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Education for Registered Nurses in Primary Care: Current and Future Trends. 初级保健注册护士的教育：当前和未来趋势。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27554
Julia Lukewich, Sophia Myles, Dana Ryan, Suzanne Braithwaite, Marie-Eve Poitras, Deanne Curnew, Maria Mathews
{"title":"Education for Registered Nurses in Primary Care: Current and Future Trends.","authors":"Julia Lukewich, Sophia Myles, Dana Ryan, Suzanne Braithwaite, Marie-Eve Poitras, Deanne Curnew, Maria Mathews","doi":"10.12927/cjnl.2025.27554","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27554","url":null,"abstract":"<p><p>Registered nurses (RNs) require specific preparation to fulfill the unique roles of working in primary care in Canada; however, RN education lacks primary care-specific content. This paper reviews RN education related to primary care in Canada by outlining opportunities and challenges. Gaps in primary care-specific education within undergraduate programs and at the post-licensure level highlight the need for integrating primary care, including interprofessional collaboration, into curricula throughout the education and training pipeline. Establishing partnerships across education, practice and policy spheres is critical to adapting RN education to meet the needs of Canada's primary care workforce.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"27-40"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045969","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
Registered Nurse Leadership in Primary Care: Embracing "Every Nurse a Leader". 初级保健中的注册护士领导：拥抱“每个护士都是领导”。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27547
Suzanne Braithwaite, Cyndi Gilmer, Julia Lukewich, Sophia Myles
{"title":"Registered Nurse Leadership in Primary Care: Embracing \"Every Nurse a Leader\".","authors":"Suzanne Braithwaite, Cyndi Gilmer, Julia Lukewich, Sophia Myles","doi":"10.12927/cjnl.2025.27547","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27547","url":null,"abstract":"<p><p>The philosophy of \"every nurse a leader\" recognizes that all nurses possess leadership skills and abilities, emphasizing their role in influencing positive healthcare changes, advocating for patients and advancing the profession. This paper explores leadership as a core competency for registered nurses (RNs) in primary care and examines the opportunities and challenges they face in enacting leadership roles. Key opportunities include optimizing the scope of practice, interprofessional collaboration and policy advocacy. Challenges such as invisibility, workforce factors and financial constraints are addressed, presenting a vision for a future where every RN in primary care is empowered to lead and innovate.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"133-141"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063849","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: Optimizing Nursing Roles in Team-Based Primary Care Is Imperative. 评论：优化护理角色在团队为基础的初级保健是必要的。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27556
Ivy Bourgeault, Ivy Oandasan
{"title":"Commentary: Optimizing Nursing Roles in Team-Based Primary Care Is Imperative.","authors":"Ivy Bourgeault, Ivy Oandasan","doi":"10.12927/cjnl.2025.27556","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27556","url":null,"abstract":"<p><p>The optimization of the roles and skills that all healthcare professionals play is imperative, not the least of which is in the foundational primary care sector.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"11-13"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057568","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
Implementation of Registered Nurse Prescribers in Nova Scotia. 新斯科舍省注册护士处方医师的实施。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27550
Cindy MacQuarrie, Nancy Cashen, Sohani Welcher
{"title":"Implementation of Registered Nurse Prescribers in Nova Scotia.","authors":"Cindy MacQuarrie, Nancy Cashen, Sohani Welcher","doi":"10.12927/cjnl.2025.27550","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27550","url":null,"abstract":"<p><p>Registered nurse (RN) prescribing has been successfully implemented globally in various countries, yet it remains a relatively new practice in Canada. RN prescribers have the potential to improve role satisfaction and access to care; however, the implementation of the role is influenced by various change levers that shape its success and integration. This commentary offers perspectives from the Nova Scotia (NS) RN prescribing steering committee and shares the achievement that took place in NS when a learning health system approach was applied. Local experiences were systematically integrated, generating new knowledge with a focus on this new role and the expanded responsibilities of RNs in healthcare teams in NS.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"96-103"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046054","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: Empowering Primary Care Nurses - Unlocking Access, Enhancing Quality and Addressing Social Determinants of Health. 评论：增强初级保健护士的权能——开放获取、提高质量和解决健康的社会决定因素。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27546
Sylvain Brousseau
{"title":"Commentary: Empowering Primary Care Nurses - Unlocking Access, Enhancing Quality and Addressing Social Determinants of Health.","authors":"Sylvain Brousseau","doi":"10.12927/cjnl.2025.27546","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27546","url":null,"abstract":"<p><p>Canadians are facing significant healthcare challenges, including overcrowded emergency rooms, lack of access to primary care (PC) services and an overburdened healthcare workforce. These will require concerted efforts from all levels of government, starting with engaging nurses in the modernization of the Canadian healthcare transformation (Brousseau 2024).</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"142-144"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998400","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
Registered Nurses in Primary Care: Your Time Is Now. 初级护理的注册护士：你的时间就是现在。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27557
Ruth Martin-Misener
{"title":"Registered Nurses in Primary Care: Your Time Is Now.","authors":"Ruth Martin-Misener","doi":"10.12927/cjnl.2025.27557","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27557","url":null,"abstract":"<p><p><b>Primary care is described as</b> the front door of the healthcare system (Kiran 2022). Defined more than 30 years ago, primary care is a model of healthcare that includes first-contact care, continuity of care, comprehensiveness and coordination (Starfield 1994). For a patient, it is their entry point to the rest of the healthcare system, and ideally, the place where they go to have most of their healthcare needs met by the same provider over time. Primary care is a component of primary healthcare, which is a broader approach that includes public health as well as policy, action and empowerment strategies involving multiple sectors (WHO n.d.). While Canada has made improvements in primary care delivery, its performance still lags behind that of other countries (Duong and Vogel 2023). One of its shortfalls is accessibility. More than 6.5 million people in Canada do not have access to primary care (Duong and Vogel 2023). This is concerning, and even more so because the population is aging, and many people have one or more chronic illnesses needing ongoing follow-up (Public Health Agency of Canada 2022) and social determinants of health requiring action (Andermann et al. 2016).</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061910","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
Theory-Informed Strategies to Guide Policy, Practice, Education and Research About Registered Nurses in Primary Care. 指导初级保健注册护士政策、实践、教育和研究的理论知情策略。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27555
Allison A Norful, Jacqueline A Nikpour, Sophia Myles, Julia Lukewich
{"title":"Theory-Informed Strategies to Guide Policy, Practice, Education and Research About Registered Nurses in Primary Care.","authors":"Allison A Norful, Jacqueline A Nikpour, Sophia Myles, Julia Lukewich","doi":"10.12927/cjnl.2025.27555","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27555","url":null,"abstract":"<p><p>Many primary care leaders remain unclear about how to embed registered nurses (RNs) into primary care practices. This paper identifies theoretical groundwork and measurement strategies to expand primary care RN roles. We facilitated deliberative dialogue, including breakout sessions, with a target audience of 68 participants from primary care research, policy and clinical organizations. Discussion was recorded and analyzed until themes emerged. Results illuminated challenges with inconsistent titles, lack of competencies and difficulties measuring RN contributions. Theoretical frameworks (e.g., Donabedian's model and the co-management model) and effective measurement strategies may best inform practice, policy and research to enhance RN roles in primary care.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"14-26"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054674","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
Key Elements for Implementing a Train-the-Trainer Intervention for Registered Nurses and Social Workers in Primary Care. 在初级保健中对注册护士和社会工作者实施培训师培训干预的关键要素。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27553
Marie-Eve Poitras, Yves Couturier, Anaëlle Morin, Marie-Dominique Poirier, Vanessa T Vaillancourt, Maude-Émilie Pépin, Sylvie Massé, Emmanuelle Doucet
{"title":"Key Elements for Implementing a Train-the-Trainer Intervention for Registered Nurses and Social Workers in Primary Care.","authors":"Marie-Eve Poitras, Yves Couturier, Anaëlle Morin, Marie-Dominique Poirier, Vanessa T Vaillancourt, Maude-Émilie Pépin, Sylvie Massé, Emmanuelle Doucet","doi":"10.12927/cjnl.2025.27553","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27553","url":null,"abstract":"<p><p>Registered nurses (RNs) and social workers (SWs) in Canada must integrate evidence-based practice in primary care. Continuing education interventions are needed and are valuable for achieving this. Primary care is a complex environment that must be considered to effectively implement a training intervention. Our team developed and implemented a train-the-trainer (TTT) intervention, including patient partners as trainers, to promote evidence-based practice for RNs and SWs working in primary care. Our developmental analysis highlighted key components, including the importance of leaders' support and contextual adaptation, demonstrating that while this TTT intervention holds significant potential, its effectiveness depends on organizational commitment and sufficient support from leaders.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"41-58"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061661","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
Primary Care Team Funding, Compensation and Practice Models Across Canadian Jurisdictions: An Environmental Scan. 初级保健团队资金，补偿和实践模式跨加拿大司法管辖区：环境扫描。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27552
Sarah Spencer, Lindsay Hedden, Julia Lukewich, Maria Mathews, Marie-Eve Poitras, Cloé Beaulieu, Tai Hollingbery, Leslie Meredith, Dana Ryan, Vanessa T Vaillancourt, Emily Gard Marshall, Nelly D Oelke, Joan Tranmer
{"title":"Primary Care Team Funding, Compensation and Practice Models Across Canadian Jurisdictions: An Environmental Scan.","authors":"Sarah Spencer, Lindsay Hedden, Julia Lukewich, Maria Mathews, Marie-Eve Poitras, Cloé Beaulieu, Tai Hollingbery, Leslie Meredith, Dana Ryan, Vanessa T Vaillancourt, Emily Gard Marshall, Nelly D Oelke, Joan Tranmer","doi":"10.12927/cjnl.2025.27552","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27552","url":null,"abstract":"<p><strong>Introduction: </strong>Successive waves of primary care reforms have focused on expanding team-based care across Canada, frequently through the addition of registered nurses (RNs). Reforms have varied, however, in teams' funding, compensation and organization.</p><p><strong>Methods: </strong>In this environmental scan, we sought to identify and describe existing primary care compensation and practice models across Canada.</p><p><strong>Results: </strong>Through structured and snowball searching, we identified and extracted data from 189 sources, yielding 44 compensation models and 55 practice models.</p><p><strong>Discussion: </strong>While information on RNs' compensation was lacking, physician remuneration and practice model descriptions indicate substantial variation in funding, compensation and practice models where integration of RNs is occurring. This reflects ongoing primary care reforms that build upon heterogenous plans and existing systems.</p><p><strong>Conclusion: </strong>Amidst ongoing calls to expand team-based primary care, the lack of clarity around existing funding, compensation and practice models challenges our ability to evaluate the aspects of team-based care that contribute to their overall functioning and effectiveness.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"59-76"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017044","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
Nurses Leading the Way: A Qualitative Study of Nursing Leadership, Innovation and Opportunity in Primary Care During a Public Health Crisis. 护士领导方式：在公共卫生危机期间初级保健护理领导，创新和机会的定性研究。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-03-01 DOI: 10.12927/cjnl.2025.27551
Julia Lukewich, Dana Ryan, Maria Mathews, Lindsay Hedden, Emily Gard Marshall, Crystal Vaughan, Samina Idrees, Donna Bulman, Lauren R Renaud, Cheryl Cusack, Ruth Martin-Misener, Jill Bruneau, Jamie Wickett, Shabnam Asghari, Leslie Meredith, Sarah Spencer, Gillian Young
{"title":"Nurses Leading the Way: A Qualitative Study of Nursing Leadership, Innovation and Opportunity in Primary Care During a Public Health Crisis.","authors":"Julia Lukewich, Dana Ryan, Maria Mathews, Lindsay Hedden, Emily Gard Marshall, Crystal Vaughan, Samina Idrees, Donna Bulman, Lauren R Renaud, Cheryl Cusack, Ruth Martin-Misener, Jill Bruneau, Jamie Wickett, Shabnam Asghari, Leslie Meredith, Sarah Spencer, Gillian Young","doi":"10.12927/cjnl.2025.27551","DOIUrl":"https://doi.org/10.12927/cjnl.2025.27551","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses in primary care play critical roles during public health crises; however, nursing leadership was underutilized during the COVID-19 response. This study explores nurses' leadership roles during the pandemic and their perspectives on the value of nursing leadership in primary care.</p><p><strong>Methodology: </strong>We conducted qualitative interviews with 76 nurses across four Canadian regions. Participants described their roles and the barriers and facilitators encountered during the COVID-19 pandemic. We used thematic analysis and examined themes relevant to leadership.</p><p><strong>Results: </strong>Three themes emerged: actualizing leadership, leveraging leadership experience and the value of nursing leadership. Nurses demonstrated leadership competencies, including educating teams and developing care delivery strategies. Participants emphasized the importance of involving nursing leadership in decision making and policy development.</p><p><strong>Conclusion: </strong>Sustaining and leveraging nursing leadership post-pandemic is essential to enhance collaboration and strengthen healthcare systems. Involving nurses in decision making can address system challenges and improve responses to future public health crises.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 SP","pages":"77-95"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016180","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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