Nursing leadership (Toronto, Ont.)
-
Nurs Leadersh (Tor Ont) · May 2004
ReviewCollaborative practice in health systems change: the Nova Scotia experience with the Strengthening Primary Care Initiative.
Recently attention has been focussed on the significance of primary care to the Canadian healthcare system. Nova Scotia. Like other provinces, is seeking ways to improve the healthcare that it provides within a financially constrained publicly funded system. ⋯ The authors discuss their perspectives on the challenges related to interdisciplinary collaboration in health systems change that were encountered during the planning and implementation of the SPCI. Although nurse practitioner Legislation has existed in Ontario and Newfoundland and Labrador for several years, many provinces are grappling with the challenges associated with the introduction of nurse practitioners and collaborative practice. This paper conveys the experience of one province and will be of interest to administrators, educators and practitioners elsewhere in Canada who are engaged in primary healthcare renewal.
-
Nurs Leadersh (Tor Ont) · Mar 2004
ReviewPatient safety culture and leadership within Canada's Academic Health Science Centres: towards the development of a collaborative position paper.
Currently, the Academy of Canadian Executive Nurses (ACEN) is working with the Association of Canadian Academic Healthcare Organizations (ACAHO) to develop a joint position paper on patient safety cultures and leadership within Academic Health Science Centres (AHSCs). Pressures to improve patient safety within our healthcare system are gaining momentum daily. ⋯ In addition, the following six key areas for action are identified to ensure that AHSCs continue to be leaders in delivering quality, safe healthcare in Canada. These include: (1) strategic orientation to safety culture and quality improvement, (2) open and transparent disclosure policies, (3) health human resources integral to ensuring patient safety practices, (4) effective linkages between AHSCs and academic institutions, (5) national patient safety accountability initiatives and (6) collaborative team practice.
-
Nurs Leadersh (Tor Ont) · Jan 2003
Nurses and workplace violence: nurses' experiences of verbal and physical abuse at work.
This paper describes nurses' experiences of violence and abuse in the workplace and the ways in which those experiences influence their abilities to care for patients. The original purpose of the research from which these findings derive was to explore nurses' work with abused women. The qualitative study utilizing a Social Constructivism approach was conducted in two countries: Canada and the United Kingdom. ⋯ It also became clear that abuse against nurses is an important issue that has a significant impact on nurses' abilities to offer effective care. Findings indicated that nurses experience significant threat, frequently in the context of their work, at the hands of patients and their relatives; that verbal abuse is an almost daily occurrence; and that support from other healthcare professionals or from administration in addressing the issue, while improving somewhat, is inadequate. This work has implications not only for nurses' health and safety but also, in the broader sense, for the profession's ability to attract and retain nurses within the healthcare system.