Transforming nursing through knowledge

Quality Care: All Resources

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    The purpose of this multi-year program is to support Ontario nurses by providing them with best practice guidelines for client care. There are currently 50 published guidelines as well as a toolkit and educator's resource to support implementation. Many of these publications are available in French, among other languages and we continue to translate materials on an ongoing basis.

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    This guideline speaks to the impacts of health, wellness and safety focused environments for nurses on quality outcomes for patients/clients, nurses, organizations and systems. The panel has explored the organizational systems and supports that promote and enhance the health, wellness and safety of nurses in their workplaces.

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    The Long-Term Care (LTC) Best Practices Coordinator role was introduced to the LTC sector as a pilot project funded by the Nursing Secretariat in 2005. Many successes in LTC Homes have been achieved through this project, including improved quality of care for residents and the facilitation of an evidence-based practice culture by front-line staff through the implementation of best practice guidelines (BPGs).

    In April 2008, the Ontario Ministry of Health and Long-Term Care’s Performance Improvement and Compliance Branch approved funding to continue this initiative under the management of the Registered Nurses’ Association of Ontario (RNAO). The Initiative supports LTC Homes in adopting evidence-based practices that support systematic and consistent approaches to providing quality care for residents.

    All LTC Homes are encouraged to get involved! Benefits of this initiative include:

    • Enhanced capacity for knowledge transfer
    • Improved quality of care and resident outcomes
    • Support for leaders, nurses and staff in LTC Homes in implementing BPGs
    • Improved quality of work life

    While the Initiative is not mandatory, it provides an important opportunity for LTC Homes to access expertise in implementing evidence-based practices to enhance resident care.

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    This guideline is intended to support you in your journeys towards excellence in communication, leadership skills, and knowledge of teamwork to build a better tomorrow for patients/clients and nurses, present and future...

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    Quality of care contributes to patient safety and health outcomes and considers how well health care services are provided to patients. It addresses these questions:
    • Do these services measure up to health care evidence?
    • Are they patient-centred?
    • Do they produce desired health outcomes?
    • Do they contribute to patient safety?
    Outcomes of care are the direct results of the care patients receive. CIHI gathers, measures and analyzes health care data to support quality of care and health outcomes in Canada. We produce information products that help inform discussions from a systems perspective about how to improve quality of care and outcomes and enhance patient safety.
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    For more than a decade, the Canadian Foundation for Healthcare Improvement, or CFHI, has been dedicated to accelerating healthcare improvement in Canada.
    CFHI is a not-for-profit organization – funded by the Government of Canada –  with collaborations across the country that include partnerships with researchers, practice leaders and front-line clinical leaders. Since its inception in the late 1990s, they have established a pan-Canadian reach and built an international reputation.
    CFHI collaborates with decision-makers to tackle difficult questions about how to organize, finance, manage and deliver high-quality, affordable, patient- and family-centred healthcare for Canadians. They are confident that by working with partners they can reshape healthcare in Canada to improve its quality and results. That’s why they work at the nexus of health policy and delivery—the point where meaningful breakthroughs happen with direct benefits to patients.
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    Nursing Quality Indicators for Reporting and Evaluation (NQuIRE) is the first international quality improvement initiative of its kind consisting of a database of quality indicators derived from recommendations within RNAO’s clinical Best Practice Guidelines (BPGs).

    NQuIRE collects, analyzes and reports comparative data on nursing-sensitive indicators reflecting the structure, process and outcomes of care arising from BPG implementation in organizations participating in RNAO’s Best Practice Spotlight Organization® (BPSO®) designation. These health-care organizations, which exist across Canada, the US, Spain, Chile, Colombia, and Australia, will be able to use NQuIRE data to link evidence-informed nursing practice with quality-of-care outcomes.

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    Ontario’s nurses call on government and stakeholders to collectively strengthen our publicly-funded, not-for-profit health system and make it more responsive to the public’s needs, easier to navigate and more efficient and cost-effective. To make this happen, the health system must be anchored within primary care to advance primary health care for all through: health promotion, disease prevention, chronic disease management/prevention and mental health care. Equally important are addressing social/environment determinants of health and changes that enable nurses and all other regulated health professionals to work to their full scope of practice, a commitment to reducing structural duplication, and advancing system integration and alignment.

    This white paper presents a model that advances a robust foundation for community care and improves integration between all health sectors through a single health system planner and funder – the LHINs as maturing system structure – and anchoring the health system in primary care. Specifically, the paper provides an overview of the ECCO model to inform and evolve strategies to ensure timely access to Ontario’s health system, improve client experience and outcomes, and deliver comprehensive services in a cost-effective and seamless manner.

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    The Dryden Regional Health Centre is on a "Quest for the Best": Because at DRHC, You Deserve the Best ! Their strategic plan provides the framework for their "Quest for the Best" and is supported by the organization mission, vision and values.

    The "Quest for the Best" focuses on implementing evidenced-based tactics and strategies to Hardwire Excellence witihin the organization. This is a journey that supports the organization'scommitment to excellence with a renewed focus on mission, vision and values.

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    This new guideline is designed to apply to all domains of nursing practice, including clinical, administration, and education, to assist nurses to become more comfortable, confident and competent when caring for clients undergoing care transitions.

    It is important that nurses, working in collaboration with the interprofessional team promote safe and effective care transitions. Care transitions depends on effective communication and coordination of client care by all interprofessional team members and with the client, their family and caregiviers.