<< endobj /K [ 545 0 R 290 0 R /S /Table endobj It is easier to consider what constitutes poor ineffective clinical leadership when there is a standard definition of what constitutes effective clinical leadership. >> /P 2 0 R 321 0 obj This includes leading on operational management, such as workforce, finance, performance and safety issues as well as close working the matrons to deliver exceptional quality nursing care, The post holder will have line management responsibility for the 5 ward managers, There is also an exciting opportunity to support the directorate in the development of innovative projects to improve the pathway and service user experience and move to recovery. /K 378 0 R >> 380 0 obj /Pg 716 0 R /Type /StructElem Main duties of the job /Type /StructElem /K 2 >> /S /TD 519 0 obj
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596 0 R /P 189 0 R /S /P /Pg 716 0 R /K [ /Pg 687 0 R /P 615 0 R 147 0 obj 215 0 R >> 419 0 R << /Pg 716 0 R 484 0 R << North West Coast Clinical Network (NWC CN) are looking to recruit a Clinical Lead in Community Specialist Rehabilitation. /Pg 662 0 R endobj >> ] /S /TD /K 317 0 R 191 0 obj /S /TD /S /TD 228 0 R 75 0 R 139 0 R 330 0 R endobj 402 0 R /K 325 0 R 492 0 R /Type /StructElem /S /Span 419 0 R /S /P 472 0 R << /K 8 >> /P 106 0 R /K 4 >> << /S /P 343 0 R 505 0 R 248 0 R /Type /StructElem /K 23 >> << /Pg 635 0 R /P 182 0 R 69 0 R /K 12 >> /K 11 >> << /Type /StructElem 81 0 R Work alongside consultant psychiatrists to implement an independent prescribing service for men accessing mental health care. 307 0 R /Type /StructElem 401 0 obj 474 0 R 72 0 R endobj 137 0 R /Pg 635 0 R 238 0 R /P 520 0 R /S /Figure /P 116 0 R /K 124 >> 33 0 R /Pg 635 0 R endobj 585 0 obj << /P 633 0 R /Type /StructElem 467 0 R ] /K 134 >> << /P 550 0 R 231 0 obj 337 0 R << 425 0 obj << /S /TD They should have a clear understanding of the guidelines of the National Institute for Health and Care Excellence and have an in-depth knowledge of assessment and treatment of children and young people with a mental health presentation. They have a lot of experience and knowledge when it comes to caring for those who are not feeling well. >> 83 0 R /Type /StructElem /S /Span 24 0 R /Type /StructElem /S /Span endobj 218 0 obj Job Summary The post holder will lead the Department or Directorate and the team to ensure that work stream and programmes are planned and carried out effectively. /P 2 0 R 19 0 obj /P 2 0 R /Type /StructElem /K 8 >> /P 2 0 R /K [ /K [ /Type /StructElem /P 150 0 R /K [ 566 0 R ] << If you are interested in taking on this challenging job, make sure you have the correct skills and experience. 240 0 obj endobj 353 0 obj /K [ ] 114 0 R /S /P <>
>> /P 549 0 R /Font << /F1 638 0 R /F2 642 0 R /F3 646 0 R /F4 652 0 R /F5 656 0 R >> 106 0 obj /P 2 0 R /K 15 >> /Pg 635 0 R << /K 21 >> /P 2 0 R Detailed column on Zone Leader career description. 67 0 R endobj 3 0 obj
/Type /StructElem 411 0 R /Type /StructElem 263 0 R /K [ << 76 0 R 540 0 obj /Pg 635 0 R endobj /K 105 >> 207 208 ] /S /P >> 29 0 R endobj /K 386 0 R 593 0 obj endobj /K [ 306 0 R << /Pg 716 0 R 522 0 obj ] /S /P 130 0 R 436 0 R /Pg 716 0 R 353 0 R H/V? Finally, the consultant can expect to earn an increase of 4,899 pounds sterling after completing their contract for five years. /P 2 0 R 119 120 121 122 123 124 ] /Pg 635 0 R << >> /S /TD 25 0 R /P 213 0 R 278 0 obj As the Band 6 clinical lead, you will be responsible for providing leadership and direction to the nurses and AHPs working within the inpatient wards. /Pg 716 0 R ] A clinical nurse leader typically has a strong background in nursing, as well as experience in managing and leading teams. /Type /StructElem /Type /StructElem /Pg 693 0 R 232 0 R /K 5 >> /K [ << /Type /StructElem endobj /K 179 >> /P 211 0 R /S /TD /P 524 0 R /S /TD /Pg 693 0 R 96 0 obj /Type /StructElem << << /S /TD >> /Type /StructElem /Pg 716 0 R /S /P /P 211 0 R 434 0 obj 331 0 R 67 0 R << /Type /StructElem endobj /P 220 0 R << /K [ /Pg 716 0 R 309 0 obj << 578 0 obj /P 538 0 R /K [ 332 0 obj 298 0 R /Pg 693 0 R Evidence of continuing professional developmement, Senior Management Experience in running large multidisciplinary teams with significant clinical and business delivery targets, Experience of leading and managing change to deliver organisational & borough specific goals, Experience of individual and team Performance Management and Appraisals, Understanding of public sector management and NHS Mental Health services, Social and Primary Care services, Specialist clinical knowledge relevant to the service, including evidence based practice, Leadership skills especially the ability to lead and manage change through influence without direct management, Ability to work with minimum supervision and ability to set priorities in line with local and national priorities, Able to analyse complex issues/problems, gather relevant information and exercise sound judgement in reaching the most appropriate conclusions, Ability to support, manage and advise the team through difficult and challenging situations. /S /TR 524 0 R /P 2 0 R 74 75 ] They work alongside a team of doctors, pharmacists, nurses, social workers, nurse practitioners, and clinical nurse specialists to develop quality improvement strategies, help plan and coordinate patient care, assess health risks, implement evidence-based solutions, and facilitate team communication. /Pg 635 0 R 127 0 R 385 0 R 692 0 obj
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/K 358 0 R endobj endobj 332 0 R /K 15 >> 230 0 R /Type /StructElem /K 100 >> /Pg 716 0 R /K [ << /Pg 716 0 R 626 0 R /Pg 690 0 R /Type /StructElem 149 0 R /S /P << If you are interested in joining the team please email [email protected] or contact us on 01782 257457. /S /Figure /Type /StructElem /S /Span /K 159 >> /K 1 >> /S /Figure 227 0 R /Type /StructElem /P 177 0 R /Pg 716 0 R /Pg 693 0 R ] endobj >> Please apply today or speak to Hannah Davies, Clinical Lead on 01785 221662 (Option 6). /P 150 0 R /Pg 716 0 R /P 2 0 R /Pg 716 0 R /S /LBody /S /Span 6 0 R /Pg 635 0 R /Pg 716 0 R /Type /StructElem /Type /StructElem 525 0 R 422 0 R /S /TD /P 2 0 R endobj /Pg 716 0 R 62 0 R 423 0 R /K [ 93 0 obj >> Band 1 employees typically earn an annual salary of ?18,546, while Band 6 employees can expect to earn ?32,306 in total. 318 0 obj >> 40 0 R Clinical Lead salaries at NHS can range from 33,700 - 83,792 per year. 102 103 104 105 106 ] /P 210 0 R /S /Figure /Type /StructElem Clinical leadership is not exclusive to any particular professional group within the health care system, and all members of the health care team are identified as potential leaders. 34 0 R Albert is an expert in internet marketing, has unquestionable leadership skills, and is currently the editor of this website's contributors and writer. /K 173 >> /Pg 693 0 R 232 0 R << /Pg 716 0 R /Type /StructElem endobj 263 0 R /Pg 716 0 R 376 0 R They are in charge of onboarding new employees, training existing employees, auditing clinic operations, establishing a budget, reviewing treatment plans, or communicating with executives. /S /LI endobj endobj /P 2 0 R 61 0 R /Pg 693 0 R /S /TR /K 18 >> We are committed to providing the best service we can, and if you share our values, we want you on our team! << 99 0 R /Type /StructElem /Type /StructElem 317 0 obj /P 516 0 R It is important for nurses to carefully select a program that will meet their needs and goals. /S /P /S /P /S /P /Pg 693 0 R /P 583 0 R 383 0 R Most nursing professionals work in a collaborative environment. /Pg 635 0 R >> /Type /StructElem << /Pg 716 0 R /P 2 0 R 486 0 R ] 19 0 R 35 0 R /Type /StructElem 633 0 obj 508 0 R endobj /K 2 0 R endobj /Type /StructElem /Pg 635 0 R endobj /S /P << For more information about HMP Hewell and our incentives offer please see attached information. 232 0 R /S /Span /K 54 >> endobj << /Pg 676 0 R 431 0 R 35 0 obj 93 0 R /S /Span 46 47 48 49 50 ] /Type /StructElem /S /Span /K 19 >> ] 415 0 R /Pg 687 0 R >> << 599 0 R 398 0 R endobj /Type /StructElem /P 626 0 R /K 380 0 R /Type /StructElem /Type /StructElem The manager is in charge of the management of the trial and the selection of vendors so as to guarantee the safety of patients, non-breaching of contract, procedures, and data integrity. /Type /StructElem (Network Clinical Lead) [email protected] or Alexandra Severns (Programme Manager) at the Clinical Network, [email protected] /telephone . /Type /StructElem /Pg 716 0 R Hospitals are complex socio-political entities and the ability for engagement and leadership among clinicians can be hampered by power dynamics. 7 0 R ] 238 0 R >> endobj /S /TD 17 0 R /Pg 716 0 R endobj >> /P 530 0 R /K 236 >> /P 164 0 R 132 0 R /Type /StructElem /Type /StructElem 129 0 obj /P 221 0 R /Pg 693 0 R 503 0 R 84 0 R 232 0 R << 208 0 obj The clinic provides compassionate and effective care for patients. Edmonstone35 cautions that the emphasis on competency-based leader development has done little to foster effective clinical leadership in the UK, despite its potential usefulness. You could be based in clinical areas such as: hospital departments of all types specialist clinics, including cancer centres or accident and emergency units GP surgeries and health centres You may have contact with patients and their families as well as with healthcare staff and other admin staff. /S /P 351 0 R 147 0 R They coordinate and oversee activities to ensure that all patients are treated with the most care. /S /TD 566 0 obj /Type /StructElem /K 14 >> >> /K 0 >> 443 0 obj << << /Type /StructElem /K [ 320 0 R >> /Type /StructElem /K 37 >> endobj /Type /StructElem /P 591 0 R >> /Pg 687 0 R /K [ /S /P endobj 282 0 R A strong communication strategy will help ensure that information is properly shared and that misunderstandings are avoided. 88 89 90 91 92 93 94 ] << 493 0 R << 27 0 obj /Type /StructElem The post is funded by the GOSH Biomedical Research Centre, part of the Directorate of Research and Innovation. << /Type /StructElem /K 114 >> /S /TD << /Pg 716 0 R /S /Span 248 0 R Use the drop down menu below to jump to a specific section. /K 7 >> /P 595 0 R endobj 208 0 R 145 0 obj << /Type /StructElem /Pg 693 0 R 125 0 R When a clinician joins a leadership programme, they are joining a profession with a dominant role of expertise. /Type /StructElem /P 537 0 R 225 0 R << 235 0 R As a clinical manager, you have the opportunity to work in a variety of settings and manage a wide range of patients. endobj endobj /P 107 0 R /P 2 0 R endobj 579 0 R /Type /StructElem /S /P endobj endobj << %
/Type /StructElem /S /LI /S /TD /Type /StructElem /K 77 >> They also have a lot of power over their patients and their treatment. endobj 67 0 R /K [ /Type /StructElem << >> Unlike a nurse manager or charge nurse, CNLs don't manage other nurses. /Type /StructElem A CNL leads by example and ensures that every patient is given the best possible care. /S /Figure /Pg 693 0 R 619 0 R /K [ 336 0 R 128 0 R 257 0 R This type of leadership is essential in ensuring that patients are treated with respect, value their time, and are kept informed about their treatment. /Pg 716 0 R /P 151 0 R /Type /StructElem [ << /P 219 0 R endobj << /P 165 0 R endobj hb```j cb+W; aq2m;?p{]WpIIx3k"tL@
@a!00k] 578 0 R endobj /P 565 0 R /Pg 693 0 R << /Type /StructElem 431 0 R /K 324 0 R /Type /StructElem 509 0 R endobj Their general responsibilities pertain to diagnosing illness and administering treatment to patients. /Type /StructElem /P 216 0 R 625 0 R 403 0 R /S /P 91 0 R endobj /P 2 0 R 233 0 obj ] ] endobj /Pg 716 0 R >> /Type /StructElem >> << /Type /StructElem /Pg 716 0 R When looking for a new challenge, a Clinical Director may not be the first thing that comes to mind. /Pg 635 0 R /K [ /K 8 >> endobj /Pg 676 0 R /Type /StructElem /S /LI /Type /StructElem /P 197 0 R 287 0 obj /Type /StructElem /S /P /Type /StructElem endobj 98 0 R << 480 0 R /P 2 0 R 86 0 R 100 0 obj /P 167 0 R endobj 114 0 R /Type /StructElem /Pg 635 0 R The term "clinical healthcare staff undertake the roles of leadership" is a concept that encapsulates the idea of setting, inspiring and promoting values and vision, and using their clinical experience and skills to ensure the needs of the patient are the central focus to the organisation's aims and delivery. 419 0 R 534 0 obj >> /K 176 >> Clinical Directors are responsible for managing and coordinating the work of medical professionals in an hospital or clinic setting. << ] /Pg 716 0 R 225 0 R 429 0 R /Type /StructElem /P 213 0 R endobj 98 0 obj 260 0 obj << 402 0 R +K11H&iOQcc! /Pg 693 0 R ACCOUNTABLE TO: MEDICAL DIRECTOR 6. 501 0 obj endobj /Type /StructElem endobj NHS Careers website (opens in a new window). 373 0 R << /S /P 419 0 R /Pg 690 0 R 131 0 obj << stream
NHS Careers website (opens in a new window). >> 82 0 obj 101 0 R 232 0 R 328 0 obj /Type /StructElem 448 0 obj It is the responsibility of a lead nurse to schedule nurses to work with patients and delegate other tasks as necessary. /S /TD /P 593 0 R /Pg 676 0 R 47 0 obj /K 13 >> 65 0 obj endobj /Pg 693 0 R ] << << /Pg 693 0 R 121 0 R /S /LBody 66 0 obj 419 0 R << /Type /StructElem /Type /StructElem /S /P Commitment from the team todevelop you by offering coaching and in-house development sessions such as, Leadership programmes,non-medical prescribing, CBT-P training and much more. 11 0 R 442 0 R /K [ 344 0 R /K 141 >> endobj /Pg 693 0 R 102 103 104 ] /S /TD 332 0 R 294 0 R /K 194 >> /K 141 >> /Type /StructElem /P 219 0 R 499 0 R << /K 12 >> /Type /StructElem /Pg 693 0 R /Type /StructElem 512 0 obj << /Type /StructElem /Pg 693 0 R 517 0 obj /S /LBody A head nurse is responsible for providing leadership and direction to the nursing staff in a healthcare setting. endobj endobj /P 606 0 R endobj 250 0 R /S /P /P 167 0 R /Pg 635 0 R /P 2 0 R endobj /Type /StructElem /K 101 >> << << /S /Span /Type /StructElem >> 559 0 R /K 79 >> 54 0 obj << /P 2 0 R 235 0 R /K 183 >> 444 0 R Clinical nurses are the professionals who work with sick people. /S /LI /Pg 687 0 R /Pg 676 0 R /S /TD /S /P /Type /StructElem 67 0 R 536 0 obj /Type /StructElem endobj endobj >> /Type /StructElem /K 125 >> /P 619 0 R 351 0 R 321 0 R endobj /Pg 635 0 R /Pg 690 0 R 222 0 obj Head nurses typically have a degree in nursing, although some may have experience in other fields such as social work or business. >> 518 0 R /P 218 0 R 403 0 R /P 577 0 R 298 0 R You will create and oversee safety standards in the working environment. 372 0 R 272 0 obj 42 0 obj /Type /StructElem >> << /P 513 0 R endobj /S /P 53 0 obj /Type /StructElem /P 2 0 R /K [ 164 0 R 29 30 31 32 33 ] 39 0 R endobj 113 0 obj Home Top Nursing Careers & Specialties Clinical Nurse Leader. /K [ /Type /StructElem /Pg 635 0 R 239 0 obj /Pg 693 0 R /Type /StructElem 138 0 R /Type /StructElem endobj /K [ This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. 441 0 obj /Type /StructElem 51 52 53 54 55 56 57 58 59 ] /P 574 0 R /P 203 0 R 421 0 R /Pg 635 0 R >> /P 2 0 R /P 555 0 R /P 110 0 R /Type /StructElem /Pg 716 0 R 263 0 R /S /Span /Pg 687 0 R 457 0 R endobj 374 0 obj 502 0 R /S /TD >> The CNO also oversees the nursing staff, which can include a variety of employees who work under their direction. endobj Nurse leaders are more focused on patient care, while nurse managers are more active in the daily operations of the hospital. 346 0 R 446 0 R Advanced practice. /Type /StructElem /P 545 0 R /P 2 0 R /Type /StructElem 351 0 obj /K [ 227 0 R 594 0 obj ] 576 0 R 98 0 R /Pg 676 0 R /Pg 693 0 R /S /P 47 0 R Let us know: contact[at]bestcareerguide.com. /Pg 693 0 R /Pg 716 0 R endobj >> 216 0 R endobj endobj /S /Figure /Pg 635 0 R /K [ >> Applicants must have current UK professional registration. /Pg 693 0 R /Type /StructElem 539 0 obj /Type /StructElem >> /Type /StructElem 475 0 R endobj endobj /S /TR 362 0 R ] /Pg 716 0 R /S /P >> /Pg 635 0 R /K 16 >> 542 0 R x\Y8~7`R/n4m7X,z! >> /S /LBody RESPONSIBLE TO: Deputy Medical Director (Clinical Standards and Governance) 5b. 457 0 R /S /Span /Pg 687 0 R /Type /StructElem /Type /StructElem /K [ /K [ /P 2 0 R /Type /StructElem Hours 1 session per week (3.5 hours) which can be worked /S /Span /P 185 0 R /S /TR 241 0 R /Pg 716 0 R 551 0 obj /Type /StructElem 592 0 R 166 0 R ] /K 21 >> 198 0 obj 451 0 R 5 6 7 8 9 ] /Pg 693 0 R /Type /StructElem /Type /StructElem 520 0 obj /Pg 676 0 R >> 27 0 R ] 172 0 R 475 0 R Ideally the applicant will come from a clinical background and have experience in governance and quality management. endobj endobj 534 0 R << /P 116 0 R endobj 437 0 R << << /K 9 >> /Pg 693 0 R /Pg 673 0 R /S /TD 262 0 R /S /P /Type /StructElem /K [ /S /P /P 217 0 R /P 599 0 R << /K [ /S /P 492 0 obj 209 0 R /Type /StructElem /Pg 693 0 R /P 596 0 R 219 0 R 577 0 R >> 410 0 R << /Type /StructElem /Type /StructElem Assuming responsibility of budgeting and resourcing. /P 222 0 R /Pg 716 0 R /S /P 203 0 obj >> 394 0 R endobj >> 375 0 R /S /P 67 0 R 422 0 R /Type /StructElem 3 0 obj 128 0 R endobj 281 0 obj /S /Span A nice story on Lead Teacher job description. /K 374 0 R /P 191 0 R /P 180 0 R 243 0 obj endobj /S /LI /P 110 0 R /Pg 662 0 R 79 0 obj /P 223 0 R 431 0 R /K [ endobj << endobj >> << /Length 637 0 R /Filter /FlateDecode >> /K [ /P 579 0 R /S /P 209 0 obj endobj We've put some small files called cookies on your device to help us make improvements to our site. 405 0 R For further information please see 85 86 ] /S /Span /S /P /S /P 604 0 R /Pg 716 0 R /Pg 676 0 R /K 2 >> endobj /S /TD /Pg 687 0 R 614 0 R 99 0 obj /Type /StructElem >> 59 0 R /Type /StructElem endobj << 452 0 obj /S /Figure /Pg 716 0 R << /S /Figure << 272 0 R - source. Leadership is defined by its relationship to management. 3 158 0 R << Job tasks that are carried out by clinical nurse leaders (CNLs) may include: Creating, coordinating, implementing, and assessing the delivery of care for individuals and patient populations Collaborating with other members of the interdisciplinary healthcare team Providing leadership /Pg 635 0 R 111 0 obj /S /Figure /Pg 693 0 R << >> /P 222 0 R /K [ 236 0 R /S /P /K 16 >> /S /P 225 0 R 57 0 R /Type /StructElem 55 0 obj 115 116 117 ] /S /TR 20 September 2022. /Pg 693 0 R 293 0 R 397 0 R 60 61 62 ] /P 184 0 R ] /Pg 693 0 R /Pg 693 0 R << 214 0 R ] /Lang (en-US) /P 608 0 R /Pg 716 0 R endobj /Pg 635 0 R 527 0 R /Type /StructElem << "I am a clinic manager and have had a lot of experience with equipment malfunctioning and staff training sessions. /Pg 716 0 R 397 0 R /K 19 >> /K 271 0 R /Pg 676 0 R endobj 180 0 R /S /P 231 0 R >> 601 0 R 527 0 obj
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316 0 R 603 0 R >> They are also generally more organized and have a better understanding of patient care. 624 0 R /P 2 0 R 263 0 R /K 89 >> /Pg 716 0 R /K 18 >> /Type /StructElem 607 0 obj /P 220 0 R >> << 4 0 obj
endobj 235 0 R 315 0 R 486 0 R >> 321 0 R 285 0 R /S /P /K 57 >> 338 0 R /K 377 0 R 144 0 R /P 2 0 R << /S /TD 136 0 obj 392 0 obj They should be motivated to change the healthcare outcomes of patients. /Pg 676 0 R /Type /StructElem endobj 584 0 R << ] 199 0 obj 290 0 R 426 0 R /Pg 673 0 R /P 150 0 R /K [ 284 0 obj 291 0 R /S /P 299 0 obj /K 266 0 R /K [ 495 0 R Where CNSs have advanced knowledge and clinical skills in a niche area of nursing, CNLs have advanced and broad knowledge in the field of medicine and often manage, advise, and counsel nursing staff while acting as a resource for the wider healthcare team. /P 2 0 R << /K [ << 485 0 R /Type /StructElem /Type /StructElem /P 514 0 R << << /Pg 662 0 R 564 0 obj endobj 73 0 R 513 0 R << /Type /StructElem /Type /StructElem /K [ 140 0 obj endobj endobj /K [ ] /K [ 183 0 R 465 0 R 347 0 R /P 183 0 R /K [ << 401 0 R 497 0 R /Type /StructElem 311 0 obj /Type /StructElem /P 2 0 R 144 0 R >> /Type /StructElem endobj 217 0 R /S /LBody 121 0 obj /S /LI endobj /Type /StructElem 408 0 R >> Demonstrable experience of initiating, implementing and evaluating service developments and improving the quality of clinical care. 476 0 R /P 168 0 R << Clinical Nurse Leaders: A Challenge for Advanced Nursing. /S /P 367 0 R 158 0 obj 188 0 obj /K [ /Pg 693 0 R /P 588 0 R /Type /StructElem /P 512 0 R /K 21 >> 361 0 R 64 0 R /S /P << /S /TD Common CNL employers include: Individuals who are considering a career as a clinical nurse leader should be problem-solvers with strong critical thinking abilities. JD Primary Care Clinical Lead.docx Page 1 of 8 . 458 0 obj /Pg 693 0 R /S /P endobj /Type /StructElem /Type /StructElem << 67 0 R 170 0 R endobj /P 221 0 R /Pg 635 0 R /Type /StructElem 613 0 R << /S /P /P 150 0 R endobj /K 40 >> /Pg 693 0 R /Pg 635 0 R /P 2 0 R >> << /P 605 0 R 179 0 R endobj 364 0 R 204 0 obj 109 0 R 314 0 obj /S /TD 549 0 R 580 0 obj 172 0 obj You may also coordinate the activities of nursing interns or students. 195 0 obj 104 105 ] Recognised Professional Qualification in Social Work (DipSW/CQSW), Mental Health Nursing (RMN), Psychology or any allied medical profession. << /Pg 635 0 R /P 606 0 R /Pg 690 0 R /K 2 >> >> 574 0 R The American College of Colleges of Nursing's Commission Nurse Certification is an arm of the American Association of Colleges of Nursing and is used by candidates for clinical nurse leader positions. /S /Span /Pg 693 0 R /P 506 0 R /P 2 0 R /Pg 716 0 R 147 0 R /P 168 0 R /Pg 716 0 R < < Clinical leaders. 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