Best practices in the care of elderly persons in hospital.
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Biomedical subjects
Publications and source records attributed to M Ferguson-Paré.
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Preparing nurse managers for the present and nurse leaders for the future in the Canadian health care system is discussed from the perspective of service and education. The Canadian health care system is undergoing change, as the need to reduce and control costs comes in conflict with strongly held principles of the Canada Health Act. Nurse leaders will require knowledge and skill in transformative leadership to enable nurses to focus on the core of professional practice as clinical settings shift to self-directed, transdisciplinary teams. Nurse leaders also will need skills in building alliances within an increasingly consumer-controlled health care system, and competencies in work redesign and system design and redesign to enable nursing to smooth the "seams" in a high-functioning, but not necessarily well-integrated health care system. Judgment and clarity of vision are needed to embrace conflict when necessary and to prevent the initiation of practices and structures that run counter to the values embedded in the Canada Health Act, and nursing itself.
The purpose of this study was to evaluate the changes in nursing practice and the patient/family perspectives of nursing care when Parse's theory of human becoming was used as a guide for nursing practice in an acute care surgical setting. The patterns of transition in nursing practice were: understanding the unique contribution of nursing from a theoretical perspective; living value priorities to enhance quality of care for patients and families; shifting the focus of care from problems to the nurse-person relationship; finding meaning in nursing through reflection on self and others; supporting colleagues to move towards patient centred care; persisting with new ways while facing resistance to change; and enhancing personal and professional growth. It is evident from the positive patterns of change in nursing practice and patient and family experiences of nursing care that Parse's theory of human becoming is congruent with and supports patient centred nursing practice.
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A project was initiated by the Vice-President, Nursing at The Queen Elizabeth Hospital, Toronto, to clarify the role of the Nurse Manager. The strategy undertaken involved the Staff Development department, and an outside consulting firm, Richard Kemerer and Associates Ltd. The facilitated process resulted in alignment of job expectations, management development strategy, and performance accountability. The model used behavioral statements of what should be done based on a vision of the role at least two to three years ahead of the present time. Each nurse manager accountability was elaborated by a small group of nurse managers considered most competent in that area of practice. Ultimately all management team members reviewed the Job Profile for validation. The result of the process has been better performance plus higher morale and a paradigm shift for the nursing division at The Queen Elizabeth Hospital, Toronto, Ontario.
Autonomous professional practice continues to be elusive for registered nurses. Autonomous professional practice implies that nurses would be free to determine the procedures for carrying out their nursing work. In other works, they would be able to make independent decisions about their own nursing practice. This article reports research that describes the nature of nursing leadership that supports autonomous professional practice of registered nurses.