Advanced Practice Nursing

Canadian Nurse Practitioner Core Competency Framework

The respective executive directors of the registered nursing regulatory bodies in Canada requested the Canadian Nurses Association and Canada’s Testing Company, Assessment Strategies Inc., to facilitate the update and revision of the core entry-level competencies for nurse practitioner practice in Canada. Through a series of teleconferences, electronic communications, subgroup work and one face-to-face meeting, the Canadian Nurse Practitioner Core Competency Framework (2010) was completed.

Canadian Stroke Network: Stroke Nursing Training Modules

Nursing care across the stroke continuum is based upon awareness and understanding of the complexities of cerebrovascular disease, understanding of current best practices and translation to the practice setting. Major contributions to stroke nursing knowledge and practice therefore, arise from interdisciplinary research. In 2008, the Canadian Stroke Strategy released the Canadian Best Practice Recommendations for Stroke Care, which provided a comprehensive set of evidenced-based recommendations and guidelines. The focus of these workshop modules is to facilitate nurses’ acquisition of knowledge related to evidence informed practice and to prepare nurses to assume a leadership role in the management of interdisciplinary patient care.

APN Data Collection Toolkit

This site is a compendium of tools used in APN related research.Along with the name and reference of the tool, we've listed:• Psychometric properties•Other APN studies that have used the tool •Author contact information•Where available, a PDF of the toolYou can browse the tools using the Main Menu on the left, or click here.When using instruments in your work, please acknowledge the authors by citing their original work and contact them for permission to use or modify where indicated. Please note: The development of the toolkit remains in progress. More instruments will be added as summaries are completed.

Cost of Care Provided by Advanced Practice Registered Nurses

In a review of studies comparing the cost of primary care when delivered by NPs and physician assistants (PAs) to care provided by MDs, researchers found that, in studies where NPs and PAs assumed care roles previously occupied by MDs, “substitution of visits to physicians by visits to NPs and PAs achieved savings in the first year of implementation” (Naylor and Kurtzman 2010).

A study of 26 capitated care practices of a group model managed care organization found that total labor costs were lowest in practices where NPs and PAs were used to a greater extent (Roblin et al., 2005).

Evidence brief on quality of care provided by advanced practice registered nurses

Nurse Practitioners (NPs)

In a review of studies comparing the primary care provided by NPs to primary care provided by physicians (MDs), researchers found that patients of both groups had comparable health outcomes. NPs were found to out perform MDs in measures of consultation time, patient follow-up, and patient satisfaction (Naylor and Kurtzman 2010).

Two recent international systematic reviews report no differences between patients treated by NPs and MDs in terms of health outcomes, type of care provided, or resources used. They also found patients seeing NPs were more satisfied and had longer consultations (Horrocks et al., 2002; Laurant et al., 2008).

Designing Innovative Cancer Services and Advanced Practice Nursing Roles: Toolkit

This toolkit was developed and evaluated within a collaborative research study involving Cancer Care Ontario, McMaster University, Laurentian University and regional cancer centres in Sudbury and Hamilton.

The toolkit uses the PEPPA Framework, a participatory, evidence-informed patient-focused process for promoting the effective introduction and evaluation of advanced practice nursing (APN) roles.

Clinical Nurse Specialists and Nurse Practitioners In Canada: A decision support synthesis

Increasingly, there is a growing demand for advanced practice nursing (APN) in Canada and around the world. As clinical experts, leaders and change agents, APNs are recognized as an important human resource strategy for improving access to high-quality, cost-effective and sustainable models of healthcare.

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