Transforming nursing through knowledge

Quality Care: Practice

Practice - reflects the work a nurse executive performs together with staff related to the provision of direct care or services.
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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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    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.

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    Nursing is a profession that is focused on collaborative relationships that promote the best possible outcomes for clients. These relationships may be interprofessional, involving a variety of health care professionals working together to deliver quality care within and across settings; or it may be intraprofessional, with multiple members of the same profession working collaboratively to deliver quality care within and across settings. 
    This document focuses on three factors — the client, the nurse and the environment — to support nurses in making decisions that are specific to their intraprofessional responsibilities when providing 
    client care. 
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    RNAO iaBPG presentation:
    • Describes the Breakthrough Series Collaborative methodology and its application to the long-term care sector.
    • Identifies challenges and successful strategies encountered by the LTC Improvement Teams in their quality improvement work. 
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    The Registered Nurses Association of Ontario (RNAO) believes patient safety is a priority in public accountability for individual nurses, administrators, organizations, professional associations and all levels of government. In striving for excellence and optimal outcomes of care, registered nurses (RNs), as a key link in the health care system, protect and enhance the health of patients/clients whether the client is an individual, family, or community. In so doing, nurses create environments that support patient safety. Patient safety has emerged as a priority national and provincial issue in health care. The evidence suggests many errors can be prevented. It is therefore incumbent on all health care providers, organizations, and governments to create cultures of safety that support safe practice for both patients and staff.

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    Delivering on the Action Plan to Address Abuse and Neglect in Long-Term Care Homes.
    The Long-Term Care (LTC) Task Force is pleased to present its first progress report. The LTC Task Force on Resident Care and Safety was established by the sector in November 2011, to respond to media reports and public concern about incidents of abuse and neglect in long-term care homes and an underreporting of these incidents. The Task Force has broad representation including a resident, family member, advocates, nurses, long-term care physicians, personal support workers, unions, and long-term care provider associations. 
    This progress report represents the first of six semi-annual progress reports that will be issued over the next three years. This report follows up on our commitment to implement the 18 multi-faceted actions contained in the original report released in May 2012. You can refer back to these original action statements within this document, and see the progress that has been made to date. Some stories have also been included to provide you with a glimpse of the changes underway. We have also set three-year targets in the form of outcome statements to guide our efforts. 
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    Quality-Based Procedures (QBPs) are a significant component of Ontario’s Health System Funding Reform (HSFR) strategy. QBPs are specific clusters of patient services that offer opportunities for health care providers to share and implement best practices and improve quality care and system efficiency through process improvements, clinical redesign and enhanced patient experience.

    The OHA has developed a number of resources to assist hospitals with QBP implementation, including this Toolkit to Support the Implementation of Quality-Based Procudures