Health Transition Fund Final Report - Projects Listed By Subject Area

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quality and comprehensiveness of primary health care services available to the public. Recommendation 8 It is recommended that alternative funding mechanisms for physicians be established. This will ensure that physicians are fairly compensated for collaborating with extended/expanded role nurses. < Dissemination Plan The Centre for Nursing Studies will assume responsibility for dissemination of the research. This report and supporting documents will be available at www.cns.nf.ca. The Centre for Nursing Studies in collaboration with The Institute for the Advancement of Public Policy, Inc.
Project Team This research project represents a collaborative effort of a public- private partnership with an interest in health care. This project was supported by a financial contribution from the Health Transition Fund, Health Canada. The views expressed herein do not necessarily represent the official policy of the federal, provincial or territorial governments. The Centre for Nursing Studies of the Health Care Corporation of St. John’s, Newfoundland offers a continuum of educational opportunities for those who wish to purse a nursing career. It provides a high quality nursing education in a wide range of programs and services in a continuously changing health care system. The Centre offers a Bachelor of Nursing degree through a partnership with Memorial University of Newfoundland and Western Regional School of Nursing. The degree is awarded by Memorial University of Newfoundland. The Centre is an Associate Member of the Canadian Association of University Schools of Nursing (CAUSN) and a member of the Association of Canadian Community Colleges (ACCS). The Institute for the Advancement of Public Policy, Inc. is a St. John’s-based private consulting firm specializing in comprehensive research and analysis along with advisory, advocacy, and management consulting services designed to advance a client’s interests in relation to public policy. Among its areas of particular interest are health policy and services, social policy, and information technology as it relates to public service delivery. Project Team Colleen Hanrahan, B.A., M.S.W., LL.B. Project Leader Director, The Institute for the Advancement of Public Policy, Inc. Christine Way, B.N., B.A., M.N. PhD Health Care Researcher/Educator Faculty of Medicine/School of Nursing Memorial University of Newfoundland John Housser, LL.B. Housser Consultants Madge Applin, R.N., B.N. Associate Director, Nurse Practitioner Program, Centre for Nursing Studies The Centre for Nursing Studies in collaboration with The Institute for the Advancement of Public Policy, Inc.
Page 1 and 2: Le texte suivant provient d’un or
Page 3 and 4: Executive Summary Table of Contents
Page 5 and 6: Executive Summary In March, 1999 th
Page 7 and 8: nursing role varies within and acro
Page 9 and 10: There were commonalities and differ
Page 11: Recommendation 2 It is recommended
Page 15 and 16: Acronyms AARN ACHHR Alberta Associa
Page 17 and 18: skill transfer, etc.) have been sat
Page 19 and 20: SD4 Dissemination plan. 1.2 Rationa
Page 21 and 22: influence role performance and job
Page 23 and 24: to balance institutional care with
Page 25 and 26: 2.2 Determination of Terms and Defi
Page 27 and 28: 2.3 Population and Sample (see SD1
Page 29 and 30: Newfoundland, data collection was c
Page 31 and 32: 2.7 Overview of Restrictions and Li
Page 33 and 34: Manitoba has enacted similar legisl
Page 35 and 36: Table 1 - Titles for Registered Nur
Page 37 and 38: Table 2 - Summary of Scope of Pract
Page 39 and 40: One significant concern raised in t
Page 41 and 42: 3.1.4 Summary The extension of auth
Page 43 and 44: autonomous nature of extended/expan
Page 45 and 46: managed, nurses were expected to wo
Page 47 and 48: Expected core competencies for regi
Page 49 and 50: The final scenario relates to regis
Page 51 and 52: Limited support mechanisms in place
Page 53 and 54: Development of an Experiential Base
Page 55 and 56: working in urban areas. Regardless
Page 57 and 58: The fact that patients continued to
Page 59 and 60: oles was reflected in increased uti
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84% of patient visits lasted less t
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in the on-site data collection phas
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minimum standards for entry into th
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Canada. In particular, there was no
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Nurse participants in the on-site d
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Appendix A - Sources Regulatory Con
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Hicks, C. & Hennessy, D. (1998). A
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Beddome, G., Clarke, H. F., and Why
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generalist. Educational Innovations
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Stanhope, M. K. (1995). Primary hea
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Scotia. (1997). Guidelines for regi
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Pitblado, J. R. & Pong, R. W. (1999
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Supporting Document 1 (SD1) Profile
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Profile of the Extended/Expanded Nu
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Supporting Document 2 Evaluation of
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There is an increasing trend in the
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and in some cases superior to, trad
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5 The current study will address th
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7 Instruments The interviews/observ
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9 Ethical Considerations Participan
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11 increase NP status and value. Th
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13 Brief Overview of Research Study
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15 INSTITUTE FOR THE ADVANCEMENT OF
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17 Signature Page Title of Project:
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Duration of participant’s involve
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Appendix C: Interview Schedules 21
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23 8. How has this role changed the
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25 8. How has this role changed the
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27 Patient/Client Survey Part I: Ce
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29 Part II: Satisfaction We are int
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31 CODE #_______ OBSERVATION TIME__
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33 CODE #_______ OBSERVATION TIME__
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Appendix F: Letter of Support 35
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Table of Contents 1. Physicians’
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Physicians’ Perceptions of Extend
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attributed to either inadequacies o
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Many of the physician participants
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Illustrative Quotes 1. “I definit
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area of concern voiced by physician
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1.2.1.2 Implications for physicians
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14. In the outpost community the nu
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2. “In many cases, it’s the oth
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3. “People are just happy to have
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4. “There was a great need to hav
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findings are summarized according t
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3. “It is just one of the things
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Nurses’ Perceptions of Extended/E
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2.1 Practical Knowing Self-confiden
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Illustrative Quotes 1. “As time g
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participants felt that additional k
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practice, balancing collaborative a
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16. “The people that are working
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nearby. . . . I like being able to
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9. “I certainly don’t want to g
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8. “I think that the people reali
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2.4 Barriers to and Facilitators of
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8. “The physicians have been very
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nursing role was strongly influence
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2.4.2.2 Policy Implications Partici
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14. “There is definitely a space
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54 II. Patients’ Perceptions of N
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56 there are other possible factors
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eing completed in less than 15 minu
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60 for relevant history, diagnostic
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62 The NP ordered relevant diagnost
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64 The third case captures how the
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Appendix G - 1: Patient Survey Inst
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Use the following scale to rate the
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Thank you for taking the time to fi
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73 CODE #_______OBSERVATION TIME___
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75 CODE #_______OBSERVATION TIME___
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Dissemination Final Report The Natu
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Conferences < Ontario Association o
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