Nursing leadership (Toronto, Ont.)
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Nurs Leadersh (Tor Ont) · Apr 2011
Bringing back the house call: how an emergency mobile nursing service is reducing avoidable emergency department visits for residents in long-term care homes.
Avoidable emergency department (ED) visits are a source of clinical risk, stress and anxiety for older, more vulnerable patients. The complexity of health conditions and the unique challenges associated with the care of older patients can also contribute to overcrowding and longer wait times in EDs--issues of significant concern for both healthcare providers and patients. ⋯ This paper describes how mobilizing a team of registered nurses working at full scope of practice might reduce the number of avoidable transfers of older patients to the ED. Utilizing nurses in this capacity demonstrates how the nursing profession can drive systemwide change to improve care between healthcare sectors for older adults.
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Nurs Leadersh (Tor Ont) · Jan 2011
Developing and sustaining nursing leadership for healthy work environments.
The current nursing shortage and increasing demand for healthcare service in the home and community compound the urgent need for service providers to better attract and retain nurses. Nursing leaders can enhance recruitment and retention by promoting healthy work environments, and developing leadership can help service providers become a better place to work. This case study illustrates how one community healthcare organization successfully implemented healthy workplace strategies using the Registered Nurses' Association of Ontario (RNAO) Healthy Work Environments Best Practice Guideline, Developing and Sustaining Nursing Leadership. A detailed description of the process undertaken for project implementation and evaluation is provided, along with lessons learned and recommendations.
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Primary healthcare nurse practitioners (PHCNPs), also known as family or all-ages nurse practitioners, are the fastest growing advanced practice nursing role in Canada. All 10 provinces and three territories now have legislation that authorizes their role. Their introduction is linked to countrywide health reform efforts to improve the accessibility and quality of primary healthcare.
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Nurs Leadersh (Tor Ont) · Dec 2010
Clinical nurse specialists and nurse practitioners: title confusion and lack of role clarity.
Title confusion and lack of role clarity pose barriers to the integration of advanced practice nursing roles (i.e., clinical nurse specialist [CNS] and nurse practitioner [NP]). Lack of awareness and understanding about NP and CNS roles among the healthcare team and the public contributes to ambiguous role expectations, confusion about NP and CNS scopes of practice and turf protection. ⋯ The goal of this synthesis was to develop a better understanding of advanced practice nursing roles and the factors that influence their effective development and integration in the Canadian healthcare system. Specific recommendations from interview participants and the literature to enhance title and role clarity included the use of consistent titles for NP and CNS roles; the creation of a vision statement to articulate the role of CNSs and NPs across settings; the use of a systematic planning process to guide role development and implementation; the development of a communication strategy to educate healthcare professionals, the public and employers about the roles; attention to inter-professional team dynamics when introducing these new roles; and addressing inter-professionalism in all health professional education program curricula.