Mobilization of ventilated older adults.

Background: Recent studies of ventilated, critically ill patients have shown early mobilization to be safe and resulting in better functional outcomes at discharge but have not focused on older adults.

Objectives: The objectives of this pilot study were to examine the feasibility of and to describe functional outcomes associated with providing early mobilization to critically ill, older adult patients.

Methods: This is a prospective cohort study that took place in the medical and surgical intensive care units of a tertiary, academic medical center.

Evolution of an innovative role: the clinical nurse leader.

Aims: This study describes the evolution of the clinical nurse leader (CNL(®) ) role and its utility in a tertiary care and community hospital.

Background: In the US, quality and safety metrics are being publically reported and healthcare organizations are just beginning to experience pay-for-performance and its impact. The American Association of the Colleges of Nursing (AACN) developed the role of the CNL to address the complexities and challenges of providing high-quality care in the current environment.

Pioneering a new role: the beginning, current practice and future of the Clinical Nurse Leader.

Aim: To discuss the development of a new nursing role in response to the health care crisis in the United States.

Background: The nursing shortage and fragmentation of care has contributed to the need for nurses who are prepared to laterally integrate care, bring evidence-based practice to the bedside and provide continuity of care to patients and families.

Evaluation: The CNLs review the literature, share their experiences, and discuss outcomes related to improved quality of care.