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Nursing Leadership

Ross Graham, Rosanne Beuthin
Background: While multisource feedback and coaching have shown promise as effective professional development strategies for physicians, the effectiveness of these interventions with nurse practitioners - a growing profession in Canada - remains unknown. Despite this knowledge gap, multiple nursing colleges in Canada require their nurse practitioner members to participate in multisource feedback processes. Methods: An exploratory study was performed with twelve nurse practitioners using an online multisource feedback process (based on the CanMEDS Framework) and an in-person coaching session (using the R2C2 Model)...
2018: Nursing Leadership
Heather Hunt-Smith, Mollie Butler
Newfoundland and Labrador (NL) has the highest prevalence of diabetes in Canada. In 2011, Eastern Health (EH) selected diabetes as its chronic disease management focus in response to national statistics on the disease. In 2012, EH partnered with Saint Elizabeth (SE) to offer a free e-learning module on diabetes management to its healthcare providers. In this paper, the Engage Others domain of the LEADS in a Caring Environment Framework is used to describe the EH-SE partnership for this e-learning including strategies used to engage nursing and allied health staff...
2018: Nursing Leadership
Stephanie Gilbert, E Kevin Kelloway
LEADS in a Caring Environment has been adopted as the primary leadership framework by the Canadian Health Leadership Network. This study developed and validated a 20-item behaviourally anchored rating scale to assess the twenty LEADS capabilities. Canadian healthcare employees and support staff (N = 156) were asked to rate their managers using the scale and also completed measures of transformational leadership, job-related affective well-being, and intent to stay for validation purposes. Exploratory factor analysis suggested that the scale was best represented by a single factor structure...
2018: Nursing Leadership
Lea Bill, Leila Gillis
Nurse leaders, educators and employers work to address the challenges of providing optimal care to Indigenous people and communities in Canada, which is often further complicated by geography and isolation. The Canadian Indigenous Nurses Association (CINA) has responded to the Calls to Action of the Truth and Reconciliation Commission of Canada through partnerships with various levels of government, including the First Nations and Inuit Health Branch of the new federal department of Indigenous Services Canada, to increase and better support Indigenous nurses in the healthcare system...
2018: Nursing Leadership
Lorna Butler, Heather Exner-Pirot, Lois Berry
Canadian universities are developing strategies to address the Truth and Reconciliation Commission (TRC) Calls to Action. There has been much attention paid to the positivist, individualistic and Eurocentric foundations of nursing and its educational curricula, but limited focus on assessing organizational structures or engaging with stakeholders. Without both approaches, the success of new initiatives may be limited. The College of Nursing at the University of Saskatchewan implemented a "Learn Where You Live" model that demonstrated a sense of place by providing access and opportunity in rural, remote and northern regions of the province...
2018: Nursing Leadership
Lorna Butler, Lois Berry, Heather Exner-Pirot
A number of universities have introduced Indigenous student-specific programming to improve recruitment. These programs target the needs of Indigenous students and often impart a sense of comfort or belonging that may be more difficult to obtain in a mainstream program. The University of Saskatchewan, College of Nursing, implemented a Learn Where You Live delivery model that challenged the university community to think differently about outreach and engagement. This is best described by redefining distance such that student services and supports would no longer be localized to a main campus but redesigned for distribution across the province...
2018: Nursing Leadership
Lynn M Nagle
The practice of nursing today demands that the nurse identify and meet the cultural needs of diverse groups, understand the social and cultural reality of the client, family, and community, develop expertise to implement culturally acceptable strategies to provide nursing care, and identify and use resources acceptable to the client (Andrews and Boyle 2002).
2018: Nursing Leadership
Kristen Callaghan, Ruth Martin-Misener, Colleen O'Connell, Frederick Burge, Emily Gard Marshall
The addition of nurse practitioners (NPs) in primary healthcare (PHC) is intended to improve accessibility. This study compared access to NP services in consultative, dyad and multiprofessional team structures in Nova Scotia. Accessibility indicators included NP appointment wait times, after-hours coverage and acceptance of new patients. Secondary analysis of province-wide survey data from PHC providers showed multiprofessional structures had shorter median NP appointment wait times: 0.5 days for urgent appointments versus 6...
2017: Nursing Leadership
Christina Hurlock-Chorostecki, Michelle Acorn
Hospitals require identification of the most responsible provider (MRP) for care of admitted patients. Traditionally, the MRP has been a physician. However, legislation changes within Ontario authorize the nurse practitioner (NP) to admit and provide care for hospital in-patients. There is little evidence illustrating adoption of the NP-as-MRP model in Ontario. Reasons for a delayed adoption of this innovative model of care are unclear and warrant investigation. One hospital implemented the NP-as-MRP as an appropriate and beneficial model to maximize access to care for senior patients...
2017: Nursing Leadership
Shannon Spenceley, Sienna Caspar, Em Pijl
In 2012, the World Health Organization estimated that the number of people living with dementia worldwide was approximately 35.6 million; they projected a doubling of this number by 2030, and tripling by 2050. Although the majority of people living with a dementia live in the community, residential facility care by nursing providers is a common part of the dementia journey in most countries. Previously published research confirms that caring for people living with dementia in such facilities often creates moral distress for nursing care providers...
2017: Nursing Leadership
M Suzanne Cole
Presently only about 9% of seniors over the age of 75 live in residential care facilities but the anticipated exponential growth of the senior population will put increasing pressure on the need for supportive, continuing care services in the years ahead (CIHI 2017a). They are on average 86 years of age with a diagnosis of dementia (67%) and some cognitive and/or functional impairment (98%) (CIHI 2017b). These compromised seniors are also more likely to use hospital services than others, and in many jurisdictions occupy acute care beds for extended periods because ongoing management of their complex conditions is often not possible within long-term care (LTC) homes...
2017: Nursing Leadership
Maria Mathews, Dana Ryan, Melissa Power
Using a cross-sectional survey of managers, we examined the role of nurse practitioners (NPs) in long-term care (LTC) facilities in Newfoundland and Labrador. We compared facilities with no regular primary care provider, with only family physicians (FPs) and with both FPs and NPs. A total of 91 of 127 (71.0%) facilities completed the survey; 19 (21.3%) facilities had no primary care provider, 42 (47.2%) had FPs only and 28 (31.5%) had both FPs and NPs. NPs and FPs provide a similar range of services in LTC...
2017: Nursing Leadership
Carrie A McAiney, Jenny Ploeg, Abigail Wickson-Griffiths, Sharon Kaasalainen, Ruth Martin-Misener, Noori Akhtar-Danesh, Faith Donald, Nancy Carter, Esther Sangster-Gormley, Kevin Brazil, Alan Taniguchi, Lori Schindel Martin
Nurse practitioners (NPs) can play an important role in providing primary care to residents in long-term care (LTC) homes. However, relatively little is known about the day-to-day collaboration between NPs and physicians (MDs) in LTC, or factors that may influence this collaboration. Survey data from NPs in Canadian LTC homes were used to explore these issues. Thirty-seven of the 45 (82%) identified LTC NPs across Canada completed the survey. NPs worked with an average of 3.4 MDs, ranging from 1-26 MDs. The most common reasons for collaborating included managing acute and chronic conditions, and updating MDs on resident status changes...
2017: Nursing Leadership
Lynn Stevenson, David Byres
The recently released book Public Policy and Canadian Nursing: Lessons from the Field, by Michael J. Villeneuve, has been described as a "must read" by Gail Donner, professor emerita, Faculty of Nursing, University of Toronto, and by Kathleen Macmillan, professor and director of the School of Nursing at Dalhousie University. That is an excellent recommendation from two well-respected Canadian nurse leaders.
2017: Nursing Leadership
Lynn M Nagle
Discussions of seniors with complex co-morbid conditions "clogging up" or "blocking" acute care beds have been persistent over the last two decades. In reality, many of these hospital admissions are likely avoidable with the allocation of appropriate resources to manage their care in the community. While promises of enhanced community-based care and support have been touted for years, the solutions have been inadequate, and continue to fall short of the mark. Notwithstanding the likely need for more long-term residential care beds in the face of Canada's aging demographic, it is clear that much more could be done to maintain seniors in their own homes or within residential care facilities - that is to say, out of the hospital!...
2017: Nursing Leadership
Karima Velji, Callum Tyrrell, Mark Rice, Andrea Marshall, Sanaz Riahi
Patient partnership has become a central element of healthcare delivery in many countries. The concept has specific relevance in mental health, as it is a critical enabler of recovery and healing (Bailey and Williams 2014). Patient partnership implies active engagement of patients in shaping decisions at the direct care, organizational and system level (Health Quality Ontario 2017). This article will outline the concept of patient partnership, and highlight the journey of one mental health.
2017: Nursing Leadership
Geoffrey Maina, Brenda Mishak, Anthony de Padua, Gillian Strudwick, Angelica Docabo, Hira Tahir
Prince Albert, Saskatchewan, is experiencing a substance use and addiction crisis with devastating consequences. To engage local stakeholders on substance use and addiction issues, nurse researchers at the University of Saskatchewan, Prince Albert Campus, planned and organized a one-day community engagement and knowledge exchange forum. The forum provided the opportunity for interested community groups, members and individuals to share their experiences and to explore novel ways to prevent and respond to the substance abuse and addiction challenges in the region...
2017: Nursing Leadership
Leigh Chapman
The current overdose epidemic we are facing in Canada and internationally calls on nursing leaders to prioritize holistic and compassionate care for people who use drugs (PWUD) and their families. Nurses are well positioned to provide person-centred care and advocate with and for this population. To do so requires an examination of one's personal values and beliefs surrounding drugs and the people who use them. As a nurse leader, I was forced to confront my views about illicit drug use following the untimely death of my brother Brad from overdose...
2017: Nursing Leadership
Mary Lou Ackerman, Tazim Virani, Barry Billings
Barriers such as stigma and access issues prevent 60% of Canadians with mental health issues from seeking help. Saint Elizabeth Health Care's IntelligentCareâ„¢ Platform supports a range of digital health solutions for holistic health including three specific innovations: a secure social networking tool, an artificial intelligence-driven assistant that uses conversational cognitive behaviour therapy techniques, and a mobile mindfulness meditation application that generates personalized meditation suggestions...
2017: Nursing Leadership
Kim Ritchie, Andra Duff-Woskosky, Sarah Kipping
Transitions between hospital and community are particularly challenging for vulnerable adults experiencing behavioural and psychological symptoms (BPSD) of dementia. Too often, miscommunication results in triggering a recurrence of disruptive behaviours leading to frustration of staff and families. As part of the implementation of Health Quality Ontario (HQO) Quality Standards, this project involved improving transitions using an electronic-based care plan on a 23-bed geriatric dementia unit in a mental health hospital...
2017: Nursing Leadership
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