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Nursing Leadership

Sonia A Udod, Michelle Lobchuk
This paper focuses on the central role of senior nurse leaders in advancing organizational resources and support for communication between healthcare providers and carers that influences patient and carer outcomes during the transition from hospital to the community. A Think Tank (Lobchuk 2012) funded by the Canadian Institutes of Health Research (CIHR) gathered interdisciplinary and intersectoral stakeholders from local, national and international levels to develop a Family Carer Communication Research Collaboration...
2017: Nursing Leadership
Laura Wheatley, Winnie Doyle, Cheryl Evans, Carolyn Gosse, Kevin Smith
Calls for transformational change of our healthcare system are increasingly clear, persuasive and insistent. They resonate at all levels, with those who fund, deliver, provide and receive care, and they are rooted in a deep understanding that the system, as currently rigidly structured, most often lacks the necessary flexibility to comprehensively meet the needs of patients across the continuum of care. The St. Joseph's Health System (SJHS) Integrated Comprehensive Care (ICC) Program, which bundles care and funding across the hospital to home continuum, has reduced fragmentation of care, and it has delivered improved outcomes for patients, providers and the system...
2017: Nursing Leadership
Tracy Kitch
Our country's recent negotiations for a new Health Accord have shone light on the importance of more accessible and better home care. The direction being taken on health funding investments has sent a strong message about healthcare system redesign. It is time to design a healthcare system that moves us away from a hospital-focused model to one that is more effective, integrated and sustainable and one that places a greater emphasis on primary care, community care and home care. The authors of the lead paper (Sharkey and Lefebre 2017) provide their vision for people-powered care and explore the opportunity for nursing leaders to draw upon the unique expertise and insights of home care nursing as a strategic lever to bring about real health system transformation across all settings...
2017: Nursing Leadership
Sally Thorne, Kelli Stajduhar
In this commentary, Thorne and Stajduhar respond to Sharkey and Lefebre's (2017) thoughts on Bringing Nursing Back to the Future Through People-Powered Care by reflecting on the kinds of structural and ideological conditions that have dismantled the traditional root structure by which the nursing profession nurtured its members and optimized their inherent capacity as champions of placing patients at the centre of care. Although the idea of patient-centred care has great popular appeal in the current context, embedding it meaningfully into a transformed healthcare system will require dedicated attention to addressing the attitudes, discourses and leadership mechanisms within which strong systems of nursing can flourish and thrive...
2017: Nursing Leadership
Shirlee Sharkey, Nancy Lefebre
At a time when there is a growing interest in person- and family-centred care and integrated community-based models, the unique strengths and expertise of home care nursing is a strategic lever for change across all healthcare settings. In this paper, we explore the theme of people-powered care as a universal starting point - a new approach to health and wellness that is anchored in the strengths of people, their networks and the patterns of everyday life. Leveraging key insights from home and community care, along with broader societal shifts towards personalization and empowerment, we discuss how nurses in all areas of the system can lead the way by empowering staff, patients and their families...
2017: Nursing Leadership
Gail Donner
There is agreement across all provinces that there is transformation needed in the area of home and community care. Yet, where is the collective voice of nurse leaders in this transformation? The guest editor calls on nurses to respond to this unique opportunity to shape the transformation of our health system, and improve care for patients and their caregivers.
2017: Nursing Leadership
(no author information available yet)
The editor-in-chief extends thanks to all contributors to this special focus on nursing leadership in home and community care. Thank you for leadership, thoughtful reflections and call to action. The possibilities for a different "person-centered", "people-powered" home and community-oriented health system can be realized with nursing at the helm.
2017: Nursing Leadership
Kamila Alammar, Mashael Alamrani, Sara Alqahtani, Muayyad Ahmad
OBJECTIVE: To predict nurses' job involvement on the basis of their organizational commitment and personal characteristics at a large tertiary hospital in Saudi Arabia. DATA SOURCES: Data were collected in 2015 from a convenience sample of 558 nurses working at a large tertiary hospital in Riyadh, Saudi Arabia. STUDY DESIGN: A cross-sectional correlational design was used in this study. Data were collected using a structured questionnaire...
2016: Nursing Leadership
Lindsay Yuille, Denise Bryant-Lukosius, Ruta Valaitis, Lisa Dolovich
To address increasing pressures for cancer survivorship care (CSC), provincial cancer agencies have introduced new models of post-treatment follow-up involving earlier transition of cancer survivors back to primary care (PC) providers. It is unknown how nurses in PC settings have responded to this practice change. The purpose of this qualitative descriptive study was to examine registered nurses' (RNs) perspectives of the strengths, gaps, barriers and opportunities for optimizing nursing roles in the delivery of CSC within PC settings...
2016: Nursing Leadership
Michelle Freeman, Linda A Morrow, Margo Cameron, Karen McCullough
BACKGROUND: Healthcare organizations have been challenged to create a just culture as part of their culture of safety. PURPOSE: To explore perceptions of nurse managers in developing personal competencies in order to enable them to effectively implement a just culture in their units. METHOD: Qualitative content analysis of semi-structured interviews with nine nurse managers identified themes. Data were independently analyzed by three members of the research team...
2016: Nursing Leadership
Nora B Whyte, Susan M Duncan
During the Canadian federal election in 2015, we conducted a systematic inquiry into the methods and messages developed by national nursing organizations to communicate their policy platforms and their strategies for member and public engagement. Throughout the campaign and in the post-election period, the nursing organizations presented an outward-looking view to improve health and healthcare for Canadians. We observed ways in which they adopted a nursing lens on the issues by showcasing background research, by drawing on relevant nursing knowledge and by communicating clear policy messages based on nursing expertise...
2016: Nursing Leadership
Carol A Wong
No abstract text is available yet for this article.
2016: Nursing Leadership
Sue VanDeVelde-Coke
No abstract text is available yet for this article.
2016: Nursing Leadership
Barb Shellian, Wendy Levinson
No abstract text is available yet for this article.
2016: Nursing Leadership
(no author information available yet)
No abstract text is available yet for this article.
2016: Nursing Leadership
Kimberley Lamarche, Caroline Park, Shawn Fraser, Mariann Rich, Susan MacKenzie
The use of mobile devices by nurse practitioners (NPs) to meet an evolving technological landscape is expanding rapidly. A longitudinal study of the ways NP students "normalize" the use of mobile devices in clinical education was completed. This study used researcher-designed survey tools, including sociodemographic questions, and the numerical picture was augmented and interpreted in light of the textual data in the form of selected interviews. Data indicate that mobile technology is normalized in the social realm but still developing in the clinical realm...
2016: Nursing Leadership
Lori Rietze, Roberta Heale, Laura Hill, Stacey Roles
It is estimated that the number of people who die of life-limiting illnesses in Canada will double by the year 2056. Advance care planning (ACP) is one way to improve the quality of end-of-life care. ACP is a process of ongoing discussions whereby a person communicates important values and desired outcomes at the end of life prior to healthcare crises. Nurse practitioners (NP) commonly diagnose and plan healthcare for patients who may have life-limiting conditions and thus are in a strategic position to engage patients in ACP...
2016: Nursing Leadership
Rola Moghabghab, Michael Hamilton-Jones, Rosanne Jabbour, Angela McNabb, Erin Tilley
In 2012, the Canadian Government revised regulations under the Controlled Drugs and Substances Act to allow nurse practitioners (NPs) to prescribe controlled substances. In Ontario, it remains illegal for NPs to prescribe controlled substances, as provincial law prohibits this practice. In 2013, the College of Nurses of Ontario (CNO) conducted an online survey of NPs to inform future development of regulations and practice standards that would promote safe, ethical and effective practice when NPs are permitted to prescribe controlled substances in Ontario...
2016: Nursing Leadership
Christina Hurlock-Chorostecki, Janice McCallum
Hospital leaders in Canada are continuously seeking new ways to meet patient needs and Ministry of Health priorities. One approach, integrating nurse practitioners (NPs) into the interprofessional team of caregivers, has demonstrated the quality outcomes hospital leaders seek. However, hospital leaders report there is limited information available to them to clearly know NP role value. This is concerning, as these leaders make the employment and integration decisions that enable role success. The lack of information for leaders has left NP role integration success to chance...
2016: Nursing Leadership
Nelly D Oelke, Katrina M Plamondon, Donna Mendel
Background: Nurse practitioners (NPs) were introduced in British Columbia (BC) in 2005 as a new category of health provider. Given the newness of NPs in our health system, it is not unexpected that continued work is required to better integrate NPs in healthcare in BC. Aim: This paper will focus on a research study using dialogic methods as a participatory knowledge translation approach to facilitate integration of NPs in primary healthcare (PHC) settings. Methods: Deliberative dialogue (DD) is a useful knowledge translation tool in health services delivery...
2016: Nursing Leadership
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