Attending Registered Nurses: Evolving Role Perceptions in Clinical Care Teams

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Executive Summary▸ Multiple new leadership roles in nursing have been described for which the impact on the quality and safety of care delivery and on the costs of care delivery remain to be defined.▸ Further, the appropriateness of training and the optimal deployment of personnel have not been investigated.▸ In this study, in one such care model, attending registered nurses' perceptions of their role evolves from functional thinking to “looking at the big picture,” underscoring an increased level of insight over time.▸ The data highlight the importance of ensuring “buy-in” from peers to ensure success in leadership roles.▸ These observations are mutually reinforcing; improved leadership and communication skills produces greater acceptance by peers.

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