Collaboration to change the landscape of nursing: A journey between urban and remote practice settings

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Health Force Ontario
University Health Network
James Bay General Hospital
Weeneebayko Health Ahtuskaywin

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Collaboration to change the landscape of nursing: A journey between urban and remote practice settings

  1. 1. Collaboration to change the landscape of nursing: A journey between urban and remote practice settings Dr. Mary Ferguson-Pare Pat Chilton Dr. Claire Mallette Susan McLeod Kelly Reuben Baiba Zarins National Aboriginal Health Organization November 25th, 2009
  2. 2. Beginning and Overview
  3. 3. Weeneebayko Health Ahtuskaywin (WHA) University Health Network (UHN)
  4. 4. Building Interest and Capacity Ontario MoH&LTC Health Human Resources demonstration project Retention & Recruitment: create best practice environment Knowledge Networking: professional development Unit Resource Analysis Tool: test in external setting E-learning: develop 5 remote applicable education modules and expand existing audience
  5. 5. Implementation -Marketing Methodology-key goals Career Mobility Knowledge Networking Personal Growth
  6. 6. Implementation-Recruitment Pre-Departure Resume Leave of absence from home unit ONA Letter of Agreement Logistics of placement Travel and Accommodation Financials Skill competency Support systems Return to urban practice setting
  7. 7. Outcomes Evaluation Quantitative Data Retention & Recruitment indicators Nurse Resource Analysis Tool data e-learning (LMS) utilization Qualitative Data Journal excerpts Debrief sessions
  8. 8. e-learning Home page screen: Urinalysis module
  9. 9. Nurses For Tomorrow http://www.nursesfortomorrow.ca
  10. 10. Implementation Process The Unit Staffing Analysis tool (as an individualized questionnaire) is made available to every Nurse Manager at the end of each quarter; data gathered includes: Actual vacancies at that point in time Predicted vacancies for the upcoming fiscal quarter Key staff characteristics (including number of nurses new to that clinical area) Clinical supports available (e.g., Clinical Educators, APNs, etc.) Key unit characteristics (including number of funded and unfunded beds, number of specialty beds, etc.)
  11. 11. 1200 Evaluation-Quantitative (WHA) UHN Nursing Placements and WHA Agency Utilization 12 1000 UHN Starting Placements 10 WHA Agency Hours 800 8 WHA Agency Hours UHN Placements 600 6 400 4 200 2 0 0 Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- Jul- Aug- Sep- 07 07 07 07 08 08 08 08 08 08 08 08 08 08 08 08 09 09 09 09 09 09 09 09 09 Date
  12. 12. Outcomes Evaluation-Qualitative 43 participants (UHN) 21 debrief e-mail surveys (51% return rate) In-person, telephone and e-mail for all participants Themes of 8 open ended questions: Orientation Skills acquisition/certification Placement Highlights Placement Challenges Repeat or extended placement
  13. 13. Journaling the Experience
  14. 14. Outcomes Evaluation-Qualitative (WHA) 8 urban placement experiences Overall themes: Environment Skill acquisition/certification Placement Highlights Placement Challenges Marketing of program MFP interview with Brian Linklater
  15. 15. Sustainability Planning Fostering the spirit of inquiry Philosophy of lifelong learning Appreciation of global nursing practice
  16. 16. Future Expansions UHN Allied Health department Clinical Nutrition External adjunct collaborations: Centre for Addictions and Mental Health (CAMH) University of Toronto: First Nations Program Research Doctorate First Nations Oncology Program
  17. 17. Acknowledgements… Ministry of Health and Long Term Care Health Force Ontario James Bay Hospitals Weeneebayko Health Ahtuskaywin UHN Corporate Nursing Department Mount Sinai Hospital
  18. 18. In Jennifer’s words… I really do miss the staff of James Bay. I miss the many Cree people I met personally and professionally. I have tremendous respect for their culture. Back at work I am continually asked: “Would you do it again?” without hesitation I reply “Absolutely!” Open Mind and Open Heart.

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