registered nurse canada

- Collaborative Nursing Practice -
All Types of Nursing Professionals Working Together

Collaborative nursing practice occurs when the different types of nursing professionals work together within their defined nursing scope of practice to deliver care based on the client's needs.

More than just cooperation and teamwork, true collaborative practice requires both individual and systemic support in order to make it work.

"Everyone involved in establishing collaborative practice must be knowledgeable about the needs of the clients, the practice environment, the way care is provided, and the roles and responsibilities of the various nursing practitioners."

Nursing in Collaborative Environments 2000 by Registered Psychiatric Nurses Association of Saskatchewan, the Saskatchewan Association of Licensed Practical Nurses and the Saskatchewan Registered Nurses Association,accessed Nov 2009

Individual Support for Collaboration

Individual support for collaboration is provided by the professional nurses involved in the collaborative practice.

  1. All types of nursing professionals must accept and commit to the common goal of working in the public interest to provide safe quality care to clients and families.

  2. RN's,LPN's, RPN's, and NP's must familiarize themselves with the nursing scope of practice for their collaborative partners.

  3. All nursing professionals must seek help when client needs exceed their own level of nursing competence or the care required is outside of the defined nursing scope of practice.

Systemic Support for Collaboration within the Nursing Profession

  1. Employers should involve all nursing professionals in the process of deciding on a collaborative nursing practice model.

  2. Employers must be familiar with the shared competency sets and overlapping roles and responsibilities of each of the different types of nursing and provide the appropriate processes and guidance for client assignments based on a match between the nursing scope of practice for each professional and the complexity of client needs.

  3. Provincial regulatory nursing organizations for each of the different types of nursing must collaborate at the regulatory level to provide guidance to their members for collaborative practice.

All types of nursing have a defined set of nursing competencies that are used to define entry level practice. These competencies are used as the basis for the licensing exam.

Entry level competencies for registered nursing practice that are tested on the Canadian Registered Nurse Exam

PP-9 practises within the scope of practice of the registered nurse.

PP-10 articulates the registered nurse scope of practice to others (eg. the client, health-care team members, the public, community leaders, politicians).

PP-22 is accountable when assigning nursing activities to other health care providers consistent with the competence, expertise, education, role description/agency policy, legislation, and the client's needs. (eg assessment, planning, implementation and evaluation of workload assignment.)

PP-25 collaborates and builds partnerships with nursing colleagues and other members of the health care team to provide health services.

PP-26 understands the roles and contributions of other health-care team members(eg. scope of practice, role description, consultation).

Collaboration refers to sharing of the various tasks and roles that are needed to provide care based on client needs.

This includes planning, making decisions, solving problems, setting goals, assuming responsibility, working together cooperatively, communicating, and coordinating.

Nursing practice in Canada also requires collaboration with other members of the health care team such as doctors, pharmacists, respiratory therapists, physical therapists, dieticians and many others.

Nursing standards of practice in all provinces require nurses to collaborate with other professionals.



Current Nursing Shortage

Some provincial health authorities have decreased the number of nursing positions because of funding shortfalls. These are some of the political nuances of nursing in Canada.

The various career sections on health authority websites still show a wide variety of positions, but many of them are not entry level.

This is most likely a temporary situation and all predictions still forcast a nursing shortage for the future.

I will be monitoring this situation over the longer term.

A Canadian visitor says:

Bev:

I have read the pages on your site, and just thought you should know, that so far your website has been the most valuable information tool I have found. It is really hard to find the right information. I have just enrolled in a diploma program, RPN, and then I would like to follow through and get my degree.

Thank you again for your time, and for the great site, I am certainly going to pass it along.

Stephanie


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Copyright© 2009
This website is a private commercial enterprise and is owned and operated by Beverly Hansen OMalley.

It is not in any way affiliated with, endorsed by, or supported by the government of Canada or any nursing regulatory organization in Canada.

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