AimsThe longitudinal programme of research described in this paper seeks to generate knowledge about factors influencing the implementation of a system‐level intervention, the clinical nurse leader care model, involving nurses as leaders at the frontlines of care and the outcomes achievable with successful implementation. The research programme has the following aims, (a) to clarify clinical nurse leader practice, (b) develop and empirically validate a translational model of frontline care delivery that includes clinical nurse leader practice and (c) delineate the patterns of and critical outcomes of successful implementation of the clinical nurse leader care model.DesignThis programme of research follows a knowledge‐building trajectory involving multiple study designs in both qualitative (grounded theory, case study) and quantitative (descriptive, correlational and quasi‐experimental) traditions.MethodsMultiple mixed methods within a system‐based participatory framework were used to conduct this programme of implementation–effectiveness research.ResultsFindings are demonstrating how the clinical nurse leader care model, as a complex system‐level intervention, can be implemented in diverse healthcare contexts to make a difference to patient care quality and safety. Findings also contribute to implementation science, helping to better understand the dynamic interdependencies between implementation, the interventions implemented and the contexts in which they are implemented.ConclusionFindings translate into sets of evidence‐informed implementation ‘recipes’ that health systems can match to their specific contexts and needs. This allows health systems to take on strategies that both maximize resource impact within their existing structures and support achieving intended outcomes.ImplicationThis programme of research is producing actionable implementation and outcome evidence about ways to organize nursing knowledge and practice into care models that can be successfully adopted within real‐world healthcare settings to achieve safer and higher quality patient care.

中文翻译：

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描述关于在不同卫生系统中组织和实施一线护理服务的实施效果研究计划


目的本文描述的纵向研究计划旨在产生有关影响系统级干预实施的因素、临床护士领导护理模式的知识，其中包括护士作为护理第一线的领导者以及成功实施可实现的结果。该研究计划有以下目标，(a) 阐明临床护士领导实践，(b) 开发并实证验证包括临床护士领导实践的一线护理服务转化模型，以及 (c) 描述临床护士领导实践的模式和关键结果成功实施临床护士领导护理模式。设计该研究项目遵循知识构建轨迹，涉及定性（扎根理论、案例研究）和定量（描述性、相关性和准实验）传统的多种研究设计。方法多种混合方法在基于系统的参与框架内进行了这一实施有效性研究计划。结果研究结果表明，临床护士长护理模式作为一种复杂的系统级干预措施，可以在不同的医疗保健环境中实施，以产生影响患者护理质量和安全。研究结果还有助于实施科学，有助于更好地理解实施、所实施的干预措施及其实施背景之间的动态相互依赖性。结论研究结果转化为一套以证据为依据的实施“食谱”，卫生系统可以将其与其具体背景相匹配和需求。 这使得卫生系统能够采取既能在现有结构内最大限度地发挥资源影响又能支持实现预期结果的策略。 意义 该研究计划正在产生可操作的实施和结果证据，说明如何将护理知识和实践组织成可以成功采用的护理模式在现实世界的医疗保健环境中实现更安全、更高质量的患者护理。