Nursing leadership (Toronto, Ont.)最新文献

The growing demand in providing healthcare services combined with the effects of the COVID-19 pandemic on healthcare staffing has created a situation where the supply of available nurses is not keeping up with the demand with increasing competition for limited resources. Rural and remote locations face unique challenges in recruiting and retaining skilled staff. Manitoba's Provincial Travel Nurse Team (PTNT) was created as an alternative staffing model with flexible employment options to retain nurses in the public health system. The PTNT's early success has demonstrated that this model can supplement current site staffing models and provide a unique alternative to agency nursing staffing.

For me, the fall - even more than the New Year - is the time for new beginnings. This association is definitely related to my work in education and because city sidewalks and country roadsides are suddenly alive with children and their parents and/or guardians, most of them excited, laughing and eager to start a new school year. It is a time steeped in new beginnings and excitement about new possibilities and new innovations.

A skilled nursing workforce can ensure that Canadians have safe and equitable access to genomics-informed healthcare. Evidence-informed frameworks designed to support the implementation of genomics across nursing indicate that leadership and collaboration are critical to success. However, siloed provincial and territorial healthcare systems create challenges for harmonizing efforts. In this article, we discuss a solution to bring together nurse leaders across jurisdictions and domains of practice to co-create pan-Canadian strategic directions for genomics integration. We highlight the importance of national collaboration and the value it brings to nursing workforce development in rapidly changing social and technological contexts.

The demand for genomic services has outpaced the capacity of the health system, thus creating opportunities for nurse practitioners (NPs) to develop genomic literacy and expand the genomics-informed services that NPs can offer to optimize safe and equitable healthcare. The new model of NP regulation that aims to educate all NPs, based on a set of common entry-level competencies, has the potential to accelerate the integration of genomics into education and practice. In this commentary, we explore opportunities within a new NP regulatory framework and highlight how NPs can strengthen Canadians' access to genomic technologies as clinicians, advocates, leaders, scholars and educators.

Throughout my tenure as chief nursing officer, I have had the pleasure of hearing directly from nurses about nurse-led initiatives being implemented across Canada. Nurses are often very keen to discuss innovations occurring on the front lines of care delivery. The development of the Nursing Retention Toolkit was directly informed by nurses from across the country to ensure that diverse perspectives were reflected in reconsidering the way in which we value nursing work (Health Canada 2024). One of the many goals of the Nursing Retention Toolkit is to "spark change in how we think about and value the nursing profession and build on the work others have done to improve nurses' working conditions in Canada" (Health Canada 2024: 8).

The demand for genomic services that improve disease prevention, early detection and safer treatments has already outpaced the capacity of the current system. Nursing leadership strategies are urgently needed to integrate genomic discoveries into education and practice. Using findings from the national Canadian Adaptation of the Genetics and Genomics Nursing Practice Survey completed by 1,012 Canadian nurses, we recommend leadership strategies to build conducive practice environments and assist nurses in developing genomic literacy and confidence to fully participate in the integration of genomics into education and practice. Collaboration across the domains of nursing practice can generate sustainable strategies that assist nurses to be full participants in interdisciplinary teams.

This paper examines the development of a nurse-led clinical pathway at the Royal Columbian Hospital in New Westminster, BC, to enhance care for cardiac surgery patients. The systematic quality improvement project aimed to standardize care and improve outcomes by addressing issues such as prolonged hospital stays, delayed extubation and limited post-operative mobility. By comparing clinical outcomes with benchmarks, the project identified opportunities for improvement, including early ambulation, timely extubation, reduced mortality, readmission rates and length of stay. The development process involved collaboration with nursing leaders, stakeholder consultations and thorough evidence review and highlighted the crucial role of strategic leadership in large-scale change initiatives.