Health Transition Fund Final Report - Projects Listed By Subject Area

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Final Report The Nature of the Extended/Expanded Nursing Role in Canada A Project of the Advisory Committee on Health Human Resources Funded by the Health Transition Fund Secretariat Project Identifier - NA 321 Project Consultants: The Centre for Nursing Studies in collaboration with The Institute for the Advancement of Public Policy, Inc. March 30, 2001 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.
Executive Summary Table of Contents Project Team and Acknowledgements Acronyms Glossary of Terms 1.0 Introduction .............................................................1 1.1 Overview and Purpose ...............................................1 1.2 Rationale .........................................................2 1.3 Background - Nursing ...............................................3 1.4 The Public Policy Context - Policy Objectives and Extended/Expanded Nursing Roles .....................................................4 1.5 Health Care Reform and the Extended/Expanded Role of the Registered Nurse .....5 1.6 Overview .........................................................7 2.0 Methodology ............................................................7 2.1 Method ..........................................................7 2.2 Determination of Terms and Definitions ...................................8 2.3 Population and Sample ..............................................10 2.4 Procedure .......................................................10 2.5 Instruments ......................................................12 2.6 Data Analysis .....................................................13 2.7 Overview of Restrictions and Limitations .................................14 2.7.1 Restrictions ................................................14 2.7.2 Limitations .................................................14 3.0 Results ................................................................15 The Centre for Nursing Studies in collaboration with The Institute for the Advancement of Public Policy, Inc.
Page 1: Le texte suivant provient d’un or
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 and 12: Recommendation 2 It is recommended
Page 13 and 14: Project Team This research project
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
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Development of an Experiential Base
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working in urban areas. Regardless
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The fact that patients continued to
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oles was reflected in increased uti
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The barriers to full-utilization an
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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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