Professional Accountability: All Resources
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A Pre-Summit Disscussion Paper. This paper is intended to provide a brief fact-based overview in snapshot form, of the healthcare governance system in each jurisdiction to inform the sessions at the Summit. It highlights key policies and healthcare initiatives in place to address these challenges as background for the discussion on governance. It focuses on governance at a systems level, rather than on corporate governance.
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Show description [+]Every nurse has the opportunity to make a positive impact on the profession through day-to-day advocacy for nurses and the nursing profession. In this article the author defines advocacy; describes advocacy skills every nurse can employ to advocate for a safe and healthy work environment; and explains how nurses can advocate for nursing as part of their daily activity whether they are point-of-care nurses, nurse managers, or nurse educators. The advocacy practices discussed are applicable whether advocating on one’s own behalf, for colleagues at the unit level, or for issues at the organizational or system level.
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Show description [+]The Research Question“How is Public Health Nursing quality measured?”
- Search strategy
- Search results
- Findings of included studies
- Limitations of included studies
- Recommendations
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Show description [+]This literature synthesis strengthens our understanding of the elements that influence staff mix decision-making, including patient, provider and organizational factors. In addition, it provides further evidence to support the evaluation framework (CNA et al., 2005) that is broadly structured using those three components. While some progress has been made toward the development and implementation of tools and processes to inform staff mix decision-making, substantial gaps in this area remain. In effect, this represents the ‘uptake’ or ‘utilization’ of the research linking nursing staff mix to clinical outcomes.Overall, the evaluation framework provides one organizing model that settings can use to apply staffing research to practice environments. While researchers continue to produce literature in this field that contains variable findings, the results can be used to broadly inform decisions around nurse staffing. As such, administrators and researchers must continue to measure outcomes in a meaningful and consistent manner to enhance evidence regarding safe and effective nurse staffing practices.
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Show description [+]This framework is intended to guide decision-making about staff mix through four phases: assessment, planning, implementation and evaluation. Staff mix decision-making is an ongoing process, and the evaluation of outcomes will continually provide new insights and, possibly, the need for adjustments.The framework outlines key client factors, staff factors, organizational factors and outcome indicators to be considered when assessing, planning, implementing and evaluating staff mix decisions. The list of factors and outcomes is not exhaustive, and not every practice setting will include all types of care providers that are identified.The framework is useful for a variety of stakeholders, including nurse managers, direct care staff and others involved in making staff mix decisions. The framework is also informative for nurse executives, health-system executives and policy-makers, and may serve as a resource for a broad range of education and staff development initiatives.
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Show description [+]The aims of this paper are to present the findings from a discursive analysis of key issues associated with providing excellence in nursing care; and to provide an exemplar framework to support excellence in nursing care and describe the potential benefits when excellence in nursing care occurs.
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Show description [+]Aim: As part of the 2011 annual American Organization of Nurse Executives conference held in San Diego, California, a session was presented that focused on nursing workforce and health systems challenges from a global perspective. This article includes content addressed during the session representing nurse leader perspectives from the UK, Singapore and the USA.Background: Recent events in global economic markets have highlighted the interdependence of countries. There is now a global focus on health-care costs and quality as government leaders struggle to reduce budgets and remain solvent.
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Show description [+]Background: The International Council of Nurses (ICN) and its member National Nurses Associations have for some time recognized the need and potential for a global level leadership development opportunity for senior and executive level nurses. Through ICN’s international health policy influencing activities and experience in the delivery of national and national association leadership development programmes, the need for more senior level global leadership development was increasingly evident. Various national and international studies and reports have also echoed the need for nurse leadership.Aim: In response to this need, ICN established the Global Nursing Leadership Institute (GNLI), an annual leadership development programme for nurses at senior and executive levels from across the globe. A number of strategic outcomes that might be achieved from attending a GNLI programme were identified and used to secure funding support for the initiative. These were that participants would be better equipped to build strategic alliances, be aware of their own leadership capacity, increase global healthcare knowledge, be betterequipped to influence policy, improve strategic planning and thinking, be able to take on higher leadership roles and develop international networks.
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Show description [+]In this four-year program of research, we studied the emergence and spread of evidence-informed models of nursing across the healthcare system. We defined these evidence-informed models as transformative models for health services delivery, primarily delivered by or involving the work of nurses. Introducing these models, which can cross sectors, takes multiple strategies with support from decision-makers at organizational, regional and system levels. Promoting rapid uptake of evidence-based practices by practitioners and organizations entails focused implementation strategies within and between organizations.Our objectives were to understand how evidence-based best practices are developed and diffused across the healthcare system; what cost drivers and benefit levers accompany the development, diffusion and spread of a best practice; and what factors support, sustain or impede intra-and inter-organizational system change. We took a whole-systems change perspective in our work, envisioning the innovations as multi-level, non-linear and multi-directional, with sustainable system adaptations.
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A conceptual framework has been developed that takes a public health perspective. This framework has been developed by a working group of public health professionals and scholars, in consultation with a broad range of individuals in public health. This dicussion paper describes the proposed framework.
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