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Clinical Data Standards: It's Now or Never for the Nursing Profession. 临床数据标准：护理专业是现在还是永远。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-04-01 DOI: 10.12927/cjnl.2025.27612
Lynn M Nagle, Peggy White
{"title":"Clinical Data Standards: It's Now or Never for the Nursing Profession.","authors":"Lynn M Nagle, Peggy White","doi":"10.12927/cjnl.2025.27612","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27612","url":null,"abstract":"<p><p>Clinical data standards offer the nursing profession the opportunity to examine patient outcomes within organizations and across the healthcare system and to explore opportunities to improve clinical practice and support care transitions. In addition, the collection of standardized clinical data can facilitate our understanding of what models of care produce better outcomes in different sectors of the healthcare system. Yet, the nursing profession has been slow in advocating for the adoption of clinical data standards. Without further action to advance the uptake of standardized clinical data, the profession risks having the impact of their practice become invisible, particularly in the context of emerging clinical artificial intelligence tools. This may lead to devastating downstream effects on the nursing profession and the health of Canadians.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 4","pages":"13-24"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Data, Advocacy and Policy: A Powerful Trio for Change. 数据、倡导和政策：推动变革的强大三重奏。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-04-01 DOI: 10.12927/cjnl.2025.27614
Ruth Martin-Misener
{"title":"Data, Advocacy and Policy: A Powerful Trio for Change.","authors":"Ruth Martin-Misener","doi":"10.12927/cjnl.2025.27614","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27614","url":null,"abstract":"<p><p>This issue brings us face to face with the leadership challenges we must address to navigate a future that - in many ways - is already here. It begins with a special focus on nursing data standards with a paper focused on one of nursing's longstanding issues - our invisibility in data systems. For that data to matter and be usable for the purposes of organizing, informing and evaluating the nursing workforce and its processes and outcomes, it must be standardized.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Embracing the Full Spectrum of Nursing Leadership: A Unified Call to Action for Canada's Health System Transformation. 拥抱全方位的护理领导：加拿大卫生系统转型的统一行动呼吁。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-04-01 DOI: 10.12927/cjnl.2025.27613
Valerie Grdisa
{"title":"Embracing the Full Spectrum of Nursing Leadership: A Unified Call to Action for Canada's Health System Transformation.","authors":"Valerie Grdisa","doi":"10.12927/cjnl.2025.27613","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27613","url":null,"abstract":"<p><p>As a nurse, leader and advocate, I have witnessed firsthand the transformative power of nursing leadership. From my early days of clinical practice to my tenure as the chief executive officer (CEO) of the Canadian Mental Health Association (CMHA) at the Simcoe County Branch (SCB), I have seen how effective leadership can drive change, improve patient outcomes and enhance the work environment for employees. However, I have also observed the challenges that arise when leadership is fragmented or siloed. To truly transform Canada's health system, we must embrace the full spectrum of nursing leadership and unite in our shared purpose.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 4","pages":"8-12"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Commentary: It Is Now and We Need to Unite as One Profession and Drive the Data Structures for the Future. 评论：现在是时候，我们需要团结起来作为一个专业，推动未来的数据结构。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-04-01 DOI: 10.12927/cjnl.2025.27611
Valerie Grdisa
{"title":"Commentary: It Is Now and We Need to Unite as One Profession and Drive the Data Structures for the Future.","authors":"Valerie Grdisa","doi":"10.12927/cjnl.2025.27611","DOIUrl":"10.12927/cjnl.2025.27611","url":null,"abstract":"<p><p>When I read Nagle and White's (2025) challenge to the nursing profession, \"it really is now or never,\" I had to reflect on my previous interactions with the authors and how I came to know the Health Outcomes for Better Information and Care (HOBIC) initiative in the early 2000s and why we must respond to their call for action. In 1999, the HOBIC initiative was launched by leaders, Lynn Nagle, Peggy White and Dorothy Pringle, to address gaps in health information representing nursing's contributions to patient care and the need for the inclusion of standardized clinical data in electronic health records (funded by the Ontario Ministry of Health and Long-Term Care) and HOBIC expanded nationally. On behalf of the Canadian Nurses Association, we applaud the authors for their unrelenting advocacy, thought leadership, research contributions and strategic foresight, especially now with technological advancements and artificial intelligence (AI) integration occurring at breakneck speed. As knowledge workers, we need to ensure that our intelligence and impact are represented in the data, and we need every nurse across Canada to embrace this imperative. The risks associated with not doing this are too serious for the people we serve and the health of Canadians.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 4","pages":"25-28"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strengthening Canada's Healthcare: The Ongoing Need for a Chief Nursing Officer. 加强加拿大的医疗保健：对首席护理官的持续需求。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-04-01 DOI: 10.12927/cjnl.2025.27609
Sally Thorne, Claire Betker, Jacqollyne Keath, Kathleen MacMillan, Dianne Martin, Michael Villeneuve
{"title":"Strengthening Canada's Healthcare: The Ongoing Need for a Chief Nursing Officer.","authors":"Sally Thorne, Claire Betker, Jacqollyne Keath, Kathleen MacMillan, Dianne Martin, Michael Villeneuve","doi":"10.12927/cjnl.2025.27609","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27609","url":null,"abstract":"<p><p>Given that healthcare delivery in Canada is primarily overseen, regulated and funded by provinces/territories, it may not be self-evident to all nurses what the distinctive contribution of a federal chief nursing officer entails. Over the 70-plus years since it was first established, the role of a senior nurse positioned within the federal government has been vulnerable to the whims of the ruling party, at times weakly supported and at other times eliminated. In this commentary, we make the case for widespread advocacy to help ensure that the importance of the role is well understood and strongly supported.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 4","pages":"33-39"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
People at the Core: Soulful Quality Improvement and Reflexive Nursing Leadership. 以人为本：灵魂的质量改进和反身性护理领导。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-04-01 DOI: 10.12927/cjnl.2025.27607
Leinic Chung-Lee, Jennifer Lapum, Linda Liang, Karen Beckermann, Leah Welsh
{"title":"People at the Core: Soulful Quality Improvement and Reflexive Nursing Leadership.","authors":"Leinic Chung-Lee, Jennifer Lapum, Linda Liang, Karen Beckermann, Leah Welsh","doi":"10.12927/cjnl.2025.27607","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27607","url":null,"abstract":"<p><p>The integration of quality improvement (QI) into healthcare has become progressively common. Nurse leaders are foundational to balancing the paradox of efficiency-cost metrics and people-centred outcomes. This critical discussion challenges superficial engagement with QI activities and mechanical application of QI tools, while urging nurse leaders to adopt soulful, \"thickly embodied\" and people-centred approaches. This entails three interconnecting principles, which weave fluidly together in a deeply reflexive manner. By leading purposefully and critically, QI can be re-anchored to valuing people at the core, where patient, family and community well-being is intricately connected to that of the care workforce.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 4","pages":"50-59"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing a Practice Standard to Address Indigenous-Specific Racism in Healthcare: A Case Study. 制定解决医疗保健中土著种族主义的实践标准：案例研究。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-04-01 DOI: 10.12927/cjnl.2025.27608
Dave Bhauruth, Stephanie McDonnell, Rebekah Smith, Adiam Brhane, Sabrina Luke
{"title":"Developing a Practice Standard to Address Indigenous-Specific Racism in Healthcare: A Case Study.","authors":"Dave Bhauruth, Stephanie McDonnell, Rebekah Smith, Adiam Brhane, Sabrina Luke","doi":"10.12927/cjnl.2025.27608","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27608","url":null,"abstract":"<p><p>Racism in healthcare directed toward Indigenous Peoples in Canada is an ongoing issue resulting in significant disparities in morbidity and mortality. The British Columbia College of Nurses and Midwives (BCCNM) is the health profession regulatory college for all nursing designations and registered midwives. In 2021-2022, BCCNM developed and implemented the Indigenous Cultural Safety, Cultural Humility, and Anti-Racism practice standard, the first of its kind in Canada, which applies to all British Columbia nursing and midwifery registrants. This case study describes the policy development process and lessons learned for developing the Indigenous Cultural Safety, Cultural Humility, and Anti-Racism practice standard.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 4","pages":"40-49"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Commentary: The Value of Incorporating Nursing Standards in EHRs: A Vendor Perspective. 评论：将护理标准纳入电子病历的价值：供应商的观点。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-04-01 DOI: 10.12927/cjnl.2025.27610
Sonia Pagliaroli
{"title":"Commentary: The Value of Incorporating Nursing Standards in EHRs: A Vendor Perspective.","authors":"Sonia Pagliaroli","doi":"10.12927/cjnl.2025.27610","DOIUrl":"10.12927/cjnl.2025.27610","url":null,"abstract":"<p><p>The paper \"It's Now or Never\" (Nagle and White 2025) emphasizes the notion that we cannot improve what we cannot measure. Peggy White and Lynn Nagle have been spearheading this type of nursing standards work in Canada for many years, and in today's digital environment, it is apparent that the concepts were \"ahead of their time.\"</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 4","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measuring Registered Nurses' Scope of Practice in Primary Care: A Scoping Review of Available Self-Reported Questionnaires. 衡量注册护士在初级保健的执业范围：对现有自述问卷的范围审查。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27549
Anaëlle Morin, Cynthia Gagnon, Marie-Josée Émond, Marie-Eve Perron, Monica McGraw, Pierre-Henri Roux-Levy, Marie-Eve Poitras
{"title":"Measuring Registered Nurses' Scope of Practice in Primary Care: A Scoping Review of Available Self-Reported Questionnaires.","authors":"Anaëlle Morin, Cynthia Gagnon, Marie-Josée Émond, Marie-Eve Perron, Monica McGraw, Pierre-Henri Roux-Levy, Marie-Eve Poitras","doi":"10.12927/cjnl.2025.27549","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27549","url":null,"abstract":"<p><p>Many authors have reported significant variability in the scope of practice of registered nurses (RNs) working in primary care clinics. Existing self-reported questionnaires (SRQs) for evaluating nurses' scope of practice in these settings are poorly documented, and the conditions for using SRQs in primary care settings are not well understood. We conducted a scoping review using the Joanna Briggs Institute methodology and Preferred Reporting Items Systematic reviews and Meta-Analyses extension for Scoping Review (PRISMA-ScR) guidelines to identify, describe and map current knowledge on SRQs assessing the scope of practice of RNs in primary care. We followed a structured process including search strategy, data extraction and result presentation. This paper presents the results of a scoping review of 12 articles on SRQs assessing nurses' scope of practice in primary care, detailing SRQs, their dimensions, conditions of use and development quality. These results support the need to measure primary care nurses' scope of practice in order to identify the needs and assess the effects of existing and future trainings and organizational structures.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"104-124"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Future of Registered Nurses in Primary Care: The Patients' Perspectives. 初级保健注册护士的未来：病人的观点。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27548
Toni Leamon, Marie-Dominique Poirier
{"title":"The Future of Registered Nurses in Primary Care: The Patients' Perspectives.","authors":"Toni Leamon, Marie-Dominique Poirier","doi":"10.12927/cjnl.2025.27548","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27548","url":null,"abstract":"<p><p>This commentary, informed by the lived experience and expertise of two patients, provides insights into the future of registered nurses (RNs) in primary care. The patient perspective is crucial if the healthcare system aims for patient-partnered care to be paramount. This article highlights the envisioned success of an effective partnership between patients and RNs in primary care and illustrates how they can become experts in care together. This reciprocal relationship between the patient partner and the RN demonstrates the importance of combining the expanded role of the RN and patient perspective to drive change in primary care.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"125-132"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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