Background: The Clinical Nurse Leader (CNL) is a skilled clinician qualified in outcomes-based practice and quality improvement. Publications describe the CNL training, integration, and outcomes. However, CNL practice development and its impact has not been fully explored.
Purpose: This review aimed to synthesize existing literature related to CNL practice development and identify what influences on the care environment and nursing care outcomes.
Methods: An integrative literature review was conducted in 5 bibliographic databases for sources published in English from January 2012 to March 2023.
Results: Fifteen publications identified 3 interrelated themes of CNL practice, outcomes, and practice development. Staff development needs were identified across various levels of expertise.
Conclusion: There is a need to further explore CNL practice development and how it can impact the care environment and care outcomes.
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