Advanced Practice Nursing in Canada
- 726 Downloads
The clinical nurse specialist (CNS) and nurse practitioner (NP) are the two types of advanced practice roles recognized in Canada. Leadership is an essential dimension of both roles, but many factors internal and external to the advanced practice nurse impact on leadership role enactment. This chapter summarizes research findings on advanced practice nursing leadership and provides exemplars of CNS and NP leadership. Capabilities outlined from a Canadian health care leadership framework are used to examine CNS and NP leadership and to highlight success factors and provide solutions to optimize the leadership potential of these roles.
KeywordsAdvanced practice nurse Clinical nurse specialist Nurse practitioner Leadership Capabilities
- Acute Care Geriatric Nurse Network. ACGNN: Caring for older adults’ gerontology. 2017. http://acgnn.ca/. Accessed 1 July 2019.
- Andreychuk S, Miller A, Evans D, Versluis D. Topical issues and implications for advanced practice nursing practice and policy: Medical assistance in dying and cannabis use. In: Panel presentation. Hamilton Health Sciences; 2019.Google Scholar
- Bridges A. Answering the call for an assisted death has taught me more about living my life than dying: MAID manager. Toronto: Canadian Broadcast Corporation; 2019. https://www.cbc.ca/news/canada/saskatoon/maid-program-manager-saskatchewan-update-1.5132602. Accessed 1 July 2091.Google Scholar
- Bryant-Lukosius D, Cosby R, Bakker D, Earle C, Burkoski V. Practice guideline on the effective use of advanced practice nurses in the delivery of adult cancer services in Ontario. Toronto: Cancer Care Ontario; 2015. https://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=340702.Google Scholar
- Bryant-Lukosius D, Martin-Misener R, Donald F, Tranmer J, Brousseau L, DiCenso A. Resources to facilitate APN outcome research. In: Kleinpell R, editor. Outcome assessment in advanced practice nursing. 4th ed. New York: Springer Publishing Company; 2017. p. 249–71.Google Scholar
- Bryant-Lukosius D, Jokiniemi K, Martin-Misener R, Roussel J, Carr M, Kilpatrick K, et al. Clarifying the contributions of specialized nursing roles in Canada: results of a national study. In: Panel presentation. Canadian Nurses Association Conference, Ottawa, 20 June; 2018a.Google Scholar
- Bryant-Lukosius D, Carter N, Boucher L, Durepos P, Breznik J, Pierazzo J, et al. Application of a curriculum review framework to guide renewal of graduate nursing education. Symposium. Montreal QU: Canadian Association of Schools of Nursing Conference; 2018b.Google Scholar
- Canadian Council of Registered Nurse Regulators. Practice analysis study of nurse practitioners. Beaverton: CCRNR; 2015. http://www.ccrnr.ca/assets/ccrnr-practice-analysis-study-of-nurse-practitioners-report-final.pdf. Accessed 1 July 2019.Google Scholar
- Canadian Nurses Association. Canadian nurse practitioner core competency framework. Ottawa: Canadian Nurses Association; 2010. http://www.cno.org/globalassets/for/rnec/pdf/competencyframework_en.pdf. Accessed 30 June 2019.Google Scholar
- Canadian Nurses Association. Pan-Canadian core competencies for the clinical nurse specialist. Ottawa: Canadian Nurses Association; 2014. https://cna-aiic.ca/~/media/cna/files/en/clinical_nurse_specialists_convention_handout_e.pdf. Accessed 30 June 2019.Google Scholar
- Canadian Nurses Association. National nursing framework on medical assistance in dying in Canada. 2017. Ottawa: Canadian Nurses Association. https://www.cna-aiic.ca/~/media/cna/page-content/pdf-en/cna-national-nursing-framework-on-maid.pdf. Accessed 2 July 2019.
- Canadian Nurses Association. Advanced practice nursing. A pan-Canadian framework. Ottawa: Canadian Nurses Association; 2019. https://www.cna-aiic.ca/-/media/cna/page-content/pdf-en/apn-a-pan-canadian-framework.pdf?la=en&hash=E1387634D492FD2B003964E3CD4188971305469E. Accessed 23 June 2019.Google Scholar
- Carr M, Hunt P. Report and recommendations. Acute care geriatric nurse network. British Columbia: Submitted to the Nursing Directorate, Ministry of Health Planning; 2004. http://acgnn.ca/wp-content/uploads/2010/11/ACGNNRReport2003-2004Final.pdf. Accessed 1 July 2019.Google Scholar
- College of Nurses of Ontario. Medical assistance in dying. Toronto: College of Nurses of Ontario; 2018a. http://www.cno.org/en/trending-topics/medical-assistance-in-dying/. Accessed 1 July 2019.Google Scholar
- College of Nurses of Ontario. Guidance on nursing roles in medical assistance in dying. Toronto: College of Nurses of Ontario; 2018b. http://www.cno.org/globalassets/docs/prac/41056-guidance-on-nurses-roles-in-maid.pdf. Accessed 1 July 2019.Google Scholar
- Dickson G, Briscoe D, Fenwick S, MacLeod Z, Romilly L. The pan-Canadian health leadership capability framework project: a collaborative research initiative to develop a leadership capability framework for healthcare in Canada. Victoria: Royal Roads University; 2007. https://www.cfhi-fcass.ca/migrated/pdf/health_leadership_framework_e.pdf. Accessed 23 June 2019.Google Scholar
- Government of Canada. Medical assistance in dying. 2019. https://www.canada.ca/en/health-canada/services/medical-assistance-dying.html. Accessed 1 July 2019.
- Heale R, Pilon R. An exploration of patient satisfaction in a nurse practitioner-led clinic. Can J Nurs Res. 2012;25(3):43–55.Google Scholar
- Health Canada. Fourth interim report on medical assistance in dying in Canada. Ottawa: Health Canada; 2019. https://www.canada.ca/en/health-canada/services/publications/health-system-services/medical-assistance-dying-interim-report-april-2019.html. Accessed 1 July 2019.Google Scholar
- Health Leadership Academy. Preparing for alternative futures. Why navigating the disruptive forces shaping health care requires transformative leadership. Hamilton, ON: Michael G. DeGroote Health Leadership Academy; 2019. https://healthleadershipacademy.ca/files/2019/04/Alternative-Futures-of-Health.pdf. Accessed 23 June 2019.Google Scholar
- Kilpatrick K, DiCenso A, Bryant-Lukosius D, Ritchie JA, Martin-Misener R, Carter N. Practice patterns and perceived impact of clinical nurse specialist roles in Canada: results of a national survey. Int J Nurs Stud. 2013;50:1524. https://doi.org/10.1016/j.ijnurstu2013.03.005.CrossRefPubMedGoogle Scholar
- Ministry of Health and Long-Term Care. Nurse practitioner-led clinics. 2015. http://www.health.gov.on.ca/en/pro/programs/np_clinics/default.aspx. Accessed 23 May 2019.
- Nurse Practitioner Association of Ontario. Nurse practitioner-led clinics. 2019. https://npao.org/about-npao/clinics/. Accessed 23 May 2019.
- Vilches S, Fenwick S, Harris B, Lammi B, Racette R. Changing health organizations with the LEADS leadership framework: Report of the 2014–2016 LEADS impact study. Ottawa: Fenwick Leadership Explorations, the Canadian College of Health Leaders, & the Centre for Health Leadership and Research, Royal Roads University; 2016. https://www.cfhi-fcass.ca/migrated/pdf/health_leadership_framework_e.pdf. Accessed 23 June 2019.Google Scholar
- Virani T. Interprofessional collaborative teams. Ottawa: Canadian Health Services Research Foundation; 2012. p. 1–142. https://www.cfhi-fcass.ca/Libraries/Commissioned_Research_Reports/Virani-Interprofessional-EN.sflb.ashx. Accessed 12 Apr 2017.Google Scholar
- Waddell K, Moat KA, Lavis JN. Evidence brief: Preparing emerging leaders for alternative futures in health systems across Canada. Hamilton: McMaster Health Forum; 2019. https://www.mcmasterforum.org/docs/default-source/product-documents/evidence-briefs/health-ldrshp-eb.pdf?sfvrsn=2. Accessed 4 July 2019.Google Scholar
- Yazdani S, Buchman D, Wright L, Chandler JA. Organ donation and medical assistance in dying (MAID): ethical and legal issues facing Canada. McGill J Law Health. 2018;11(2):59–85.Google Scholar