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Canadian journal of nursing leadership最新文献

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Supply and demand for cardiac nurses in Ontario: perceptions of CNOs. 安大略省心脏护士的供应和需求:对CNOs的看法。
Canadian journal of nursing leadership Pub Date : 2002-01-15 DOI: 10.12927/CJNL.2002.19135
G. Pink, M. Sholdice, W. Fucile, P. Petryshen, H. Sherrard, M. Vimr
{"title":"Supply and demand for cardiac nurses in Ontario: perceptions of CNOs.","authors":"G. Pink, M. Sholdice, W. Fucile, P. Petryshen, H. Sherrard, M. Vimr","doi":"10.12927/CJNL.2002.19135","DOIUrl":"https://doi.org/10.12927/CJNL.2002.19135","url":null,"abstract":"This article presents the results of a nursing survey of cardiac care hospitals undertaken by a Cardiac Care Network of Ontario Consensus Panel on Cardiovascular Human Resources. The focus of the Panel was to identify areas of current or pending shortages in human resources and make recommendations to the Ministry of Health and Long-Term Care about human resource management in adult cardiac care in Ontario. The article presents the number and mix of full-time, part-time and casual nursing staff, the age distribution of RNs, and the number of vacant Registered Nurse (RN) positions for a sample of cardiac care hospitals in Ontario. Next a sample of Chief Nursing Officer opinions about factors contributing to current difficulties in recruiting RNs and the outlook for future shortages are presented. Implications for nurse managers are offered, including development of new recruitment and retention strategies, identification of further efficiencies in care provision, and a need for nurse manager involvement in debates about the future of how health care is provided in Canada.","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"207 1","pages":"8-13"},"PeriodicalIF":0.0,"publicationDate":"2002-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73003084","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: 2
The effect of staff nurse participation in a clinical nursing research project on attitude towards, access to, support of and use of research in the acute care setting. 护理人员参与临床护理研究项目对急症护理研究的态度、获取、支持和使用的影响。
Canadian journal of nursing leadership Pub Date : 2002-01-15 DOI: 10.12927/CJNL.2002.19137
Joan Tranmer, Jacquelyn Lochhaus, Miu Lam
{"title":"The effect of staff nurse participation in a clinical nursing research project on attitude towards, access to, support of and use of research in the acute care setting.","authors":"Joan Tranmer, Jacquelyn Lochhaus, Miu Lam","doi":"10.12927/CJNL.2002.19137","DOIUrl":"https://doi.org/10.12927/CJNL.2002.19137","url":null,"abstract":"The purpose of this study was to determine the effect of participation in research on staff nurses' attitude towards, access to, perceived support of and reported use of research in practice. Six medical surgical units in a southeastern Ontario teaching hospital were randomly assigned to receive 3 different levels of exposure to research: high, low and usual. On the high participation units, a clinical research group consisting of the investigator and interested nurses (n = 18) critiqued research literature related to an important clinical issue (i.e., patterns of sleep) and designed and implemented a clinical research study. On the low participation units, a similar clinical research group (n = 10) met once and were involved, solely, in the design and implementation of the clinical research protocol. On the control units, there were no formalized research groups or activities. All registered nurses (n = 235), including the research group participants, on the 6 units were surveyed with a research utilization questionnaire (RUQ) pre and post participant intervention. The RUQ scores were higher on the high participation units at baseline and post intervention in comparison to the low and control units. Nurses who participated directly in the clinical research groups (high and low) reported similar RUQ scores post intervention and higher scores in comparison to all nurses. All RUQ scores were higher post intervention. Nurses with clinical expertise but minimal research expertise participated meaningfully in clinical research. While participation had an individual effect there was no unit effect, suggesting other factors, such as organizational support and culture, are important determinants of research use.","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"85 1","pages":"18-26"},"PeriodicalIF":0.0,"publicationDate":"2002-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85345484","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: 49
Impact of organizational restructuring on nurses' facilitation of parental participatory care. 组织重组对护士促进父母参与式护理的影响。
Canadian journal of nursing leadership Pub Date : 2002-01-15 DOI: 10.12927/CJNL.2002.19136
Elaine McKiel
{"title":"Impact of organizational restructuring on nurses' facilitation of parental participatory care.","authors":"Elaine McKiel","doi":"10.12927/CJNL.2002.19136","DOIUrl":"https://doi.org/10.12927/CJNL.2002.19136","url":null,"abstract":"In a study to explore nurses' perceptions of their role as facilitators of parent participation in the care of hospitalized children and the factors that promoted or impeded their role, massive reform and downsizing of hospitals were noted to have created tension between the restructured health care system and the capacity of nurses to provide the optimal level of care they valued. Specifically, revised staffing patterns, (e.g., increased number of part-time and casual nurses) and workload issues (e.g., time constraints, early discharges) created concerns relative to job satisfaction and the quality of participatory care facilitated by nurses. Findings from this study support those reported in other literature.","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"1 1","pages":"14-7"},"PeriodicalIF":0.0,"publicationDate":"2002-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75617866","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: 9
Understanding the broader context: the health of the urban native Canadian. 了解更广泛的背景:加拿大城市居民的健康状况。
Canadian journal of nursing leadership Pub Date : 2001-11-15 DOI: 10.12927/CJNL.2001.19132
N. Prodan‐Bhalla
{"title":"Understanding the broader context: the health of the urban native Canadian.","authors":"N. Prodan‐Bhalla","doi":"10.12927/CJNL.2001.19132","DOIUrl":"https://doi.org/10.12927/CJNL.2001.19132","url":null,"abstract":"The average life expectancy for a Native male is 66, and for a non-Native male, 76. It is undisputed that the health of the Native Canadian is poor, yet substantial inequalities remain. One of the reasons these inequalities remain is the shallow, limited understanding of the poor health of the urban Native Canadian which, in turn, leads to quick fixes and temporary solutions. The purpose of the following paper is to give nursing leaders an accurate description of the poor health status of the urban Native Canadian, as well as a description of the perpetuating events leading up to their current situation. Once this is understood, the nursing profession can work with urban Native Canadians towards sustainable, long-term solutions. The following paper provides an overview of the historical oppression of Native Canadians, a discussion on the effects of marginalization and the subsequent adaptation process, an overview of the current health status of the urban Native Canadian and a practical assessment tool. The paper concludes with practical suggestions and directions for the future.","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"10 1","pages":"20-5"},"PeriodicalIF":0.0,"publicationDate":"2001-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86519410","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: 10
Advanced nursing practice: old hat, new design. 高级护理实践:旧帽子，新设计。
Canadian journal of nursing leadership Pub Date : 2001-11-15 DOI: 10.12927/CJNL.2001.19130
C. D. De Grasse, W. Nicklin
{"title":"Advanced nursing practice: old hat, new design.","authors":"C. D. De Grasse, W. Nicklin","doi":"10.12927/CJNL.2001.19130","DOIUrl":"https://doi.org/10.12927/CJNL.2001.19130","url":null,"abstract":"Advanced practice nurses positively impact the delivery of healthcare and client outcomes. However, in the past these positions have been seen to have variable value and were often vulnerable during budget cuts. Lack of a clear advanced nursing practice (ANP) framework probably contributed to the compromised effectiveness of these roles and evolution of roles with different titles, scopes of practice and reporting structures. To build the foundation for developing an ANP framework, a task force at The Ottawa Hospital (TOH) conducted a literature review related to ANP roles and completed a review of all clinical nursing roles at TOH. In addition, focus groups with nurses and other health professionals elicited ANP perceptions. The ANP framework includes a standardized job description that details competencies under five role components: clinical practice; consultation; research; education; and, leadership. Recommendations for assessment, implementation and evaluation of ANP roles are identified. The process undertaken by our ANP task force proved to be thorough and sound in developing a framework within which to move forward with ANP role implementation throughout TOH. This article, describing the process, may assist other organizations in defining ANP roles to better meet patient needs in changing health care environments.","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"30 1","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2001-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91070154","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: 12
"Let's get real" myth & meaning in nursing. “让我们面对现实”的神话和护理的意义。
Canadian journal of nursing leadership Pub Date : 2001-11-15 DOI: 10.12927/CJNL.2001.19129
M. Ferguson-Paré, G. Mitchell
{"title":"\"Let's get real\" myth & meaning in nursing.","authors":"M. Ferguson-Paré, G. Mitchell","doi":"10.12927/CJNL.2001.19129","DOIUrl":"https://doi.org/10.12927/CJNL.2001.19129","url":null,"abstract":"","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"25 1","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2001-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74920432","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: 1
An analysis of the nurse practitioner role in palliative care. 护士执业者在姑息治疗中的作用分析。
Canadian journal of nursing leadership Pub Date : 2001-11-15 DOI: 10.12927/CJNL.2001.19131
D. Williams, S. Sidani
{"title":"An analysis of the nurse practitioner role in palliative care.","authors":"D. Williams, S. Sidani","doi":"10.12927/CJNL.2001.19131","DOIUrl":"https://doi.org/10.12927/CJNL.2001.19131","url":null,"abstract":"The purpose of this study was to examine the nature and contribution of the nurse practitioner (NP) role in an oncology palliative clinic. Quantitative and qualitative data were collected from the practice of one NP. Data were obtained on the performance of the NP role functions. the characteristics of the patients seen by the NP, the interventions delivered by the NP, and the outcomes of care. Descriptive and content analyses were used to analyze the data. The results indicate that the NP in an oncology palliative care clinic engages primarily in the clinical component of the role. The emphasis is on symptom management, patient and family education and counseling, coordination of care, and maintaining continuity of care. The method followed in this case study to examine the contribution of the NP role could be used by other NPs to demonstrate the quality, effectiveness, and efficiency of their care.","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"13 1","pages":"13-9"},"PeriodicalIF":0.0,"publicationDate":"2001-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85970242","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: 23
Clients' and nurses' perspectives on caring as related to nursing leadership--the Hellenic dimension--part two. 客户和护士对护理的观点与护理领导有关——希腊维度——第二部分。
Canadian journal of nursing leadership Pub Date : 2001-09-15 DOI: 10.12927/CJNL.2001.19133
E. Patistea, Z. Vardaki
{"title":"Clients' and nurses' perspectives on caring as related to nursing leadership--the Hellenic dimension--part two.","authors":"E. Patistea, Z. Vardaki","doi":"10.12927/CJNL.2001.19133","DOIUrl":"https://doi.org/10.12927/CJNL.2001.19133","url":null,"abstract":": Public perceptions of caring are vital to the future of the nursing profession. Literature indicates that patients conceive caring in a traditional manner which contrasts with that of nurses. This paper addresses the culturally determined complex and interactive personal, historical and sociopolitical factors that account for the development of clients' and nurses' perceptions of caring and explains the differences observed in research between the two groups. It also discusses the high cost that society and nursing pay today for the poor public image of nurse caring. Finally, it identifies strategies that nurses, especially those in leadership positions, can use to improve the consumer's view of caring and to reduce the gap existing between clients' and professionals' perceptions of the concept. The Hellenic perspective is used as a reference point to present the relevance of the issue to the broader context of nursing in the world. The paper is based upon primary and secondary data including research findings, legislation, the authors' observations and experiences with their domestic health care system, and available literature on the subject.","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"27 1","pages":"26-35"},"PeriodicalIF":0.0,"publicationDate":"2001-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89386728","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: 3
Developmental supervision for nurses. 护士发展监督。
Canadian journal of nursing leadership Pub Date : 2001-09-01 DOI: 10.12927/cjnl.2001.19125
G Donnelly, P Brooks
{"title":"Developmental supervision for nurses.","authors":"G Donnelly,&nbsp;P Brooks","doi":"10.12927/cjnl.2001.19125","DOIUrl":"https://doi.org/10.12927/cjnl.2001.19125","url":null,"abstract":"<p><p>Developmental supervision is gaining increasing recognition in nursing as a form of clinical supervision that will promote professional growth and ultimately lead to improved patient care. Benner's (1984) model of career development is used as a framework in which to examine appropriate forms of supervision for each developmental stage. Directive, collaborative and non-directive supervision are applied to each of these developmental levels.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"14 3","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40921256","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
Building quality practice settings: an attributes model. 构建质量实践设置:一个属性模型。
Canadian journal of nursing leadership Pub Date : 2001-09-01 DOI: 10.12927/cjnl.2001.19127
G Mackay, M Risk
{"title":"Building quality practice settings: an attributes model.","authors":"G Mackay,&nbsp;M Risk","doi":"10.12927/cjnl.2001.19127","DOIUrl":"https://doi.org/10.12927/cjnl.2001.19127","url":null,"abstract":"<p><p>To practice effectively nurses need an environment that supports quality professional practice. This article describes the development of a model identifying seven (7) key system attributes of a quality practice setting. The defined attributes are essential in supporting professional practice and quality care. The Quality Practice Setting Attributes Model developed by the College of Nurses of Ontario in Canada provides the foundational framework for the Practice Setting Consultation Program (PSCP), a unique quality improvement approach to creating quality practice environments.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"14 3","pages":"19-27"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40922475","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: 9
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