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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
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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
Kathleen F Hunter, R Sheli Murphy, Maureen Babb, Chantale Vallee
The study aim was to determine benefits and challenges of a community initiative to introduce the nurse practitioner (NP) role in rural primary care. We used a mixed-methods, participatory action research design. Data collection included surveys, interviews, patient record data and shadow billing data. Patient, physician and healthcare professional (HCP) surveys were followed by interviews of survey participants and key local informants. Descriptive statistics were used to summarize survey and patient record data, and content analysis was used to analyze interview data...
2016: Nursing Leadership
Tammy O'Rourke, Kathryn Smith Higuchi
Nurse practitioners (NPs) are being encouraged to practice to the full extent of their skills, and they have a critical role to play in leading health system reform. The evidence in support of NP-led initiatives is growing; however, in spite of the positive outcomes associated with these initiatives, considerable opposition to and debate about the potential for NPs to lead health system change and interprofessional teams continues. To date, we know very little about NP leadership activities, particularly those activities that contribute to primary care system change, and there are very few examples of this type of leadership...
2016: Nursing Leadership
Roberta Heale, Susan James, Marie Luce Garceau
The previous 16 years have seen a number of healthcare reforms meant to increase access to primary healthcare services in Ontario. This included the establishment of an innovative model, the nurse practitioner-led clinics (NPLCs). NPLCs held promise for nurse practitioners (NPs) to practice to their full potential and optimize patient care. A multiple-case study was undertaken to evaluate the quality of care for patients with diabetes and multimorbidity at NPLCs. Five NPLCs, all in underserved areas in the mid-northern region of the province, were part of the study...
2016: Nursing Leadership
Margaret Gehrs, Sara Ling, Alison Watson, Kristin Cleverley
The impact of substance use disorders on the Canadian healthcare system is large, contributing to high use of hospital resources. At the Centre for Addiction and Mental Health (CAMH), Canada's largest mental health and addictions academic teaching hospital, substance use disorders constitute the primary diagnosis of 31% of annual inpatient admissions. Clinical nurse specialists (CNSs) with expertise in addictions are ideally prepared to promote competency development among baccalaureate-prepared nurses who are caring for this population...
2016: Nursing Leadership
Josette Roussel
The Canadian Nurses Association (CNA) is pleased to provide this update on the integration of the clinical nurse specialist (CNS) role in Canada. Many advances have occurred since the publication of the Canadian Journal of Nursing Leadership special issue focused on advanced practice nursing (APN) in 2010. The CNA continues to promote and advance this APN role, and views the CNS as an essential and critical role for better care to Canadians.
2016: Nursing Leadership
Ivy Lynn Bourgeault
The optimization of the health workforce is perhaps one of the most critical actions that health reform initiatives need to address moving forward. The optimization of advanced practice nursing roles is no exception. In general, scopes of practice tend to be organized on the basis of tradition and politics rather than how best they can meet shifting population health needs. Health workforce optimization is now both the language adopted internationally and a key area of focus for health reform.
2016: Nursing Leadership
Ruth Martin-Misener, Denise Bryant-Lukosius
This 2016 special edition on advanced practice nursing (APN) roles in Canada builds on earlier role progress reported in the first special edition in 2010. Advancements in role development and innovative models that utilize APN roles are highlighted. The need for further efforts to support health systems integration of APN roles related to funding, research and decision-maker understanding of the roles, and to learn from international experience in APN role implementation are described.
2016: Nursing Leadership
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