National organization of nurse practitioner faculties
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National Organization of Nurse Practitioner Faculties. Transforming the Future: Excellence Through Innovation Chicago, Illinois April 2005. Nurse Practitioner Education in Canada: Transforming the Future. Suzanne Doucette, RN, BScN, MHA University of Ottawa

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National organization of nurse practitioner faculties

National Organization of Nurse Practitioner Faculties

Transforming the Future: Excellence Through Innovation

Chicago, Illinois

April 2005


Nurse practitioner education in canada transforming the future

Nurse Practitioner Education in Canada:Transforming the Future

Suzanne Doucette, RN, BScN, MHA University of Ottawa

Elsie Duff, RN, BScN, MEd, University of Manitoba

Esther Sangster-Gormley MS, ARNP University of New Brunswick

April 2005


Thank you

Thank you

  • NONPF

  • Canadian Association of Schools of Nursing (CASN)

  • Fellow members of the CASN Taskforce on Primary Health Care/Nurse Practitioner Education


Objectives

Objectives

  • Evolution of Canadian NP programs

  • Scope of practice differences between NPs in the US & Canada

  • Role similarities in the US & Canada


Education evolution

Education Evolution


Legislation evolution

Legislation Evolution

  • Varies across the 10 provinces & 3 territories

    • Absence of a common title

      • NP

      • RN/NP

      • RN(EC) (extended class)

      • RN(EP) (extended practice)

    • Title protection versus title designation

  • Not all provinces & territories have legislation


Regulation evolution

Regulation Evolution

  • Under the authority of the College of RNs for each province or territory

    • Generally falls under amendments to the RN or Health & Professionsact for each province or territory

  • Inconsistencies across Canada


Recognizing similarities

Recognizing Similarities

  • Advanced nursing role (autonomous)

  • Advanced competencies of

    • Assessment

    • Diagnosis

    • Treatment & Management

  • Client Focus

    • Individual, Family & Community


Appreciating differences

Appreciating differences

  • Educational variation

  • Practice environment

    • Rural and remote areas

  • One payer system

    • Socialized Health Care

  • Primaryhealth care (PHC) framework


Principles of primary health care

Principles of primary health care

  • Accessibility to everyone regardless of income, culture, gender, age, etc.

  • Appropriate use of technology

  • Emphasis on health promotion, prevention, & chronic diseases management


Principles of primary health care1

Principles of primary health care

  • Intersectoral collaboration (other sectors outside of health care)

  • Coordination & integration of health services

  • Public participation


New initiatives

New initiatives

  • PHC transition funding

  • First Nations Inuit Health Branch

  • CNA-Canadian NP Initiative

  • NP competencies and national exam


Challenges

Challenges

  • Practice sites

  • NP faculty

  • Preceptors

  • Interprofessional education

  • Affiliation with NONPF


Practice site

Practice site

  • Competition for sites with family medicine residents

  • Different role requirements for rural, remote & urban settings

  • Limited appropriate clinical sites

  • Common National NP competencies not implemented

  • No common core curriculum outcomes


Np faculty

NP Faculty

  • Limited number of PhD NP Faculty

  • Limited number of NP Masters clinical instructors


Preceptors

Preceptors

  • In some Provinces limited number of NP preceptors available

  • Reimbursement of Physicians

  • Recognize the contribution of clinical preceptors; joint appointments, thank you letters, sponsored educational seminars


Interprofessional education

Interprofessional Education

  • Increasing emphasis by Gov‚Äôts to support Interprofessional Education

  • Pilot projects being funded in a number of provinces


Affiliation with nonpf

Affiliation with NONPF

  • Exploring a possible Canadian NP Faculty affiliation with NONPF through Canadian Association of Schools of Nursing

  • Small numbers of NP Faculty & NP programs


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