Clinical Nurse Leader Practice Development

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.