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Vol. 2 No. 2 (2025)

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September 10, 2025
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October 2, 2025

Copyright (c) 2025 Hawraa Abdulhadi Haashim Alsadah, Nouf nasser abdulaziz almulhim, Zainab Abdullah Alburayh, Fatimah Yousef Abdullah Alobud, Sawsan Hussain Mohammed Alawad, Rawan fahad abdultif alzuwayyid, Rawan abdulrahman al marzooq, Asala Hamdan Alruwaili, FATIMAH YASSEN ABDULLAH ALALAWI, HASSAN ALI ABDULLAH ALNAZR

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The Influence of the Clinical Nurse Leader Role on Healthcare Quality: A Narrative Review of Patient Outcomes, Care Coordination, and System-Level Efficacy

https://doi.org/10.64483/20252219
Hawraa Abdulhadi Haashim Alsadah
Maternity and Children Hospital Alhassa , Ministry of Health, Saudi Arabia
Nouf nasser abdulaziz almulhim
Maternity and Children Hospital Alhassa , Ministry of Health, Saudi Arabia
Zainab Abdullah Alburayh
Maternity and Children Hospital Alhassa , Ministry of Health, Saudi Arabia
Fatimah Yousef Abdullah Alobud
Maternity and Children Hospital Alhassa , Ministry of Health, Saudi Arabia
Sawsan Hussain Mohammed Alawad
Maternity and Children Hospital Alhassa , Ministry of Health, Saudi Arabia
Rawan fahad abdultif alzuwayyid
Maternity and Children Hospital Alhassa , Ministry of Health, Saudi Arabia
Rawan abdulrahman al marzooq
Maternity and Children Hospital Alhassa , Ministry of Health, Saudi Arabia
Asala Hamdan Alruwaili
Maternity and Children Hospital Alhassa , Ministry of Health, Saudi Arabia
FATIMAH YASSEN ABDULLAH ALALAWI
Ministry of Health, Saudi Arabia
HASSAN ALI ABDULLAH ALNAZR
Ministry of Health, Saudi Arabia

Corresponding Author(s) : Hawraa Abdulhadi Haashim Alsadah

haabalsadah@moh.gov.sa

Saudi Journal of Medicine and Public Health, Vol. 2 No. 2 (2025)

Abstract

Background: Clinical Nurse Leader (CNL), initiated by the American Association of Colleges of Nursing in 2004, is a master-prepared role developed to enhance patient outcomes and microsystem-level care coordination in opposition to growing complexity in healthcare. Aim: This narrative review synthesizes evidence regarding the influence of the CNL on patient safety, quality, satisfaction, readmission, and care coordination, with challenges and future directions. Methods: A Systematic review of various studies in PubMed, CINAHL, and Scopus was conducted, synthesizing quantitative and qualitative information. Two tables summarize CNL interventions and outcomes. Results: CNLs reduced hospital-acquired infection (e.g., 20–40% reduction in CAUTIs), improved chronic disease management (5–10% reduction in HbA1c), enhanced patient satisfaction (10–15%), and reduced 30-day readmissions (10–25%). They enhanced interdisciplinary collaboration (15–20% improved communication) and optimized use of resources (10–15% shorter waits). Barriers are role ambiguity and uneven measures, for which there is sparse international evidence. Conclusions: CNLs have a substantial positive impact on patient outcomes and care coordination and align with healthcare reform objectives. Normalized measures, longitudinal data, and international studies are necessary to extend their influence, especially in underserved areas.

Keywords

Clinical Nurse Leader, patient outcomes, care coordination, evidence-based practice, healthcare reform
Alsadah, H. A. H., almulhim, N. nasser abdulaziz, Alburayh, Z. A., Alobud, F. Y. A., Alawad, S. H. M., alzuwayyid, R. fahad abdultif, … ALNAZR, H. A. A. (2025). The Influence of the Clinical Nurse Leader Role on Healthcare Quality: A Narrative Review of Patient Outcomes, Care Coordination, and System-Level Efficacy. Saudi Journal of Medicine and Public Health, 2(2), 245–252. https://doi.org/10.64483/20252219
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