Transforming nursing through knowledge

Quality Care: All Resources

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    This evidence scan explores the following questions: 
     
    – What types of training about formal quality improvement techniques are available for health professionals?
    – What evidence is there about the most effective methods for training clinicians in quality improvement?
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    Understanding the value of nurses, the effects of excessive workload, and how nurse-patient ratios and dynamic staffing models can help.

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    Presents a reporting template with a list of priority nursing-sensitive inputs, processes (throughputs), and outcomes for your consideration. The template provides a core set of quality indicators that demonstrate the nursing contribution to care. Research from major nursing indicator projects and literature reviews were used to inform the development of this template. Based on the evidence, a core set of quality indicators is proposed that includes both process indicators, which measure aspects of nursing care such as assessment and interventions, and nursing-sensitive outcome measures. The template also includes indicators which measure the structure of care as indicated by data on the supply and skill level of nursing staff, work intensity, and client characteristics. 
     
    The template includes quality indicators that are applicable to in-patient settings (such as acute care and community hospitals), those that are applicable to public health, and indicators common to both health contexts.
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    Registered Nurses’ Association of Ontario (RNAO) strongly supports the development of home care services utilizing a client centred care model in which Ontarians have access to continuity of care and continuity of caregiver from a primary nurse in the most appropriate setting. RNAO also strongly endorses strengthening inter-professional care so all health disciplines work closely together to support high quality client care, ensuring the right care is provided to the right client in the right place by the right care provider. Whether for-profit or not-for-profit, home care organizations must ensure the appropriate nursing care delivery model, skill-mix, and access to Registered Nurses (RNs). Adherence to the principles and spirit of Medicare are paramount to optimal client, staff, organizational and system outcomes. 

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    This report analyzes results from the first year in which LTC home leaders submitted QIPs. The purpose of this review is to:
     
    Acknowledge the commitment of LTC leaders to improving quality;
    Analyze the number and type of priorities identified by LTC home leaders;
    Identify any challenges that LTC home leaders encountered during the development of their QIPs; and
    Provide information and guidance to help LTC home leaders improve their next QIPs and set the stage for future success.
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    A healthy work environment is critical to the wellbeing of every healthcare provider. It is essential for the overall satisfaction of healthcare professionals, for successful recruitment and retention, and for quality of patient or client care.

    But to achieve a healthy work environment, we are often challenged to think differently about our culture, habits and day-to-day practices at work. Change and implementation takes time and effort, and it takes a comprehensive approach that spans physical, cultural, social and job design conditions.

    This site is a resource to engage the collective knowledge and experiences of healthcare providers across Ontario who are making a difference in their organizations. It brings together expert resources and leading practices with the individual experiences, success stories and practical ideas that are contributing to healthy work environments. 

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    RNAO strongly supports the development of Long Term Care Homes (LTCHs) utilizing a resident/client-centred care model, where Ontarians have access to continuity of care and continuity of caregiver from a primary nurse. RNAO also strongly endorses strengthening inter-professional care so all health disciplines work closely to support high quality care in all health care settings. Regardless if a home is not-for-profit or for-profit, adhering to the appropriate nursing care delivery model and skill-mix, is paramount to optimize resident, staff and organizational outcomes.

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    Timely access to healthcare services requires the right number, mix and distribution of appropriately educated nurses, physicians and other healthcare professionals.The demonstration projects initiative has led to the creation of a unique collection of best practices, tools and resources aimed at improving organizational planning capacity. Evaluation of the initiative generated recommendations that may guide the ministry toward policy and program development to foster improved nursing health human resource planning capacity in Ontario healthcare organizations.
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    Nursing Health Services Research Unit (NHSRU) is a collaborative project of the University of Toronto Faculty of Nursing and McMaster University School of Nursing.
     
    Our mission is to develop, conduct and disseminate research that focuses on: design, management, utilization, outcomes and provision of nursing.
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    This study focuses on the implementation and evaluation of the Forecasting Future Workforce Demand Tool. It was hypothesized that the implementation of the Tool would enable hospitals to enter historical workforce data to create one to five year forecasts for proactive HHR planning and strategy development.