NlN.ON 2010 Conference 1

ANNUAL CONFERENCE FOR HEALTH CARE LEADERS AND ADMINISTRATORS

THE WESTIN PRINCE HOTEL 900 York Mills Road, Toronto March 25 & 26, 2010

Featuring renowned Keynote Speaker

Dr. Tim Porter-O’Grady has been involved in health care for 40 years and has held

roles from staff nurse to senior executive in a variety of health care settings. Tim

is currently senior partner of an international healthcare consulting firm in Atlanta

specializing in health futures, organizational innovation, conflict and change, as well

as health service delivery models. He is noted for his work on shared governance

models, clinical leadership, conflict, innovation and health futures. He is associate

professor and leadership scholar at Arizona State University, Program in Healthcare

Innovation; Visiting Scholar at University of Maryland, and is an adjunct professor

at Lakehead University, School of Public Health, Ontario, Canada. Tim has published

extensively in health care with over 165 proctored journal articles and 19 books

and is a 6-time winner of the AJN Healthcare Book of the Year Award. He has

consulted internationally with over 500 institutions and has lectured in over 1000

settings internationally.

Tim Porter-O’Grady DM, EdD, ScD(h), FAAN

Senior Partner, Tim Porter-O’Grady Associates, Inc. Atlanta, GA

Associate Professor, Leadership Scholar, Arizona State University, Phoenix, AZ

Visiting Scholar, University of Maryland, Baltimore, MD

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THURSDAY, MARCH 25TH, 2010

8:00 am Networking Breakfast

8:45 am Greetings – Minister of Health & Long Term Care (invited)

9:00 am OPENING KEYNOTE

10:00 – 10:30 am Refreshment Break

10:30 – 11:15 am CONCURRENT SESSIONS

A1 EFFECTS OF WORK ENVIRONMENTS ON NURSE OUTCOMES

Nancy Purdy, RN, PhD(c), Associate Professor, Ryerson University, Toronto Heather Spence Laschinger, RN, PhD, FCAHS, Professor and Associate Director, Nursing Research, University of Western Ontario, London Mickey Kerr, PhD, Professor, University of Western Ontario, London Joan Finegan, PhD, Professor, Department of Psychology, University of Western Ontario, London Fernando Olivera, PhD, Associate Professor, Ivey School of Business, University of Western Ontario, London

Empowering work environments can enhance nurses’ engagement in proactive behaviours that lead to quality patient care and job satisfaction. To test this proposition, a study of nurses employed in 61 medical-surgical units from 23 hospitals across Ontario was conducted. The results are reported along with theory-informed strategies for nurse leaders.

Sharing leadership innovations, strategies, and research findings that will guide healthcare leaders and administrators in leading change in future healthcare systems.

Leading with Confidence and Creativity

Tim Porter-O’Grady, DM, EdD, ScD(h), FAAN, Senior Partner, Tim Porter-O’Grady Associates, Inc. Atlanta, GA, Associate Professor, Leadership Scholar, Arizona State University, Phoenix, AZ, Visiting Scholar, University of Maryland, Baltimore, MD

In a glimpse over the Horizon of 21st century health care, Tim will touch on the unfolding characteristics of a transforming health system including the move away from independent, non-aligned health services toward a more linked health system and the impact it has on the provision of care and the altered framework for the delivery of health services. Newer issues such as changing economics, politics, technology and social conditions along with process shifts and the changing integrated service continuum in the context of Interdisciplinary thinking will be explored. Tim will outline mechanisms for nurse leaders to accept the challenges in these changes and people’s ability to adapt to lead with confidence and creativity.

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A2 OPTIMIZING THE WORK OF FIRST-LINE NURSE MANAGERS TO ENHANCE SUPERVISION SATISFACTION AND TEAMWORK Raquel Meyer, RN, PhD(c), Lecturer, Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, Toronto Linda O’Brien-Pallas, RN, PhD, FCAHS, Professor, Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, Toronto Diane Doran, RN, PhD, FCAHS, Professor, Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, Toronto David Streiner, PhD, Professor, Department of Psychiatry, University of Toronto & Director, Kunin-Lunenfeld Applied Research Unit, Baycrest Centre, Toronto Mary Ferguson-Paré, RN, PhD, CHE, VP, Professional Affairs & CNE, University Health Network & Associate Professor, Lawrence S. Bloomberg Faculty of Nursing University of Toronto, Toronto Christine Duffield, RN, PhD, Director, Centre for Health Services Management & Deputy Director, WHO Collaborating Centre for Nursing, Midwifery & Health Development, Faculty of Nursing, Midwifery & Health, University of Technology, Sydney

This session shares the results of a study examining the influence of managers’ span, time allocation, leadership, hours of operation and other work covariates on nurses’ supervision satisfaction and on multidisciplinary teamwork. This evidence can be used to guide decisions about the design of first- line management positions in hospitals.

A3 METAMORPHOSIS: A HOSPITALS’ JOURNEY OF RECOVERY AND RE-DISCOVERY TOWARD A CULTURE OF TRANSFORMATION THAT EMBRACES A COLLABORATIVE PATIENT-CENTRED PRACTICE Janice Dusek, RN, BSN, MS, MBA, CHE, CNE & VP, Interprofessional Affairs, Quality & Safety Debra Churchill, RN, BScN, MHScN, Director, Professional Practice & Clinical Informatics Larry Sheahan, RN, Forensic Assessment Unit Joanne Jones, RN, BScN, CPMHN(C), Clinical Education Leader, Professional Practice, Ontario Shores Centre for Mental Health Sciences, Whitby

Guided by our Health Human Resource and Interprofessional Practice strategy an intensive and comprehensive didactic training program was developed that supports an interprofessional, collaborative, patient-centred, and recovery-based practice. Training for this model, known as the Interprofessional Collaborative Recovery Model (ICRM) was provided to all clinical, non-clinical staff.

A4 NURSING UNIFORMS: KNOWLEDGE, ATTITUDES AND BELIEFS Rhonda Crocker Ellacott, RN, HBScN, MA(CNS), EdD, VP & CNE, Thunder Bay Regional Health Sciences Centre, Thunder Bay Leslie Sutherland, RN, MEd, HBScN, Professor, Confederation College, Thunder Bay Jan Seeley, RN, MN, BScN, Professor, Confederation College, Thunder Bay Sally Dampier, RN, MMedSc(N), BScN, Professor, Confederation College, Thunder Bay Patricia Sevean, RN, MN, BScN, Professor, Lakehead University, Thunder Bay

There has been a traditional image of the nurse in uniform that reflects professionalism. Nurses’ uniforms have evolved over time and are a powerful nonverbal statement that nurses have specialized skills and knowledge. This research project evaluated the knowledge, attitudes and beliefs among nurses and patients and their families regarding the implementation of a standardized uniform.

10:30 – 12:15 pm NETWORKING CAFé SESSION

A5 INTEGRATED MODEL OF KNOWLEDGE BUILDING AND UTILIZATION FOR CLINICAL NURSES Deborah Tregunno, RN, PhD, Associate Professor, York University, Toronto Lianne Jeffs, RN, PhD(c), Director, Clinical Research, St Michael`s Hospital, Toronto, Heather Campbell, RN, MN, Director, Practice and Policy, College of Nurses of Ontario, Toronto

Nursing is an information-intensive practice discipline, thus creating and working with knowledge is key to the delivery of safe and effective care. This Networking Café focuses on the challenges associated with developing nurses as knowledge workers in three complex nursing settings and the trade– offs between traditional and innovative approaches to knowledge building and utilization. Participants will engage in an interactive dialogue with presenters to: 1) explore relevance of the findings associated with each project; 2) develop further strategies to promote nurses as knowledge workers; 3) share lessons learned about evaluating such initiatives and the complexities inherent in attempting to assess the implicit-explicit conversion of tacit knowledge; and 4) provide direction for further research to advance the capacity of nurses to working in a knowledge age.

10:30 – 12:15 pm “HOW TO” SESSION

A6 CONVERSATIONAL LEADERSHIP Derek Trudelle, BSc, MBA, Facilitator, Clear Choice Decisions, Toronto Doris Doidge, RN, BScN, MN, Director, Projects, Quality Healthcare Network, Toronto Clara Ballantine, BSc(PT), MEd, CPHQ, Safety & Improvement Advisor, Quality Healthcare Network, Toronto

Leaders are challenged to fully engage the hearts and minds of clients, staff, stakeholders and partners around issues that can change organizations. This how to workshop presents two innovative strategies, The World Café and Lego Serious Play™, to help leaders conduct focused discussions that generate creative ideas and foster understanding and commitment within organizations.

Double Session

Double Session

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THURSDAY, MARCH 25TH, 2010

11:15 – 11:30 am Break

11:30 – 12:15 pm CONCURRENT SESSIONS

B1 WORKFORCE FORECASTING TOOL: HHR’S RECRUITMENT CRYSTAL BALL? Kaiyan Fu, RN, BScN, MHSc, CHE, Director, Nursing Innovation and Change Management, St. Michael`s Hospital, Toronto Andrea Baumann, RN, PhD, Associate Vice-President, International Health, Faculty of Health Sciences, McMaster University Director, McMaster Site, Nursing Health Services Research Unit, Hamilton Ella Ferris, RN, MBA, Executive VP, Programs & CNE, St. Michael’s Hospital, Toronto

As the first in Ontario, a partnership of multiple healthcare organizations teamed up to investigate the applicability of an Excel-based forecasting tool – the Workforce Demand Forecaster. This presentation will focus on how the partnership implemented and evaluated the forecasting tool and share learnings for provincial adoption.

B2 DEVELOPING FRONTLINE NURSE LEADERSHIP Barbara Allen, RN, MN, Nursing Unit Administrator, Mount Sinai Hospital, Toronto

This paper will describe the development, content and outcome of a 3 day leadership workshop for frontline nurses, and discuss challenges and strategies for ensuring continued success.

B3 VIRTUAL WORLDS: A LEADING-EDGE INNOVATION FOR NURSING EDUCATION Carolyn McPhee, BN, MSN, Professional Development Leader Anya Wood, MDE, eLearning Education Manager Claire Mallette, RN, PhD, Director, Education, Placement and Development Sandra Li-James, RN, BScN, MEd, CNC(C), Advanced Practice Nurse Educator, University Health Network, Toronto

Leading-edge technologies like virtual worlds and immersive environments have the potential to revolutionize our approach to learning. In this presentation we’ll describe our experience with virtual worlds, the rationale for using this technology, it’s pros and cons, as well as tips for others hoping to incorporate it into their environment.

B4 CREATIVE STRATEGY IN MAXIMIZING CLIENT SAFETY AND EFFICIENCY WITH UNREGULATED CARE PROVIDER EDUCATION Cheryl Reid-Haughian, RN, BHScN, MHScN, CCHN(C), Director, Professional Practice Mary Jane Herlihey, RN, BScN, CCHN(C), Clinical Education Consultant, ParaMed Home Health Care, Ottawa

This presentation highlights an education strategy that was utilized to address health human resource shortages and the growing role of UCP’s while strengthening communication, promoting client safety and creating efficiencies in processes The strategy and the outcomes of the implementation will be shared along with lessons learned and future plans.

12:15 – 1:30 pm Lunch

1:30 – 2:15 pm CONCURRENT SESSIONS

C1 NURSE MANAGER STRESS AND WORK COMPLEXITY: INNOVATIVE USES OF EVIDENCE FOR DECISION MAKING Maria Shirey, RN, PhD, MBA, NEA-BC, FACHE, Associate Professor, University of Southern Indiana, Evansville

Nurse managers play a pivotal role in creating work environments for staff nurses, but little is known about nurse manager work. This presentation provides an understanding of nurse manager work and offers innovative suggestions on how to implement findings from this study into nursing leadership practice.

C2 PANDEMIC PREPAREDNESS: CREATING AND UTILIZING AN IS HEALTH AND HUMAN RESOURCE STRATEGY Tiziana Rivera, RN, BScN, MSc, GNC(C), Acting Chief Practice Officer, David Rubin, BComm, LL.B, Sisamone Phanthasomchit, Jane Lemke, RN, BHSc, MEd, COHN(C), Nicole Di Paolo, RN, BScN, Professional Practice Leader, Nursing, Mary Yates, Director, Organization & Human Resource Development, York Central Hospital, Richmond Hill

Pandemic planning presents opportunities for collaboration and innovation. This paper presentation will describe the development of the PAID® database system; articulate the interrelationship among the components of the database, and a demonstration that will facilitate understanding of its clinical utility in a rapidly changing health care setting.

C3 THE INFLUENCE OF AUTHENTIC LEADERSHIP ON NURSES’ TRUST AND PERCEPTIONS OF CARE QUALITY Carol Wong, RN, PhD, Assistant Professor, University of Western Ontario, London Heather Spence Laschinger, RN, PhD, FCAHS, Professor and Associate Director, Nursing Research, University of Western Ontario, London Greta Cummings, RN, PhD, Associate Professor, University of Alberta, Edmonton

In this paper, we assess and describe how nurses’ identification with and trust in their manager and work engagement mediate the relationship between manager authentic leadership and nurses’ voice behavior (speaking up) and perceptions of unit care quality.

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C4 LEADERSHIP DEVELOPMENT AND SUCCESSION PLANNING: A LHIN WIDE APPROACH Karen Robinson, RN, BScN, MEd, Clinical Nurse Specialist - Orthopedics, Hamilton Health Sciences, Hamilton Karen Cziraki, RN, BScN, Coordinator HNHB LHIN BPSO Project, Hamilton Kim Brooks, RN, BScN, MBA, CNO, West Haldimand War Memorial Hospital, and Administrator, Edgewater Gardens, Dunnville

Nursing Vice Presidents of a Local Health Integration Network (LHIN) leadership team provided a leadership development opportunity for selected hospital healthcare professionals within a LHIN. A two-pronged approach was used that included a leadership enrichment component and identification of a system issue that would act as a vehicle to facilitate development of leadership skills.

C5 NURSING IDEAS: UTILIZATION AND ANALYTICS OF THE INTERNET Robert Fraser, RN, BScN, Founder, Nursing Ideas, Toronto

Social Media is increasingly allowing individuals to share, contribute and collaborate online. As many organizations move services and content online, leaders need to develop new competencies. This session will share experience and cover sophisticated web-analytics as well as social media monitoring.

1:30 – 3:15 pm “HOW TO” WORKSHOP

C6 LEADER AS MENTOR Mary Wheeler, RN, MEd, PCC, Partner, donnerwheeler, Brampton Michelle Cooper, RN, MScN, President, Integral Visions Consulting Inc., Ancaster

This “how to” workshop, will help you develop mentorship skills and strategies, based on a Five- Phase Mentoring Relationship Model© (Purpose, Engagement, Planning, Emergence, and Completion) that you can use to build successful mentoring relationships with new and emerging nurse leaders.

2:15 – 2:30 pm Break

2:30 – 3:15 pm CONCURRENT SESSIONS

D1 TOP 30 RISING STARS Nancy Lefebre, RN, BScN, MScN, CHE, FCCHSE, Chief Clinical Executive and Senior VP Knowledge & Practice, Saint Elizabeth Health Care, Markham Karen Beckermann, RN, MSc(A), Acting Supervisor, Vaccine Preventable Diseases, Toronto Public Health, Toronto Jane Mosley, RN, MScN, CNE, Women`s College Hospital, Toronto

Future leadership is vital to an organization’s success. Succession planning is necessary, not for job placement and filling current vacancies, but to develop a pool of talent from which to draw. Creative approaches to sustain leadership throughout the healthcare system through effective and innovative succession planning strategies are critical.

D2 DOCUMENTATION IS EVERYONE’S BUSINESS: IMPROVING OUR PRACTICES THROUGH AN INNOVATIVE AND INTERPROFESSIONAL EDUCATION EVENT Stacey Johnson, RN, BScN, MN(c), Education Coordinator, Emergency Department Dayle Allen Ackley, RN, BScN, MN(c), Perioperative Clinical Educator Elizabeth McLaney, BA (Hons), BScOT, MEd, Lynne Strathern, RN, BScN, MEd, St. Joseph`s Health Centre, Toronto

Communication between health professionals about the care provided to patients is essential to coordinated teamwork, and the patient record is the primary communication tool. This presentation will outline the strategic development, marketing strategies, teaching design, and outcomes for a successful innovative, interprofessional education event on documentation at a community teaching hospital.

D3 DEVELOPING LEADERSHIP SKILLS IN MANAGERS IN AN ACUTE CARE HOSPITAL Cyndi Gilmer, RN, BScN, MHSc(N), Lecturer, Trent University, Trent/Fleming School of Nursing, Peterborough

This paper will report on an action research study of leadership development in hospital middle managers. It will include the successes and challenges of self determining leadership development needs, choosing a custom made curriculum and selecting learning strategies. It will include lessons learned and opportunities for application in other settings.

D4 “HOW TO” WRITE AN ABSTRACT Sue Munro, RN, BScN, MHSc, CHE, Vice President, First Stage Enterprises, Toronto Jane Pickard, RN, BA, MED, MN, Lecturer, Clinical Instructor, University of Western Ontario, Arthur Labatt Family School of Nursing, London

Have you thought about submitting an abstract for a conference, were not sure how to proceed, and did not go ahead? Or, you’ve had a great research concept or institutional project, submitted an abstract, and were not accepted? If you are a first time writer, where do you begin? If you have been rejected, how can you improve your odds of having your next abstract selected? This session is a great opportunity to pick up on the “Do’s” and “ Don’ts” of a successful abstract submission.

Double Session

This is a long-time NlN.ON Conference “favourite”! An excellent opportunity for you to visit the outstanding posters and network with colleagues while learning about leadership innovations and research which will increase your capacity as healthcare leaders. (See poster listing on next page)

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2:30 – 3:15 pm D5 ROUNDTABLE SESSIONS A new program feature for 2010 - the “Roundtable” format provides you with an opportunity for 45 minutes of informal dialogue, idea sharing and brainstorming. Choose from one of the following topics:

Table 1 WHAT`S IN IT FOR ME? THE IMPACT OF INTERPROFESSIONALISM ON NURSING PRACTICE Mary Kapetanos, RN, BScN, MEd(c), Professional Practice Leader, Janice Klutt, RN, CRE, Team Leader, Intensive Care Unit, St. Joseph`s Health Centre, Toronto

This roundtable discussion will focus on exploring interprofessional practice (IPP) through a nursing lens. What is the impact of IPP on the nursing workforce and nursing practice? As healthcare organizations move towards embracing IPP, nursing leaders must take time to consider the impact and perception of IPP for nurses working in clinical roles.

Table 2 CREATIVE STRATEGIES TO BRING EVIDENCE BASED INFORMATION TO NURSES AT POINT OF CARE Brenda Dusek, RN, BN, MN, Program Manager, IABPG Program, Julie Burris, Program Assistant, Fredrick Go, RN, BScN, MN, Sheila John, RN, BScN, MScN, Catherine Wood, Program Assistant, Registered Nurses Association of Ontario, Toronto

The use of technological modalities in promoting knowledge transfer and developing key networks to ensure evidence based information is readily available to point of care nurses. By using creative communication technologies, nursing is leading the way in the adoption of evidence based practice for excellence in clinical outcomes.

Table 3 THE INFLUENCE OF PERCEIVED FAIRNESS AND RELATIONAL LEADERSHIP ON NURSING SAFETY CLIMATE AND WORK ENVIRONMENT Mae Squires, RN, BA, BNSc, MSc, PhD(c), PhD Student, Ann Tourangeau, RN, BSCN, MN, Associate Professor and Graduate Chair, Diane Doran, RN, PhD, FCAHS, Professor in Patient Safety, Lawrence S. Bloomberg Faculty of Nursing University of Toronto, Toronto Heather Laschinger, RN, PhD, FCAHS, Professor and Associate Director Nursing Research, School of Nursing, University of Western Ontario, London

In this paper, the influence of relational leadership and fairness on nurse and patient safety outcomes is explored. A model is proposed, tested and refined in a study of medical, surgical and critical care nurses working acute care hospitals in Ontario. Results will be reviewed and implications to leadership discussed.

Table 4 PUBLIC HEALTH NURSES ENGAGE IN REFLECTIVE PRACTICE: LEADING IN THE FACE OF SIGNIFICANT CHALLENGES Graciela Duran, RN, BScN, MN, High Risk Consultant, Judy Wong, RN, BScN, High Risk Consultant, Susan Mendolia, RN, BScN, IBCLC, High Risk Consultant, Nicky Slovitt, RN, BA, MN, High Risk Consultant, City of Toronto, Toronto Public Health,Toronto

High risk home visiting by public health nurses is an early intervention program designed to provide parenting support to families from prenatal to age six. The High Risk Consultant uses reflective practice to enhance knowledge, judgement and skills of PHNs through individual consultations and team case reviews.

Table 5 EXCELLENCE IN EDUCATING ADULTS - LATE CAREER NURSING INITIATIVE Martha Budgell, RN, BScN, MSN, Nursing Education Leader, Nazlin Hirji, RN, BScN, MN, Director of Nursing, Toronto Rehabilitation Institute, Toronto

An innovative program for nurses to develop skills and leadership in adult education. The overall goal of the program was for participants to acquire theoretical knowledge in the principles of adult education while concurrently using the skills to produce an educational tool or package specific to their patient population.

Table 6 BENEFITS OF NURSING RESOURCE TEAMS; ENHANCING QUALITY PATIENT CARE WHILE HARNESSING THE POTENTIAL OF NEW GRADUATE RNS Danielle Herold, RN, MN, Advanced Practice Nurse, Christian Buendia, RN, BHA, Patient Care Manager, Acute Care Nursing Resource Team, Sunnybrook Health Sciences Centre, Toronto Opal Robinson, RN, BScN, MA Ed, Nursing Coordinator, Nursing Resource Team, Elly Rasenberg, RN, MBA, Nurse Manager, Nursing Resource Team, University Health Network, Toronto

Nursing Resource Teams provide cross-training programs for nurses to allow them to work in a variety of patient care areas. This is a cost effective strategy to provide quality patient- centered care. The collaboration between two health care organizations was an opportunity for them to reflect on the successes of implementing NRTs composed of New Graduate RNs. NRTs contribute to patient care by filling staffing gaps and enhancing best practice dissemination.

3:15 – 4:45 pm POSTER RECEPTION

NlN.ON 2010 Conference 7

POSTER SESSION & RECEPTION: THURSDAY, MARCH 25TH, 3:15PM

1 Implementing a Medication Reconciliation Education Plan across a Multisite Academic Healthcare Centre Ruth Lee, RN, BScN, MScN, PhD, Marita Tonkin, RPh, BScPhm, PharmD, ACPR, Michelle Barnard, RN, BScN, Wendy Seroski, RN, BScN, Patty McEwen, BScPhm, ACPR, Deb Hutchinson, MD, BSc(Kin), CCP(EM), FCFP, Nancy Fram, RN, BScN, MEd, Debbie McKeown, RN, BScN, Audrey Lim, MD, FRCPC, MSc, Krishna Anchala, MD, MS, FAAP, Patti Adams, RN, BScN, Donna LaForce, RN, BScN, MBA Hamilton Health Sciences Centre, Hamilton

2 Leaders in Acute Care Settings Describe their Information Needs Related to Clinical Nurse Specialists and Nurse Practitioners Nancy Carter, RN, BScN, MSc, PhD, Heather Hoxby, RN, MS, Sandra Ireland, RN, PhD, Maureen Dobbins, RN, PhD, Faith Donald, RN(EC), NP-PHC, PhD, Denise Bryant-Lukosius, RN, PhD, Patricia Harbman, RN, NP-PHC, ACNP, PhD(c), Ivy Bourgeault, PhD, Sandra Kioke, RN, Alba DiCenso, RN, PhD School of Nursing, McMaster University, Hamilton

3 Identification and Use of Nursing Research Priorities: One Teaching Hospital’s Experience Judy Rashotte, RN, MScN, PhD Children`s Hospital of Eastern Ontario, Ottawa

4 Utilizing a Best Practice Staffing Framework to Promote Interprofessional Collaborative Practice Donna Rothwell, RN, BScN, Annabelle Watson, RN, BScN Niagara Health System, Welland

5 The Resuscitation of a Nursing Orientation: From a Didactic Based Orientation to an Interactive, Hands-On Style that Incorporates an OSCE Day Laurie Reid, RN, BScN, MEd, Lorraine Sunstrum-Mann, RN, BScN, MBA Lakeridge Health, Oshawa

6 Paediatric Nurse Practitioner as Leader of Oncology Satellite Clinic - Does It Work? Yvette Dalrymple, RN(EC), MN, NP-Paediatric, Yehuda Nofech-Mozes, MD Rouge Valley Health System, Toronto

7 Innovative Education in Critical Care Brenda Ridley, RN, BScN, MAEd(c), Janine Boston, RN, BScN, Elizabeth Gordon, RN, BScN, BEd, Elaine Jutras, RN, MN, Sharon McGonigle, RN, BScN, MN, Monique Waddington-Patenaude, RN, BScN University Health Network, Toronto

8 Balancing Act: Flex Scheduling in MSICU Cecilia Santiago, RN, MN, CNCC(C), Charmaine Mothersill, RN, BScN, MN (Student), Anna Maria Rumble St. Michael`s Hospital, Toronto

9 From Attendance Management to Wellness: Changing Culture through Positive Engagement Jill Campbell, RN, MHSc, CHE, CNephC, Nordia Hines, BA St. Michael`s Hospital, Toronto

10 A Proactive Approach to Quality Care Alison Gilmour, RN, MN, PNC(C), Greg Harpell, Susan Guest, RN, MN, CNS, Raylene Macleod, RN, BScN Mount Sinai Hospital, Toronto

11 Maximizing Client Safety Using Prospective Analysis Ainsley Gillespie, RN, MScN Lakeview Manor, Beaverton

12 Leadership on the Floor Barbara Surge, RN Lakeview Manor, Beaverton

13 Mutual Action Plan: A Creative Approach to Seamless Care Carol Harren, RN, Franzis Henke, RN, BScN, APN(c) Ontario Shores Centre for Mental Health Sciences, Whitby

14 “The Amazing Race “Our Organization`s Mental Health Bettyann Goertz, RN, CPMHNC, BScN(c), Sine Pettit, RN, BScN London Health Sciences Centre, London

15 Staff Engagement Strategies for Releasing Time to Care© Sandy Maxfield, RN, Dan Maure, RN, Sue Roger, RN, MA(QA) Bluewater Health, Sarnia

16 Exploring Fatigue in Home Care Nurses: Nurse Health and Safety Outcomes Sue Bookey-Bassett, RN, BScN, MEd, Ann Tourangeau, RN, PhD Faculty of Nursing University of Toronto, Toronto

17 Person Focused Care: Quality, Care and Outcomes Nicole Di Paolo, RN, BScN, Kathleen Heslin, RN, BScN, MScN, Tiziana Rivera, RN, BScN, MSc, GNC(C), Melanie Jover, RN, Hons. BScN, MN, Abel Cheng, BSc, MEd(c) York Central Hospital, Richmond Hill

18 Innovation in Orientation: Embedding Rehabilitation and Gerontology Nursing Competencies in a Nursing Graduate Guarantee Orientation Program Wanda Kiersnowski, RN, BScN, GNC(C), Nordia Evans, RPN, Sylvia Davidson, MSc, OT Reg(Ont.) Toronto Rehabilitation Institute, Toronto

19 Engaging Staff Nurses in Professional Affairs Nazlin Hirji,RN, BScN, MN, CIC, Martha Budgell, RN, BScN, MN(S) Toronto Rehabilitation Institute, Toronto

20 Overcapacity: A System Wide Issue! Lynne Julius, RN, H.BScN, MHS, Joy Bevan, RN, MHSM, BHlthSc(Nurs), CNephc Grand River Hospital, Kitchener

21 Leading Education and Practice By Example Susan Yates, RN, BN, BEd, MA, CHE, Lynne Julius, RN, MHS Grand River Hospital, Kitchener

22 Factors Predicting the Embedment of Nursing Evidence-Based Practice Guidelines in Ontario Hospitals Don Wildfong, RN, BNSc, MSc, Jennifer Skelly, RN, PhD, Colleen McKey, RN, PhD, CHE, FACHE, Ruth Lee, RN, PhD, Maureen Dobbins, RN, PhD National Collaborating Centre for Methods & Tools, McMaster University, Hamilton

23 Leading and Changing Practice and Culture: Using Evidence to Reduce Restraint Mary-Lou Martin, RN, MScN, MEd, Fran Szypula, RN, Vivian Pelletier, RN St. Joseph`s Healthcare, Hamilton

24 The Development of a Creative Evidence Based Decision Support Intervention for Scheduling Nurses Beverley Holmes, RN, BScN, MBA, Karen Daly, BScN, MN, Vicki McMurdo, BN Royal Ottawa Hospital, Ottawa

25 An Evolution of Interprofessional Team Based Care Delivery Irene Andress, RN, BScN, MN, Linda Young, MScN, MEd, EdD, Jonathan Fetros, RN, BScN, MN Toronto East General Hospital, Toronto

26 Achieving a Healthy Work Environment: The Nurse Manager’s Guide Althea Stewart-Pyne, RN, BN, MHSC, Irmajean Bajnok, RN, MScN, PhD, Erica Kumar, BSc, GC, DipHlthProm Registered Nurses’ Association of Ontario, Toronto

“LEADING WITH CONFIDENCE & CREATIVITY”

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8:00 – 8:45 am Breakfast and AGM

8:45 – 9:00 am Greetings – Vanessa Burkowski, Provincial Chief Nursing Officer, Nursing Secretariat, Ministry of Health and Long Term Care

9:00 – 10:10 am Panel: The Business of Health Care: A Dialogue Regarding The Key Competencies For Nursing Leaders to be Successful in a Challenging Fiscal Environment.

This distinguished panel will share their insights on the topic of “How to prepare nursing leaders for the “management/ business” aspect of healthcare. From their vantage point, they will be asked to comment on the vital competencies and gaps to overcome as well as challenging us to explore how the nurse leaders of today and in the future can lead with confidence and creativity in this ever changing and challenging health care environment and business.

MODERATOR: Julia Scott, RN, BA, MBA, CMC, VP, Clinical Programs & CNE, Markham Stouffville Hospital, Markham

PANELISTS: Tom Closson, MBA, PEng, CEO, Ontario Hospital Association, Toronto Bonnie Adamson, RN, MSCN(A), President & CEO, North York General Hospital, Toronto John King, MHA, CHE, Executive Vice President & Chief Administrative Officer, St. Michael’s Hospital, Toronto

10:10 – 10:30 am Refreshment Break

10:30 – 11:15 am CONCURRENT SESSIONS

E1 RELEASING TIME TO CARE© AN INNOVATIVE APPROACH TO REDESIGN Julia Scott, RN, BA, MBA, CMC, VP Clinical Programs & CNE, Markham Stouffville Hospital, Markham Mark Vimr, RN, MScN, CHE, Executive VP Clinical and Professional Programs & Services/CNE, St. Joseph`s Health Centre, Toronto Patti Cochrane, RN, BScN, MHSc, CHE, VP Patient Services & Quality/CNO, Trillium Health Centre, Mississauga Kim Stelmacovich, BScOT, MHSc, Quality Improvement Consultant, Centre for Healthcare Quality Improvement, Toronto

There is significant evidence about the negative impact of chaotic work environments on patient care and the nursing profession. Nursing processes and care are frequently interrupted with activities that impact time at the bedside, safety and satisfaction. This paper will describe results to date from implementation of Releasing Time to Care© a licensed quality improvement program and toolkit developed by the NHS Institute for Innovation and Improvement in England, currently being piloted at four Ontario acute care hospitals.

E2 AN INNOVATIVE CARE MODEL CREATES AN OPPORTUNITY FOR MENTORSHIP Mary Jane McNally, RN, MN, Director of Nursing, Annabelle Bandurchin, MHSc, Innovation Project Manager, Mary Ferguson-Paré, RN, PhD, CHE, VP Professional Affairs & CNE, University Health Network, Toronto

Learn examples of how acute care nurses are leading practice change in LTC homes, how innovative care delivery models enhance nursing retention and how mentoring and coaching can be an integral part of every nurse’s role.

E3 SOMEBODY SHOULD DO SOMETHING ABOUT THAT … Jane Pickard, RN, MEd, MN, Lecturer and Clinical Instructor, University of Western Ontario, Arthur Labatt Family School of Nursing, London

How do you get nurses to believe they have power and that they have a role to play in shaping policy? Furthermore, how do you get the general public to look to nurses for guidance and advice on policy development and not cast them exclusively in a clinical role? Through education and application of theory to real life problems or issues and with support and mentoring opportunities to test ideas and strategies, this can be achieved in a way that challenges, excites and leads to change.

E4 COAXED INTO RESEARCH KICKING AND SCREAMING Wendy Rammler, BScN, Ontario Nurse Transfusion Coordinator, Lakeridge Health, Oshawa Manon Lemonde, RN, MScN, PhD, Patient Care Manger – Medicine, Lakeridge Health, Bowmanville Tamara Lucas, RN, BScN, MN, GNC(C), Faculty Member, University of Ontario Institute of Technology, Oshawa

Building capacity for nursing research at a community hospital can be accomplished through the cross-appointment of a faculty member from a local university. The facility member works with nurses who are passionate about questions affecting their practice. This program has lead to five nursing research projects being completed and disseminated.

FRIDAY, MARCH 26TH, 2010

NlN.ON 2010 Conference 9

10:30 – 12:15 pm NETWORKING CAFé SESSION

E5 REDUCING CONFLICT WITHIN HEALTH CARE ORGANIZATIONS Gladys Peachey, RN, PhD, Assistant Professor, McMaster University, Hamilton Joan Almost, RN, PhD(c), Doctoral Candidate, University of Toronto, Toronto

One of the contributing factors to the current nursing shortage is job dissatisfaction due to conflict in the workplace creating an unpleasant and stressful work environment. This networking café will explore the antecedents and consequences of conflict within today’s health care organizations, and discuss ways to effectively reduce and manage conflict.

10:30 – 12:15 pm “HOW TO” WORKSHOP

E6 COLLECTING STANDARDIZED OUTCOMES TO IMPROVE QUALITY PATIENT CARE

Patti Tracey, RN, MHS, Regional Coordinator, Sharon Avey-Morrison, RN, BScN, MN(c), Regional Coordinator , Robin Carriere, RN, MHI, Regional Coordinator, Helen Holmes, RN, MBA, IT Consultant, HInext, Elizabeth Krestick, RN, MScN, Regional Coordinator, Ginny Odette, RN, MA, Regional Coordinator, Health Outcomes for Better Information and Care, Ajax

This workshop will provide an opportunity for attendees to understand the drivers for collecting standardized clinical outcomes. Attendees will be able to access a demonstration database and learn practical applications regarding the use of these standardized clinical outcomes in examining the quality of patient care.

11:15 – 11:30 am Break

11:30 – 12:15 pm CONCURRENT SESSIONS

F1 THE ROLE OF POWER, INFLUENCE AND MANAGER SUPPORT IN CREATING A PROFESSIONAL PRACTICE ENVIRONMENT FOR NURSES Sara Lankshear, RN, PhD(c), President, Relevé Consulting Services, Penetanguishene, Michael Kerr, PhD, Associate Professor, Heather Spence Laschinger, RN, PhD, FCAHS, Professor and Associate Director, Nursing Research, Carol Wong, RN, PhD, Assistant Professor, Arthur Labatt Family School of Nursing University of Western Ontario, London

The partnership between Professional Practice Leadership and Manager roles is key to the successful implementation and sustainability of organizational strategies geared toward enhancing the practice environment for nurses and all health care professionals. This partnership between “operations” and “professional practice” can be enhanced or hindered by a variety of organizational and individual factors. This presentation will share the results of a research study regarding the role of organizational power, personal influence, and manager support in creating a high quality professional practice environment.

F2 ENTRY-TO-PRACTICE COMPETENCIES AND CONTINUING COMPETENCE: DISCOVER THE LINK! Elana Ptack, RN, BA, BScN, MN, Entry-to-Practice Consultant, Shandelle Johnson, RN, BScN, MHS(c), Practice Consultant, Quality Assurance, College of Nurses of Ontario, Toronto

Health regulators develop programs that promote continuing competence. This session will explore entry-to-practice competencies and the link to current requirements for the continuing competence of nurses in Ontario. Participants will learn about available resources that can be incorporated into professional development and organizational performance appraisal processes to support staff engagement.

F3 MAXIMIZING SCOPE OF PRACTICE AMONG NURSES: LEVERAGING BEST PRACTICES TO SUPPORT ROLE CHANGE David Keselman, RN, BScN, MN, PhD(student), Executive Director, Victorian Order of Nurses, Markham Janette Suitor, RN, Intake Nurse, Victorian Order of Nurses, London Melanie Barnes, RN, BScN, Manager Home Care, HNPE, Ontario Sherri Huckstep, RN, BScN, MPA, Executive Director of Operations and Chief of Practice, Victorian Order of Nurses - Central

The continuous evolution of the health care system creates unique opportunities for change leading to progress and innovation. Nevertheless, ensuring that the right nursing provider is delivering care and service based on the needs of the client within the context of the practice environment is a struggle for most community provider organizations. The focus of this presentation is to share an innovative, collaborative approach to leading practice change and optimizing scope of practice within a specific community care organization. It will focus on the conference theme of “Health Human Resource Strategies” as we describe our journey through this project.

F4 LEADERSHIP THROUGH INNOVATION: CREATIVE SOLUTIONS TO NURSING PROFESSIONAL DEVELOPMENT IN RURAL AND REMOTE FIRST NATIONS COMMUNITIES Tracy Scott, RN, MN, Knowledge Liaison, Melissa Spence, RN, BN, Engagement Liaison, Saint Elizabeth Health Care, Winnipeg

Learn about the innovative use of technology for professional development and practice supports for community nurses working in rural and remote First Nations communities. Highlighting the leading practices employed, evaluation data, and lessons learned see how this engaging approach can be used to surmount challenges faced by community nurses everywhere.

12:15 pm Awards Luncheon

1:45 pm Closing Keynote - To be confirmed. Please refer to website at www.nln.on.ca for speaker announcement.

Double Session

Double Session

10 NlN.ON 2010 Conference

NLN.ON Planning Committee

CONFERENCE CHAIR: Donna Rothwell, RN, BScN, Niagara Health System

Kim Alvarado, RN, PhD, Hamilton Health Sciences - Henderson

Janet Anderson, RN, BScN, MEd, College of Nurses of Ontario

Lynda Bobinski, RN, HBScN, Thunder Bay Regional Health Sciences Centre

Sherri Huckstep, RN, BScN, MPA, VON Canada

Sara Lankshear, RN, BScN, MEd PhD(c), Relevé Consulting Services

Sue Roger, RN, MA (QA), Bluewater Health

Peggy White, RN, BA, MN, Ontario Ministry of Health and Long-Term Care

Donna Woodhams, RN, BScN, Rouge Valley Health System

Kate Zimmerman, RN, BScN, North York General Hospital

CONFERENCE PLANNER: Sue Munro, RN, BScN, MHSc, CHE, First Stage Enterprises

HOTEL ACCOMMODATION

For our 2010 Conference, NLN.ON will be again at the outstanding

Westin Prince Hotel 900 York Mills Rd., Toronto

Easy to reach from the 401 and the Don Valley Parkway, the Westin Prince is set in a beautiful parkland environment. Outstanding bedrooms and excellent dining facilities will combine to make this an event to remember! Plan to stay at the hotel and increase your conference experience. Share with a friend and reduce the costs.

Please call the hotel and make your reservations directly at:

416-444-2511 and indicate you will be at the NLN.ON Conference

Special NLN.ON Conference Rate Single or Double $165.00 (Valid until February 22, 2010)

Register on our website It’s easy and convenient!

www.nln.on.ca

For Additional Information NLN.ON 2010

c/o First Stage Enterprises 1 Concorde Gate, Suite 109 Box 26

Toronto, ON M3C 3N6 Tel: 416-426-7229 Fax: 416-426-7280

Toll free: 1-866-433-9695 Email: reg@nln.on.ca

VISION Inspiring, supporting and advocating today

for nursing leadership tomorrow.

MISSION NLN.ON is an interest group of RNAO that inspires, promotes, and influences

nursing leaders and nursing leadership through innovation, integration and collaboration.

A Member Interest Group of

NlN.ON 2010 Conference 11

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NLN.ON CONFERENCE1 Concorde Gate, Suite 109, Box 26

Toronto, ON M3C 3N6Fax: 416-426-7280 Email: reg@nln.on.ca

NLN.ON 2010 CONFERENCEMARCH 25TH & 26TH,2010

Registration &Conference Feesor Register online!

CONFERENCE FEES

CANCELLATION POLICY

FINANCIAL ASSISTANCE: Bursaries may be available for Ontario RNs and RPNs from the Nursing Education Initiative, which is funded by the Ontario Ministry of Health and Long-Term Care and administered through RNAO and RPNAO. For additional details,contact RNAO at 416-599-1925 or visit www.rnao.org.

NOTES: NLN.ON GST # R128253010 STUDENTS MUST INCLUDE PROOF OF FULL TIME REGISTRATION.

A refund will be issued if requested, in writing,on or before March 11th 2010. A $50.00 administration fee will be levied on all refunds. No refunds will be given after March 11th 2010.

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COST + GST = TOTAL

❏ NLN.ON/RNAO MEMBER $475.00 + $23.75 = $498.75

❏ RNAO/NON-NLN MEMBER $555.00 + $27.75 = $582.75

❏ NON-RNAO MEMBER $585.00 + $29.25 = $614.25

❏ FULL-TIME STUDENT $205.00 + $10.25 = $215.25

❏ Are you a 1st Time Attendee?

❏ Are you a “New”Leader?

PAYMENT

Delegate registration lists (business information only) will be shared at the conference to encourage post-conference networking unless you specifically indicate otherwise.

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Payment may be made by personal or institutional cheque or money order. Make payable to: NLN.ON Conference or use your credit card:

TOTAL VALUE $

See you there! March 25 & 26, 2010