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Discussion: Clinical Nurse Leaders essay assignment
Development of a portfolio is an effective strategy used by clinical nurse leaders (CNLs) to inform prospective employers of their specialized skills in quality improvement, patient safety, error prevention, and teamwork. The portfolio provides evidence of competence relative to the role of clinician, outcomes manager, client advocate, educator, information manager, systems analyst/ risk anticipator, team manager, healthcare professional, and lifelong learner. This article describes the CNL portfolio developed by experts from the University of Tennessee Health Science Center and Methodist LeBonheur Healthcare. Examples of portfolio documents generated throughout the master’s entry CNL curriculum are provided, along with student experiences using the portfolio in the employment interview process.
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With more than 1,400 clinical nurse leaders (CNLs) in the United States and increasing enrollment in master’s entry CNL programs, it is critical that CNLs are able to clearly articulate their value. Clarity in this regard is especially important for the newly li- censed CNL. Portfolios provide a format to showcase a unique understanding of patient care and frontline care systems as a dynamic record of growth and professional development.1 A portfolio is valuable in
the employment process, showing the newly graduated CNL’s clinical experience in quality improvement (QI) and safety, along with strengths gained from training with content experts. A portfolio, organized similarly to customary career advancement criteria, provides additional value to the CNL by differentiating the skills and knowledge of the CNL above those of a bedside nurse for potential employers.
This article describes the use of portfolios in the University of Tennessee Health Science Center (UTHSC) MSN CNL program to document academic performance and demonstrate specialized skills to prospective employers. The benefits of portfolios to the nurse employee, academic institutions, and organizations are dis- cussed. Examples from student experiences using the portfolios during the interview process are included.
Background
The healthcare system in the United States has been reported as unsafe and fragmented.2 Fragmentation has been identified as contributing to preventable errors, unnecessary mortality, reduced quality of care, and poor outcomes.2 To meet the challenges set fort nurse leaders from academia and practice, created the CNL role. The role was conceived to address the educational needs for nursing generalists prepared at the graduate level who could work as lateral integrators of outcome-based care at the microsystem level.4 The role is anticipated to reduce fragmentation through incorporation of evidenced-based patient care and QI strategies.4
To prepare nurses to meet the IOM mandates, 3 important initiatives were launched.3 In 2004, AACN convened a CNL implementation taskforce
