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Fostering Pan-Canadian Collaboration to Advance Nursing Workforce Development: A Case Study From the Genomics Experience. 促进泛加拿大合作，推动护理人员队伍发展：基因组学经验案例研究。
Nursing leadership (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/cjnl.2024.27470
Patrick Chiu, Andrea Gretchev, Jacqueline Limoges, Rebecca Puddester, Lindsay Carlsson, April Pike, Kathleen Leslie, Dzifa Dordunoo
{"title":"Fostering Pan-Canadian Collaboration to Advance Nursing Workforce Development: A Case Study From the Genomics Experience.","authors":"Patrick Chiu, Andrea Gretchev, Jacqueline Limoges, Rebecca Puddester, Lindsay Carlsson, April Pike, Kathleen Leslie, Dzifa Dordunoo","doi":"10.12927/cjnl.2024.27470","DOIUrl":"10.12927/cjnl.2024.27470","url":null,"abstract":"<p><p>A skilled nursing workforce can ensure that Canadians have safe and equitable access to genomics-informed healthcare. Evidence-informed frameworks designed to support the implementation of genomics across nursing indicate that leadership and collaboration are critical to success. However, siloed provincial and territorial healthcare systems create challenges for harmonizing efforts. In this article, we discuss a solution to bring together nurse leaders across jurisdictions and domains of practice to co-create pan-Canadian strategic directions for genomics integration. We highlight the importance of national collaboration and the value it brings to nursing workforce development in rapidly changing social and technological contexts.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 2","pages":"41-48"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650385","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
Optimizing the New Model of Nurse Practitioner Regulation in Canada to Support the Integration of Genomics. 优化加拿大执业护士监管新模式，支持基因组学整合。
Nursing leadership (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/cjnl.2024.27468
Michelle Acorn, Patrick Chiu, Jacqueline Limoges, Andrea Gretchev
{"title":"Optimizing the New Model of Nurse Practitioner Regulation in Canada to Support the Integration of Genomics.","authors":"Michelle Acorn, Patrick Chiu, Jacqueline Limoges, Andrea Gretchev","doi":"10.12927/cjnl.2024.27468","DOIUrl":"10.12927/cjnl.2024.27468","url":null,"abstract":"<p><p>The demand for genomic services has outpaced the capacity of the health system, thus creating opportunities for nurse practitioners (NPs) to develop genomic literacy and expand the genomics-informed services that NPs can offer to optimize safe and equitable healthcare. The new model of NP regulation that aims to educate all NPs, based on a set of common entry-level competencies, has the potential to accelerate the integration of genomics into education and practice. In this commentary, we explore opportunities within a new NP regulatory framework and highlight how NPs can strengthen Canadians' access to genomic technologies as clinicians, advocates, leaders, scholars and educators.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 2","pages":"49-56"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650404","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
Foreword: Fostering Innovation Through Nursing Retention Strategies. 前言：通过护理人员留任战略促进创新。
Nursing leadership (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/cjnl.2024.27464
Leigh Chapman
{"title":"Foreword: Fostering Innovation Through Nursing Retention Strategies.","authors":"Leigh Chapman","doi":"10.12927/cjnl.2024.27464","DOIUrl":"10.12927/cjnl.2024.27464","url":null,"abstract":"<p><p><b>Throughout my tenure as chief nursing officer</b>, I have had the pleasure of hearing directly from nurses about nurse-led initiatives being implemented across Canada. Nurses are often very keen to discuss innovations occurring on the front lines of care delivery. The development of the Nursing Retention Toolkit was directly informed by nurses from across the country to ensure that diverse perspectives were reflected in reconsidering the way in which we value nursing work (Health Canada 2024). One of the many goals of the Nursing Retention Toolkit is to \"spark change in how we think about and value the nursing profession and build on the work others have done to improve nurses' working conditions in Canada\" (Health Canada 2024: 8).</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 2","pages":"8-12"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650361","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
Leadership Strategies for Genomics Integration: A Descriptive Study Using the Canadian Adaptation of the Genetics and Genomics Nursing Practice Survey. 基因组学整合的领导策略：使用加拿大改编的遗传学和基因组学护理实践调查进行描述性研究。
Nursing leadership (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/cjnl.2024.27467
Jacqueline Limoges, Rebecca Puddester, April Pike, Kathy Calzone, Lindsay Carlsson, Nicole Letourneau, Andrea Gretchev
{"title":"Leadership Strategies for Genomics Integration: A Descriptive Study Using the Canadian Adaptation of the Genetics and Genomics Nursing Practice Survey.","authors":"Jacqueline Limoges, Rebecca Puddester, April Pike, Kathy Calzone, Lindsay Carlsson, Nicole Letourneau, Andrea Gretchev","doi":"10.12927/cjnl.2024.27467","DOIUrl":"10.12927/cjnl.2024.27467","url":null,"abstract":"<p><p>The demand for genomic services that improve disease prevention, early detection and safer treatments has already outpaced the capacity of the current system. Nursing leadership strategies are urgently needed to integrate genomic discoveries into education and practice. Using findings from the national Canadian Adaptation of the Genetics and Genomics Nursing Practice Survey completed by 1,012 Canadian nurses, we recommend leadership strategies to build conducive practice environments and assist nurses in developing genomic literacy and confidence to fully participate in the integration of genomics into education and practice. Collaboration across the domains of nursing practice can generate sustainable strategies that assist nurses to be full participants in interdisciplinary teams.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 2","pages":"22-40"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650390","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
Nurse-Led Clinical Pathway Development for Cardiac Surgery: A Systematic Quality Improvement Approach. 以护士为主导的心脏外科临床路径开发：系统性质量改进方法。
Nursing leadership (Toronto, Ont.) Pub Date : 2024-10-01 DOI: 10.12927/cjnl.2024.27469
Clare Koning, Leonard Eulalia, Amar Sriram, Eunice Cho, Sheila Finamore
{"title":"Nurse-Led Clinical Pathway Development for Cardiac Surgery: A Systematic Quality Improvement Approach.","authors":"Clare Koning, Leonard Eulalia, Amar Sriram, Eunice Cho, Sheila Finamore","doi":"10.12927/cjnl.2024.27469","DOIUrl":"10.12927/cjnl.2024.27469","url":null,"abstract":"<p><p>This paper examines the development of a nurse-led clinical pathway at the Royal Columbian Hospital in New Westminster, BC, to enhance care for cardiac surgery patients. The systematic quality improvement project aimed to standardize care and improve outcomes by addressing issues such as prolonged hospital stays, delayed extubation and limited post-operative mobility. By comparing clinical outcomes with benchmarks, the project identified opportunities for improvement, including early ambulation, timely extubation, reduced mortality, readmission rates and length of stay. The development process involved collaboration with nursing leaders, stakeholder consultations and thorough evidence review and highlighted the crucial role of strategic leadership in large-scale change initiatives.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 2","pages":"57-68"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650398","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
A Systematic Review of the Cost-Effectiveness of Clinical Nurse Specialists and Nurse Practitioners in Inpatient Roles. 临床专科护士和执业护士在住院病人角色的成本效益的系统评价。
Nursing leadership (Toronto, Ont.) Pub Date : 2015-09-01
Kelley Kilpatrick, Kim Reid, Nancy Carter, Faith Donald, Denise Bryant-Lukosius, Ruth Martin-Misener, Sharon Kaasalainen, Patricia Harbman, Deborah Marshall, Renee Charbonneau-Smith, Alba DiCenso
{"title":"A Systematic Review of the Cost-Effectiveness of Clinical Nurse Specialists and Nurse Practitioners in Inpatient Roles.","authors":"Kelley Kilpatrick, Kim Reid, Nancy Carter, Faith Donald, Denise Bryant-Lukosius, Ruth Martin-Misener, Sharon Kaasalainen, Patricia Harbman, Deborah Marshall, Renee Charbonneau-Smith, Alba DiCenso","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The objective of this systematic review was to synthesize the evidence of the effectiveness and cost-effectiveness of clinical nurse specialists (CNSs) and nurse practitioners (NPs) working in alternative or complementary roles in inpatient settings. Those in alternative roles substitute for another provider and deliver similar services. Those in complementary roles deliver additional services to meet patient health needs. We searched 10 electronic databases, reference lists, pertinent journals and websites from 1980 to July 2012 with no language, publication or geographical restrictions. Study identification and assessment were completed independently by two-member teams. Internal validity was assessed using the Cochrane Risk of Bias tool. The quality of the economic analysis was evaluated using the Quality of Health Economic Studies (QHES) instrument. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system was used to assess outcome-specific quality of evidence. Three dated trials evaluated CNS and NP inpatient roles; they were conducted in North America and included 488 adults and 821 neonates. In one study, CNSs in complementary provider roles, when compared with usual care, were equally effective with equal resource use (very low-quality evidence). In two studies, NPs in alternative roles, when compared with physicians, were equally effective with equal-to-more resource use and equal costs (low- to moderate-quality evidence). The quality of the economic analyses was poor. Only three dated studies were identified. More research is needed to determine cost-effectiveness and inform policies and decisions related to the implementation of CNSs and NPs working exclusively in inpatient roles. </p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"28 3","pages":"56-76"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144612777","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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