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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
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’ts 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