonstrated a positive impact of transitional care on health outcomes while reducing costs. In a recent transitions of care model, a southern California hospital utilized a CNL in the leadership role on a transitional healthcare team. Team members were identified as Health Care Coaches (HCC). Based on research of the characteristics needed, expectations, barriers and benefits of health care coaches, qualities and characteristics were identified. Interestingly, these characteristics aligned with the skill set of the CNL. Further, in this model the transitional healthcare team leader was a CNL. aligned with the skill set of the CNL. Further, in this model the transitional healthcare team leader was a CNL. Savings documented using this model in the southern California hospital were as follows: Medicare Fee For Service 30 Day Readmission Rate from June-November, 2013 at 12.77% however, with the patients enrolled in the transitional care model, the 30 Day Readmission Rate June-November, 2013 was 7.15%. The cost for a 30 day readmission event is $14,225, with the 12.77% versus the 7.15% yielding an annualized savings of over 2.3 million dollars in one hospital alone.</p> <p>The CNL brings a skill set and competencies that support organizational processes in both the microsystem and macrosystem. These abilities are essential for coordinated and successful transitional care. The presentation will compare and contrast the CNL skills with the HCC and transitional care team leader.</p> <p>This presentation will discuss several current models of care and the relationship to CNL competencies and education. Characteristics for HCC in transitions of care and the alignment of CNL competencies will be identified. The topic of models of transitional care is relevant to this conference because the CNL role in nursing is particularly suited to facilitate transitions of care for the chronically ill. The model of having the CNL role in transitional care leadership and the qualification of a skill set that fosters positive patient outcomes and decreases cost is a significant opportunity for nursing to contribute to improving healthcare and evidenced based practice. There is growing research on the role of the CNL as well as the need for smooth and uncomplicated transitions between care events and systems. Further, nursing has an opportunity for leadership with the CNL in transitional care.</p>en
dc.subjectChronically Ill Patientsen
dc.subjectClinical Nurse Leadershipen
dc.subjectTransitions or Careen
dc.date.available2017-07-20T14:53:31Z-
dc.date.issued2017-07-20-
dc.date.accessioned2017-07-20T14:53:31Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.