Transforming nursing through knowledge

Professional Accountability: All Resources

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    To develop and evaluate a toolkit for Registered Nurse/Registered Practical Nurse (RN/RPN) staff mix decision-making based on the College of Nurses of Ontario’s practice standard for utilization of RNs and RPNs.
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    A review of the literature provided evidence of the vast array of diverse competencies required for the unique and complex practice of home health nursing (Mildon & Underwood, 2010). The review also identified over a dozen organizing frameworks for home health nursing competencies. The existence of so many frameworks speaks to the challenge of organizing competencies in a way that is practical, comprehensive and meaningful.
     
    As recommended at the conclusion of the literature review, the Canadian Community Health Nursing Standards of Practice (Community Health Nurses Association of Canada, 2008) have been used as the organizing framework for the home health nursing competencies contained in this document. The competencies are broad in scope, thereby lending themselves to application in multiple settings and for 
    further detailing into more specific elements of practice for position descriptions or performance appraisal tools. 
     
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    Describes public health/community health nursing practice in Canada. It focuses on these essential functions:
     
    • public health,
    • health promotion,
    • disease and injury prevention,
    • health protection,
    • health surveillance,
    • population health assessment, and
    • emergency preparedness and response.
     
    It is intended to reflect the practice of public health/community health nursing which occurs in diverse settings and can be defined in terms of roles, activities, qualifications, standards, and competencies.

     

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    In this era of patient safety, quality indicators associated with the nursing profession have evolved from nursing-sensitive to adverse-event sensitive. This paper aims to compare and contrast available quality indicator tools associated with nurse staffing outcomes.
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    Improving clinical nurse work environments is a major challenge faced by nurse executives today. To meet this challenge, nurse leaders must implement the “right” structures and best leadership practices so that clinical nurses can engage in the work processes and relationships that are empirically linked to quality patient outcomes. What are these “right” structures and best leadership practices?
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    This article proposes a comprehensive framework for assessing, reporting and improving the quality of work environments in healthcare organizations across Canada. Healthy work environments (HWEs) contribute to positive outcomes for healthcare employees and physicians. The same HWE ingredients also can reduce operating costs, improve human resources utilization and ultimately lead to higher-quality patient care. We show how health system employers, governments, quality agencies and other stakeholders can implement effective HWE metrics.

    The common reporting framework and metrics we propose enable managers and policy makers to use HWE ingredients as levers to improve organizational performance. Progress requires the active involvement of stakeholders in developing common metrics, the integration of these metrics into existing measurement and reporting systems, the building in of managerial accountability for work environment quality and support for ongoing improvements at the front lines of care and service delivery.

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    Good leadership is important for the success of any organization.  In a healthcare organization, good leadership is more than just important - it is absolutely critical to the organization’s success. Why is it so critical - but also challenging - in healthcare organizations? Who are the “leaders” in healthcare organizations? What is “good leadership” in healthcare organizations? And what is the “success” that healthcare organizations seek? These are the questions that Joint Commission accreditation standards on leadership attempt to answer and are the focus of this white paper, which serves as a guide to the standards.

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    Designed to support community health nursing practice, this document
     
    • summarizes the development and purpose of community health nursing standards
    • describes community health nursing and its mission, values and beliefs, and practice focus areas of home health and public health nursing 
    • provides a framework for community health nursing practice in the Canadian Community Health Nursing Practice Model 
    • presents the five standards of practice and indicators showing how community health nurses apply these standards
    • lists definitions and sources
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    Professional Standards, Revised 2002 (Professional Standards) provides an overall framework for the practice of nursing and a link with other standards, guidelines and competencies developed by the College of Nurses of Ontario (CNO). It describes in broad terms the professional expectations of nurses and applies to all nurses, in every area of practice.