Advanced practice nurses where we ve been where we are now where we re going
This presentation is the property of its rightful owner.
Sponsored Links
1 / 20

Advanced Practice Nurses Where we’ve been, Where we are now, Where we’re going. PowerPoint PPT Presentation


  • 52 Views
  • Uploaded on
  • Presentation posted in: General

Advanced Practice Nurses Where we’ve been, Where we are now, Where we’re going. Jan Currie Vice President and Chief Nursing Officer Winnipeg Regional Health Authority November 2008. Workshop Objectives. Provide a forum for networking and information sharing

Download Presentation

Advanced Practice Nurses Where we’ve been, Where we are now, Where we’re going.

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Advanced practice nurses where we ve been where we are now where we re going

Advanced Practice NursesWhere we’ve been, Where we are now, Where we’re going.

Jan Currie Vice President and Chief Nursing Officer

Winnipeg Regional Health Authority

November 2008


Workshop objectives

Workshop Objectives

  • Provide a forum for networking and information sharing

  • Provide evidence of successful health care outcomes in MB employing NPs and CNSs

  • Clarify the differences in the roles of NP and CNS

  • Provide an update about what employers now know for successful implementation of NPs and CNSs


Where we ve been

Where We’ve Been

  • Nurse Practitioners have been in Manitoba for over 30 years, mainly in the North.

  • Clinical Nurse Specialists have been practicing all over Manitoba for many years.

  • Both roles are well established in other countries


Where we ve been1

Where We’ve Been

  • Position paper on Advanced Practice Nursing in the WRHA (2001)

  • 1999 introduction of new Registered Nurses Act (proclaimed 2001) which provides new opportunities for the RN to work beyond the traditional scope of nursing practice


Position paper highlights

Position Paper Highlights

  • Support for NP and CNS roles

  • Educational Preparation of NPs and CNS

  • Remuneration and Union Status

  • Advocate for regulatory changes

  • Explore role development in a variety of health care settings

  • Seek new funding model and financial supports


Where we are now

Where We are Now

  • Regulations in place

  • Availability of educational programs

  • Liability issues resolved

  • NP title protection granted

    The session from the CRNM this afternoon will give you more information.


Wrha positions in place

WRHA Positions in Place


Where we ve been2

Where We’ve Been

  • WRHA Nursing Leadership Council-provides region-wide leadership & direction to the practice of nursing within the WRHA

  • Advanced Nursing Practice Implementation Steering Committee has been working since 2000

  • Program specific implementation initiatives for APN

    • ED

    • Primary Care

    • Acute care


Advanced practice nursing steering committee

Advanced Practice Nursing Steering Committee

  • Linkages with

    • WRHA via NLC

    • Manitoba Health

    • College of Registered Nurses of Manitoba

    • University of Manitoba Faculty of Nursing

    • National efforts of Canadian Nurse Practitioner Initiative


Advanced practice nursing implementation steering committee

Advanced Practice Nursing Implementation Steering Committee

  • Job descriptions for CNS and NP implemented

  • Tool Kits for CNS and NP developed and implemented

  • Facilitated implementation of NP regulations in primary and acute care

  • Provided forum for problem solving for NPs in new roles

  • Liaison role to ensure clinical placements for NP students


A guide to implementation of the advanced practice nurse

A Guide to Implementation of the Advanced Practice Nurse

http://www.wrha.mb.ca/professionals/nursing/apn06.php


Advanced practice nursing steering committee1

Advanced Practice Nursing Steering Committee

  • Committee has focused to date on NP introduction

  • Next focus will be the Clinical Nurse Specialist role


Where are we going advanced practice nursing steering committee

Where Are We Going?Advanced Practice Nursing Steering Committee

  • Further clarification of CNS role

  • Collaborative Practice model development

  • Integration Tools development

  • Evaluation plan

  • Lobby for more CNS and NP positions


Where are we going role clarification needs to continue

Where are We Going?Role Clarification Needs to Continue

  • Nurse Practitioner

  • Clinical Nurse Specialist

  • Primary Care Nurse

  • Clinical Assistant/Physician Assistant

  • Nurse Clinicians


Where are we going recruitment

Where Are We Going?Recruitment

  • Recruitment strategies in place in WRHA

  • Links between WRHA and RHAs through HPSEN.

  • NLC linked with Program Liaison committee – U of M Faculty of Nursing

  • Conditional Grant (NRRF) applies if outside Winnipeg and Brandon

  • Relocation (NRRF) support available if moving to Manitoba


Visions for the future

Visions for the Future

  • Villeneuve and MacDonald (2006) Toward 2020 Visions for Nursing

  • What will health and illness look like in 2020?

  • What roles, scopes and practice settings?


A sense of the scenarios

A Sense of the Scenarios

  • Focus on health and communities

  • Enhanced roles for all providers

  • Integrated interprofessional education

  • Core competencies taught in schools

  • Targets for increasing diversity


Advanced practice nurses where we ve been where we are now where we re going

  • If we maintain current delivery models and levels of demand, then the shortages of nurses, physicians and other professionals being experienced in 2006 are irresolvable. We can stay on this course of another few years (more seats) or we can change demand and delivery


Advanced practice nurses where we ve been where we are now where we re going

We are not working in the health care system we grew up in. Even if you wanted to keep that, it’s too late, it’s already gone.

Porter-O’Grady, 1998


  • Login