RNAO’s88thAGM TRANSFORMING NURSING THROUGH … · Chief Nursing Officer of Toronto Public Health....
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BPSO Symposium – Celebrating Clinical Excellence By Heather McConnell, RN, BScN, MA(Ed), Associate Director, IABPG Centre, RNAO Over 130 nursing leaders representing 60 health-care organizations from around the province gathered on March 20, 2013 in Toronto to share their implementation success stories at RNAO’s annual Best Practice Spotlight Organization (BPSO) Symposium. The day began with ‘Breakfast with the Minister’. The Honourable Deb Matthews, Minister of Health and Long-Term Care, discussed the importance of their groundbreaking work in evidence-based practice and their commitment to improving the health outcomes for Ontarians. International Affairs & Best Practice Guidelines TRANSFORMING NURSING THROUGH KNOWLEDGE www. RNAO.ca / bestpractices SUMMER 2013 IN THIS ISSUE: 2 RNAO’s 88th AGM 3 BPSO Symposium – Celebrating Clinical Excellence 3 Guideline Release: Assessment and Management of Foot Ulcers for People with Diabetes 4 RNAO Celebrates 10 Great Years with BPSOs 4 RNAO Accredited as ICNP Research and Development Centre 5 North West LHIN Implementing RNAO’s Nursing Order Sets 5 Celebrating a BPSO Designation in Thunder Bay 6 Smoking Cessation Implementation Sites are Leading the Way! 6 Going Above and Beyond Down Under: RNAO Promotes Evidence-Based Practice in Australia 7 Engaging Nurses and Other Health Professionals in the Mental Health and Addictions Initiative: An Environmental Scan 7 Nursing Best Practice Research Centre: Advancing Care Through Knowledge 8 Announcements Laying the Groundwork Early: Essential to Long- Term Success By Irmajean Bajnok, RN, MScN, PhD, Director, IABPG Centre , RNAO The Best Practice Spotlight Organization ® (BPSO) initiative has demonstrated success in the uptake and sustained use of best practice guidelines in its 68 BPSOs across 310 sites, in Ontario, Canada and around the world. Key to this success is the evidence-based implementation methodology as outlined in the Toolkit: Implementation of Best Practice Guidelines, Second Edition (RNAO, 2012), which reinforces the critical need for establishing a clear and comprehensive infrastructure in the organization which leads to sustained use of best evidence. When organizations decide to become a BPSO, it is imperative that they develop a supportive infrastructure. Based on our experience, we have learned that at this stage it is critical to focus on three key areas to build a solid and sustainable infrastructure for implementation of best practice guidelines. An important first step is to identify a staff member as the BPSO lead, who is knowledgeable about evidence-based practice, quality improvement, change theory, and the RNAO BPG program. Second, the selection of a broad-based Advisory Committee begins the stakeholder engagement process and ensures that all the necessary decision-makers, both internally and externally, are involved. Third, it is critical that clear accountability relationships be established within the organization that demonstrates how the BPSOs’ related work links with the established decision- making and reporting structures. Once the organizational infrastructure is in place, crucial next steps include preparing Best Practice Champions across nursing and other related disciplines, and setting up implementation teams which will ensure that the selected BPGs have an effect on practice and health outcomes. Another important part of the infrastructure includes the establishment of assessment, documentation and evaluation processes to determine interventions and outcomes. This includes the introduction of RNAO’s Nursing Order Sets, which draw on the robustness of the best practice guidelines through actionable practice recommendations. NQuIRE ® , RNAO’s indicator database, integrates with the order sets and provides for the measurement of key structure, process and outcome indicators, as part of a comprehensive evaluation plan. The overwhelming experience of our BPSOs is that the more strategically they set up the infrastructure with full collaboration of the organization and the health-care team, the more likely there is organization-wide uptake, leading to sustained use of best practice guidelines over time. The success of Best Practice Spotlight Organizations and the RNAO BPSO initiative demonstrate the importance of a sound, organization-wide infrastructure for implementing, sustaining and extending best practices, all of which leads to safe, quality health care and positively impacts client, provider, and organizational/financial outcomes. p1 Irmajean Bajnok Continued on page 3…
Transcript of RNAO’s88thAGM TRANSFORMING NURSING THROUGH … · Chief Nursing Officer of Toronto Public Health....
BPSO Symposium –Celebrating ClinicalExcellenceBy Heather McConnell, RN, BScN, MA(Ed),Associate Director, IABPG Centre, RNAO
Over 130 nursing leaders representing60 health-care organizations fromaround the province gathered onMarch 20, 2013 in Toronto to sharetheir implementation success stories atRNAO’s annual Best Practice SpotlightOrganization (BPSO) Symposium. Theday began with ‘Breakfast with theMinister’. The Honourable DebMatthews, Minister of Health andLong-Term Care, discussed theimportance of their groundbreakingwork in evidence-based practice andtheir commitment to improving thehealth outcomes for Ontarians.
International Affairs &Best Practice Guidelines
T R A N S F O R M I N G N U R S I N G T H R O U G H
KNOWLEDGE
www.RNAO.ca/bestpractices
SUMMER 2013IN THIS ISSUE:
2 RNAO’s 88th AGM
3 BPSO Symposium –Celebrating Clinical Excellence
3 Guideline Release: Assessmentand Management of Foot Ulcersfor People with Diabetes
4 RNAO Celebrates 10 Great Yearswith BPSOs
4 RNAO Accredited as ICNP Researchand Development Centre
5 North West LHIN ImplementingRNAO’s Nursing Order Sets
5 Celebrating a BPSO Designationin Thunder Bay
6 Smoking Cessation ImplementationSites are Leading the Way!
6 Going Above and BeyondDown Under: RNAO PromotesEvidence-Based Practice in Australia
7 Engaging Nurses and OtherHealth Professionals in the MentalHealth and Addictions Initiative:An Environmental Scan
7 Nursing Best Practice Research Centre:Advancing Care Through Knowledge
8 Announcements
Laying theGroundwork Early:Essential to Long-Term SuccessBy Irmajean Bajnok, RN, MScN, PhD,Director, IABPG Centre , RNAO
The Best Practice SpotlightOrganization® (BPSO)initiative has demonstratedsuccess in the uptake andsustained use of bestpractice guidelines in its68 BPSOs across 310 sites, inOntario, Canada and aroundthe world. Key to this success
is the evidence-based implementationmethodology as outlined in theToolkit: Implementation of Best PracticeGuidelines, Second Edition (RNAO, 2012),which reinforces the critical need forestablishing a clear and comprehensiveinfrastructure in the organization whichleads to sustained use of best evidence.
When organizations decide to becomea BPSO, it is imperative that they developa supportive infrastructure. Based on ourexperience, we have learned that at thisstage it is critical to focus on three keyareas to build a solid and sustainableinfrastructure for implementation ofbest practice guidelines. An importantfirst step is to identify a staff member asthe BPSO lead, who is knowledgeableabout evidence-based practice, qualityimprovement, change theory, and theRNAO BPG program. Second, theselection of a broad-based AdvisoryCommittee begins the stakeholderengagement process and ensures thatall the necessary decision-makers, bothinternally and externally, are involved.
Third, it is critical that clearaccountability relationships beestablished within the organization thatdemonstrates how the BPSOs’ relatedwork links with the established decision-making and reporting structures.Once the organizational infrastructureis in place, crucial next steps includepreparing Best Practice Champions acrossnursing and other related disciplines,and setting up implementation teamswhich will ensure that the selected BPGshave an effect on practice and healthoutcomes. Another important part of theinfrastructure includes the establishmentof assessment, documentation andevaluation processes to determineinterventions and outcomes. Thisincludes the introduction of RNAO’sNursing Order Sets, which draw onthe robustness of the best practiceguidelines through actionable practicerecommendations. NQuIRE®, RNAO’sindicator database, integrates withthe order sets and provides for themeasurement of key structure, processand outcome indicators, as part of acomprehensive evaluation plan.
The overwhelming experience of ourBPSOs is that the more strategicallythey set up the infrastructure with fullcollaboration of the organization andthe health-care team, the more likelythere is organization-wide uptake,leading to sustained use of best practiceguidelines over time. The success of BestPractice Spotlight Organizations andthe RNAO BPSO initiative demonstratethe importance of a sound,organization-wide infrastructurefor implementing, sustaining andextending best practices, all of whichleads to safe, quality health care andpositively impacts client, provider, andorganizational/financial outcomes.
p1
Irmajean Bajnok
Continued on page 3…
www.RNAO.ca/bestpractices p2
By Marion Zych, Director ofCommunications, RNAO
The registered nurses and nursingstudents who attended RNAO’s AnnualGeneral Meeting (AGM) this spring(April 11-13) were first-hand witnessesto the power and influence theirprofessional association can wield.During a speech to members mid-waythrough the three-day meeting,Premier Kathleen Wynne spoke warmlyof RNAO and the relationship it hadestablished with the government offormer Premier Dalton McGuinty.
RNAO’s 88th AGM“I’m proud to embrace thatclose relationship,” she said.“I want our new governmentto continue to work with theRNAO to build on the greatlegacy of what we’veachieved together.”
Wynne said she understandsthat nurses want to be able todo more, and announced thather government will work withthe College of Nurses of Ontario(CNO) to expand the scope of practice.She said this could include dispensing
medication in certaincircumstances, such aswhen a patient doesnot have quick accessto a pharmacy. Shealso promised hergovernment wouldexplore otheropportunities withthe CNO, includingenabling nurses todeliver more services.This could meanallowing RNs toprescribe, andpermitting nurse
practitioners to prescribecontrolled substances.
RNAO reacted to the news withenthusiasm. In a statement, CEO DorisGrinspun said nurses were delightedwith the news because it“demonstrates the government’scommitment to increasing timely accessto quality care for the public, andrecognizes the central role Ontario’snurses play in our health system.”
Wynne also used her speech to talkabout the importance of trying newthings in health care. “We’ve beenstriving for innovation, and to enshrineyour best practices, creating a systemthat serves patients and rewards theprofessionals who care for our lovedones. I want to keep up this importantwork, and to do that, I’m going to needyour help,” Wynne said. “The expertisein this room, and the work of theRNAO, is so valuable to creating goodpublic policy and building a healthyand fair society. I’m excited about whatwe can continue to achieve as weempower your profession and worktogether for a healthier Ontario.”
In addition to Wynne’s address, HealthMinister Deb Matthews, and oppositionleaders Tim Hudak (PC) and AndreaHorwath (NDP), also addressedmembers during RNAO’s AGM.
This year’s annual meeting alsoprovided members with an opportunityto hear about the association’sachievements of the past year, tohonour selected nurses who wererecognized for their work in clinicalpractice, research, administration andeducation, and to take the time tonetwork with their peers.
Members of RNAO’s board of directors listen in during the business portion of the association’s AGM.
RNAO board membersMichele Bellows and Paul-Andre Gauthier(far left and second from left) socialize with fellow members at theassociation’s 2013 Annual General Meeting (AGM).
Ontario Premier Kathleen Wynne speaks to membersat RNAO’s AGM on April 12.
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Guideline Release:Assessment andManagement of FootUlcers for Peoplewith DiabetesBy Anastasia Harripaul, RN, BScN,MSc(A), IABPG Centre, RNAO
In 2003, the Council of the Federation(CoF) was created by Canada’s premiersand territorial leaders to fostercollaborative partnerships betweenprovincial and territorial governments onmatters of shared concern such as health.The Premiers’ health-care prioritiesinclude ensuring the health-care systemis more patient centered and sustainable.A report created by the Health CareInnovation Working Group “FromInnovation to Action” outlined threepriority areas for health care: clinical
practice guidelines, team-basedmodels, and health humanresource management. Withthe Canadian MedicalAssociation and the CanadianNurses Association, RNAObecame a leading memberof the clinical practiceguidelines workinggroup. In 2012, as partof the health-careinitiative, RNAO’s
clinical best practiceguideline, Assessment and
Management of Foot Ulcers forPeople with Diabetes was chosen fornational implementation to promoteevidence-based practice. The secondedition of this guideline was releasedon March 19, 2013. To celebrate theguideline’s debut, RNAO hosted anational webinar, which outlined theRNAO guideline development processand presented an overview of theguideline including the scope, evidence,and details of the practicerecommendations. Over 100 individualsregistered for the webinar launch,including international participants.RNAO has committed to continue tohost, in partnership with CoF, a webinarseries over the coming months thatfocuses on guideline development andmulti-level implementation strategiesand evaluation.
You can access these archivedpresentations on the RNAO website anddownload a copy of the guideline athttp://rnao.ca/diabeticfoot.
Dr. Doris Grinspun, RNAO’s CEO,shared an update regarding theCouncil of the Federation (CoF),focusing on the CoF’s selectionof RNAO’s guideline Assessmentand Management of Foot Ulcersfor People with Diabetes,Second Edition (RNAO, 2013),for national implementation,and the impact RNAO’s work hashad on this national initiative.(See Guideline Release article).
The Symposium featured aninternational plenary presentationvia webinar facilitated by Dr. TeresaMoreno Casbas, Esther Gonzálezand Laura Albornos, Centre forCoordination and Development ofNursing Research (Investén – isciii), atthe Institute of Health Carlos III. Theirsession was titled: The InternationalBPSO Experience: Using NQuIRE® toSupport Evidence-Based NursingInterventions & Their Outcomes.The Ontario participants engagedactively in discussion with their Spanishcolleagues, and had the opportunityto ask questions and share solutions.During the lunch hour, several nurseleaders from designated BPSOorganizations lead discussionscalled “Dining with the Designates”.The participants appreciated the
opportunity to share successfulstrategies and ideas with others duringthis informal networking time. Theafternoon included a series of small-group knowledge café sessionsthat enabled participants to discussa range of topics related toguideline implementation,dissemination andsustainability. In addition,concurrent workshops engagedthe participants and energizedthem for continued BPSO activitiesat their organizations. Throughoutthe day, the BPSOs shared thehighlights of their work throughstoryboards, providing opportunityfor networking among the BPSOs andfor shared learning and accounts oflessons-learned. “We’re extremelyproud of these BPSO organizations,because they are committed to nursingexcellence, which translates into
excellencein patientcare,” saysGrinspun,addingthis year’smeetinghas specialsignificancebecause it’sthe 10thanniversaryof the BPSOprogram.
BPSO Symposium –Celebrating ClinicalExcellenceContinued from page 1…
Celebrating successes with members of Hôpital Montfort’s BPSO team.
The Honourable Deb Matthews, Minister of Health and Long-Term Care, leading the “Breakfast with the Minister” session.
www.RNAO.ca/bestpractices p4
By Heather McConnell, RN, BScN,MA(Ed), Associate Director,IABPG Centre, RNAO
It has been an absolute privilege forthe RNAO to work with the many BPSOorganizations and their teams over thepast 10 years. Their commitment toevidence-based practice and the desireto enhance the clinical outcomes forclients, and the work environment fortheir staff, has been inspirational. Wehave learned a great deal from eachother over the years, and continue tolearn together, as we establish long-term partnerships, explore creative
RNAO Celebrates10 Great Years with BPSOs
strategies for successfully implementingnursing best practice guidelines at theorganizational and system level, andwork together to establish effectiveapproaches to evaluate theimplementation and sustainabilityof practice change.
The celebration of the 10th anniversaryof the BPSO initiative was held duringthe Opening Ceremonies of RNAO’s88th Annual General Meeting in April.The event included a video highlightingthe work of the BPSOs, nationally andinternationally, emphasizing thegrowth and reach of the program.
Four nurse leaders,representing eachof the four Ontariocohorts, shared withthe attendees theirreflections aboutwhat the BPSOjourney has meantto their organization,and the BPSOpartners they haveshared thisexperience with.
Nancy Lefebre,Senior Vice Presidentand Chief ClinicalExecutive with SaintElizabeth HealthCare representedour “pioneer” BPSOs,
our first cohort of nine innovativeorganizations that started their BPSOjourney in 2003, and were designatedin 2006. Winnie Doyle, Vice PresidentAcute Services and Chief NursingExecutive from St. Joseph’s HealthcareHamilton represented the nineorganizations in the second cohort ofBPSOs that started their work in 2006,were designed in 2009, and havecontinued to implement, evaluate,sustain and spread best practiceswithin their organizations and beyond.The nursing leader representing the14 organizations in the third cohort,the organizations that started theirBPSO journey in 2009, and who wecelebrated the designation of at RNAO’s87th Annual General Meeting last yearwas Carol Timmings, Director ChronicDisease and Injury Prevention andChief Nursing Officer of Toronto PublicHealth. Leanne Whitney, ExecutiveDirector of the North Bay NursePractitioner-Led Clinic, representedcohort four, the most recent additionto our BPSO network - 14 organizationswho joined the BPSO community inApril of 2012, and by demonstratingtheir commitment to capacity building,guideline implementation, evaluationand dissemination will be designatedat our AGM in 2015.
RNAO is proud to congratulate itsleading edge BPSOs and the thousandsof nurses and other health-careprofessionals who have led the wayover the past 10 years to enhanceevidence-based practice for thebenefit of Ontarians.
RNAO Accredited asICNP Research andDevelopment CentreBy Rita Wilson, RN, MN, MEd,IABPG Centre, RNAO
In March, RNAO was officiallyrecognized for its contribution to theinternational nursing community whenit was accredited as an InternationalClassification for Nursing Practice(ICNP®) Research and DevelopmentCentre. This distinction, awarded by theInternational Council of Nurses (ICN),
makes RNAO the 10th ICNP Researchand Development Centre in the world.
This distinction comes as a resultof RNAO’s ongoing contribution toICN’s eHealth Program through thedevelopment of ICNP codes tocomplement the evidence-basednursing order sets and outcomemeasures derived from its BPGs. Bycollaborating with ICN to describeRNAO’s BPG recommendations usingthis standardized language, anddisseminating these recommendationsas ICNP-encoded nursing order sets,researchers will be able to more
effectively study nurses’ impact onpatient outcomes regardless of thesetting or geographical location.
RNAO’s designation as an ICNP Researchand Development Centre highlightsCanada’s contribution to global healthalong with organizations in Australia,Austria, Brazil, Chile, Iran, Korea,Poland, Portugal and the United States.For more information about nursingorder sets or the RNAO Research andDevelopment Centre, please visit theRNAO website at www.rnao.ca orcontact [email protected].
Representatives from BPSO cohorts share their reflections at the AGM. (L-R) HeatherMcConnell (RNAO), Carol Timmings (TPH), Nancy Lefebre (SEHC), Leanne Whitney(North Bay NP-Led Clinic). Absent:Winnie Doyle (SJHC Hamilton).
www.RNAO.ca/bestpractices p5
of Nursing Practice (ICNP®), which is anumerical coding system that facilitatesthe standardization of the terminologyused to describe the care that nursesprovide regardless of the setting orgeographical location (see article onpage 4). For example, if Nurse Adocuments that he/she assessed apressure ulcer and Nurse B documentsthat he/she assessed a decubitus ulcer,both of these interventions will beassigned the same ICNP code. Using aconsistent language like ICNP will makeit easier for researchers to study theeffect of specific interventions onhealth outcomes and compare theresults across health-care sectors andgeographical locations.
For more information on nursingorder sets visit the RNAO website atwww.rnao.ca or contact Rita Wilsonat [email protected].
By Rita Wilson, RN, MN, MEd,IABPG Centre, RNAO
Since the inception of the Best PracticeGuidelines Program in 1999, RNAOhas been supporting nurses to provideevidence-based care through bestpractice guidelines. Originally,BPGs were designed to be used inenvironments with paper-based health-care records and clinical resources.Increasingly, however, health-careorganizations are using electronicclinical information systems to improvethe health care that is provided.This evolution has resulted in thedevelopment of RNAO’s nursing ordersets to support the implementation ofRNAO BPGs in electronic environments.
RNAO’s vendor-neutral nursing ordersets are guideline recommendationsthat have been converted into specificaction-oriented nursing interventions
North West LHIN Implementing RNAO’s Nursing Order Setsthat can be embedded within anelectronic clinical information systemor paper-based tool. Nursing order setshelp to standardize the care providedfor a specific patient/client condition,such as pressure ulcers or pain. They alsomake it easier for nurses to access thebest evidence to inform their practice,whenever and wherever needed.
The North West Local HealthIntegration Network (LHIN) is the firstorganization in Canada to purchaseRNAO’s nursing order sets. Through thisagreement, 12 hospitals in the NorthWest LHIN will soon be implementinga variety of nursing order sets. Fundingfor this initiative was provided by theSmall, Rural, and Northern HospitalsTransformation Fund, made availableby the Ontario Ministry of Healthand Long-Term Care.
RNAO’s nursing order sets are encodedwith the International Classification
By Heather McConnell, RN, BScN,MA(Ed), Associate Director,IABPG Centre, RNAO
Thunder Bay Regional Health SciencesCentre (TBRHSC) announced itsdesignation as an RNAO Best PracticeSpotlight Organization to staff,community partners and invited guestson May 8, 2013, during Nursing Week.The designation followed a four-yearpartnership with the Registered Nurses’Association of Ontario. Theassociation’s Chief Executive OfficerDr. Doris Grinspun was on hand inThunder Bay to celebrate with TBRHSCstaff, and congratulate them on theircommitment to implement, evaluateand sustain practice change byimplementing multiple best practiceguidelines. She described how theBest Practice Spotlight Organizationprogram has contributed to thecreation of evidence-based practicecultures provincially, nationally
Celebrating a BPSO Designation in Thunder Bayand internationally.
“It’s very important that we haveachieved this designation,” said CarolynFreitag, acting chief nursing executiveat the hospital in an interview with theThunder Bay Chronicle-Journal. “Itrepresents that we’re moving evidence-based practicefor nursingacross theorganization.The importanceof this is thatwe’re impactingpatientoutcomes.So when theycome into ourorganization,we’re current,we’redeliveringour practiceaccording to
research... and we provide efficientand effective care.”
Thunder Bay Regional Health SciencesCentre is one of 68 BPSOs world-wide,representing 310 sites across Canadaand around the world.
RNAO’s CEO Doris Grinspun (front row, right) celebrates the BPSO designationof TBRHSC with staff and special guests.
www.RNAO.ca/bestpractices p6
Smoking CessationImplementation Sitesare Leading the Way!By Sheila John, RN, BScN, MScN,IABPG Centre, RNAO
The goal of RNAO’s Smoking Cessation(SC) initiative is to reduce the numberof smokers across Ontario by equippingnurses and other health professionalswith the knowledge and skills tosupport clients on their quit journey.Health-care organizations that sign onas implementation sites agree to adoptthe best practice guideline IntegratingSmoking Cessation into Daily NursingPractice as part of their organization’snursing care delivery. The guideline armsnurses with key resources and tools toprovide evidence-based smokingcessation support and interventions.Eight organizations were recentlychosen as implementation sites aftergoing through a request for proposalprocess. The organizations include:Ingersoll Nurse Practitioner-Led Clinic,Simcoe Muskoka District Health Unit,Barrie and Community Family HealthTeam, Muskoka Algonquin Health Care,Windsor Essex County Health Unit,Chatham-Kent Community HealthCentre, Windsor Essex CommunityHealth Centre and Homewood HealthCentre. In addition to being able todraw on the support of smokingcessation coordinators, the sites alsohave additional resources such as,champion workshop training, monthlywebinars, and mentor site support.
To date, the SC initiative has reachedover 360 organizations includingcommunity health centres, nursepractitioner-led clinics, public healthunits and hospitals. A total of 167 nursesand other health professionals havebeen trained as Smoking CessationChampions since January 2013, bringingthe total number of Smoking CessationChampions to almost 2,600 across thecountry. RNAO continues to build aSC Champion network that empowersnurses and other health professionalsto share their knowledge and skills tointegrate SC best practices and createan evidence-based culture in Ontario.To learn more about how to becomeinvolved in this initiative, please contactPaige Hillier [email protected] or visitwww.tobaccofreernao.ca.
By Monique Lloyd, RN, PhD,Associate Director, and Josephine Mo,BA, IABPG Centre, RNAO
RNAO was delighted to attend theInternational Council of Nurses (ICN)international congress, May 18-23, inMelbourne, Australia. The theme of thisyear’s congress was Equity and Access toHealth Care. Rhonda Seidman-Carlson,RNAO President, Dr. Doris Grinspun,CEO, Dr. Irmajean Bajnok, Director ofIABPG Centre, and Dr. Monique Lloyd,Associate Director of IABPG Centre, ledthe RNAO delegation, which includedRNAO members from across Ontario.RNAO presented about its variousinitiatives including Primary Solutionsfor Primary Care, Nursing Order Sets,NQuIRE®, Executive Nursing Leadership,and diversity as a patient quality andsafety initiative.
RNAO also hosted an informationsession about Best Practice SpotlightOrganizations for conferenceattendees, members of Canadianand international BPSOs, and RNAOmembers, titled RNAO Strategies toAdvance Evidence-Based Nursing WorldWide. The session highlighted keyelements of the International Affairsand BPG Program, and provided anopportunity for attendees to learnmore about RNAO and the BPSOdesignation and join an expandingnetwork of best practice champions.
During theCongress,RNAO staff andCanadian nursesalso volunteeredin Dr. JudithShamian’sexciting andsuccessfulcampaign forICN presidency.Dr. Shamian is apast president ofthe RegisteredNurses’Association ofOntario, the
Going Above and Beyond Down Under: RNAOPromotes Evidence-Based Practice in Australia
Canadian Nurses Association (CNA) andPresident Emeritus of VON Canada.
Following the conference, Dr. Bajnokand Dr. Lloyd joined the AustralianNursing and Midwifery Federation(ANMF – SA Branch) and distinguishedguests, including the Hon. Minister JackSnelling, Minister for Health and AgingSouth Australia, to participate in aninvitation-only “Thought LeadersForum” to share the impacts of BPGimplementation on developing andsupporting evidence-based cultures,enriching professional practice andimproving patient outcomes. Withspecial thanks to Trish Currie, BPSOLead and Professional Officer, EvidenceBased Practice at ANMF, Dr. Bajnok andDr. Lloyd enjoyed an energizing andproductive exchange with colleagues.
Celebrating the election of Dr. Judith Shamian as ICN’s President!
Doris Grinspun (left) and Irmajean Bajnok(right) share the work of the IABPG Centrewith congress attendees.
www.RNAO.ca/bestpractices p7
By Sabrina Merali, RN, MN, andGlynis Gittens, BA, IABPG Centre, RNAO
Since 2008, with funding from theOntario Ministry of Health and Long-Term Care, RNAO has engaged nursesand other health-care professionals todevelop key resources in the area ofmental health and addictions. Some ofthe projects supported by this initiativeinclude the development of best practiceguidelines, champion workshops,learning institutes, and onlineeducational resources.
Engaging Nurses and Other Health Professionals in theMental Health and Addictions Initiative: An Environmental Scan
To support this initiative, RNAOrecently conducted a comprehensiveenvironmental scan to identify currentneeds of nurses working with clientswith mental health andaddiction issues. Themain objectives of theenvironmental scan wereto identify existingresources and knowledge gaps amongnurses, and to determine evidence-basedsupports that may be required. Themethodology of the environmental scan
included a literaturereview, focus groups,key informantinterviews andvalidation meetingswith stakeholders.
RNAO hosted threefocus groups withapproximately 28key stakeholdersrepresenting mentalhealth in youth andadults as well asnursing leadership. Sixadditional interviewswere also conducted
to augment the focus group results.To validate findings of the focus groups,two validation meetings were hostedin March 2013 with a total of 20 key
informants. The purposeof the validation meetingswas to achieve consensusregarding the datagathered through the
environmental scan, provide keyrecommendations and prioritizespecific actions.
Based on the results of theenvironmental scan, RNAO has initiatedthe development of a five year strategicplan for the Mental Health andAddictions initiative. Projects include thepublication of the Engaging Clients withSubstance Use Disorders best practiceguideline, identification of new topicareas for guideline development,revision of the existing e-learningprogram, implementation of championworkshops and identification of otherfuture resources and strategies tosupport nurses and other healthprofessionals working with clients withmental health and addiction issues.Workshop participants engaged in discussion during a Mental Health
and Addictions Champion Workshop.
Nursing Best PracticeResearch Centre:Advancing CareThrough KnowledgeBy Angela Joyce, BA, IABPG Centre, RNAO
The Nursing Best Practice Research Unit(NBPRU) is proud to announce that inthe fall of 2012 the Research Unit wasawarded Centre status at the University ofOttawa and is now known as the NursingBest Practice Research Centre (NBPRC).
The NBPRC is a collaboration betweenthe Registered Nurses’ Association ofOntario and the University of Ottawa.The NBPRC brings “state of the art”nursing knowledge that is based on thebest available evidence, and promotescollaboration and research exchangewith policy-makers and civil society
groups in Canada and internationally.The NBPRC strives to have a positiveimpact on practice and outcomes for thepatient/client, health-care providers,organization, and system, and activelypromotes the generation and uptake ofthe best available evidence to health-care professionals, policy-makers, and students inall roles and sectors.
“With six years of nursingresearch excellence thathas resulted in newpolicies and procedures, documentationtools and materials to educate nursesand patients, the unit certainly earnedits promotion to a fully fledged researchcentre,” says Dr. Barbara Davies,co-director of the new centre and fullprofessor at the School of Nursing. Theresearch centre will play an importantrole in documenting the impact of theimplementation of RNAO’s evidence-
based guidelines on improvingpatient outcomes.
The NBPRC held a networking openhouse in March 2013, in conjunction withthe Best Practice Spotlight OrganizationKnowledge Exchange Symposium.
During this networkingevent, hosted by Dr.Irmajean Bajnok whoco-directs the NBPRC withDavies, individual andorganizational membersof the Centre shared the
research and evaluation work they arecurrently engaged in, or planning to doin the future. There were a number ofcommon areas of interest identified, andopportunities for future collaborationexplored. For more information aboutthe activities of the NBPRC, and to findout how to become a member, pleasevisit the Centre’s website atwww.nbprc.ca.
IABPG Newsletter Editors:Andrea Stubbs & Heather McConnell
Please send comments/inquiries toHeather McConnell, Associate Director,IABPG Centre by email [email protected],by fax 416-599-1926, or by mail to158 Pearl Street, Toronto, ON M5H 1L3.
Made possible through funding by theGovernment of Ontario.
Printed on recycled paper.
www.RNAO.ca/bestpractices p8
Announcements
SummerBPG SpecialsFor a limited time only, the IABPGCentre is offering 50% off theregular price of selectclinical andhealthy workenvironment(HWE) guidelines.
Clinical:• Promoting Safety:AlternativeApproaches to theUse of Restraints
• Promoting AsthmaControl in Children
• Crisis Intervention• Nursing Care of Dyspnea:The 6th Vital Sign inIndividuals with COPD
• Woman Abuse: Screening,Identification andInitial Response
• Prevention of Fallsand Fall Injuries inthe Older Adult
• Risk Assessmentand Preventionof Pressure Ulcers
• Care & Maintenanceto Reduce VascularAccess Complications
• Establishing TherapeuticRelationships
• Strategies to Support SelfManagement in Chronic Conditions:Collaboration with Clients
Healthy Work Environment (HWE):• Managing and MitigatingConflict in Health-care Teams
• Preventing & Managing Violencein the Workplace• Workplace Health, Safetyand Well-Being of the Nurse
To purchase RNAO Best PracticeGuidelines, or for furtherdetails, please visit ourwebsite atwww.RNAO.ca/bpg orcall/email the sales office416-907-7965,[email protected].
Sale ends September 30,2013, so order your
copies today!
Standard shipping rates& HST apply. Please
note that all salesare final.
Kyle Dieleman is a graduate of theBachelor of Arts (Political Science)program at the University of Toronto.Kyle worked within the RNAO as thenursing education initiative projectcoordinator before joining the IABPGCentre as a program coordinator.Kyle is eagerly looking forward toworking with the IABPG team.
Welcome to the Team!Anastasia Harripaul joined RNAO asa nursing research associate in January2013. Her nursing background is incomplex continuing care and sherecently completed a Masters inApplied Science specializing in NursingServices Administration at McGillUniversity. She is excited to applyand expand her research knowledgeat RNAO.
Upcoming Events• Primary Care Nurse InstituteJuly 7-12, 2013Courtyard MarriottToronto, ON
• Project Management forBeginners WorkshopJuly 15, 2013Don Valley Hotel and SuitesToronto, ON
• Healthy Work EnvironmentsInstituteAugust 18-23, 2013Hilton Hotel and SuitesNiagara Falls, ON
• Designing and Delivering EffectiveEducation ProgramsOctober 21-25, 2013Location, TBA
• Chronic Disease ManagementInstituteNovember 10-14, 2013Hilton Hotel and SuitesNiagara Falls, ON
Get in touch with us by email ifyou need any more informationabout any of these events [email protected].
