Implementing and sustaining evidence-based practices in long-term care.

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    Gain knowledge in leadership practices that result in healthy outcomes for nurses, patients/clients, organizations and systems. This guideline addresses:

    • System resources that support effective leadership practices and behaviours for formal leaders and nurses at the point of care
    • Organizational culture, values and resources that support effective leadership practices and behaviours at all levels
    • Personal resources that support effective leadership practices across the continuum of care
    • Anticipated outcomes of effective nursing leadership

    2nd Edition, 2013

    This guideline provides evidence-based recommendations for RNs and RPNs on best nursing practices for developing and sustaining nursing leadership.

    Registered Nurses’ Association of Ontario. (2013). RNAO Developing and sustaining nursing leadership best practice guideline (2nd Ed.). Toronto, ON, Canada: Author. Retrieved from: https://rnao.ca/sites/rnao-ca/files/LeadershipBPG_Booklet_Web_1.pdf

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    The goal of this best practice guideline is to strengthen collaborative practice among nurses, because effective collaborative practice is essential for working in health-care organizations.

    In this guideline, we focus on collaborative practice amongst three types of nursing professionals – registered nurse (RN), registered practical nurse (RPN) and nurse practitioner (NP) – and explore what fosters healthy work environments for them, aware that collaboration must align with the needs of the patient or client.

    This best practice guideline was developed to assist nurses, nursing leaders, other health professionals and senior managers to enhance positive outcomes for patients/clients (individual/family/group/community), nurses, and the organization through intra-professional collaborative practice. This guideline was based on the best available evidence and where evidence was limited, the best practice recommendations were based on the consensus of expert opinion.

    This guideline identifies:

    • best practices for intra-professional practice; and
    • the organizational culture, values and relationships, and the structures and processes required, for developing and sustaining effective intra-professional nursing practice among nurses.

    Reference: Registered Nurses’ Association of Ontario (2016). Intra-professional Collaborative Practice among Nurses. Toronto, ON, Canada: http://rnao.ca/bpg/guidelines/intra-professional-collaborative-practice-among-nurses

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    This Best Practice Guideline focuses on nursing teams and processes that foster healthy work environments. The focus for the development of this guideline was managing conflict among nursing and healthcare teams with the view that while some conflict is preventable, healthy conflict can also be beneficial.

    For the purpose of this document, conflict is defined as: a phenomenon occurring between interdependent parties as they experience negative emotional reactions to perceived disagreements and interference with the attainment of their goals (Barki & Hartwick, 2004).

    Registered Nurses’ Association of Ontario. (2012). Managing and Mitigating Conflict in Health-care Teams. Toronto, ON: http://rnao.ca/bpg/guidelines/managing-conflict-healthcare-teams

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    Violence against health workers is already endemic and growing rapidly. To stem and reverse that risk, the Registered Nurses’ Association of Ontario (RNAO) has issued an updated edition of its Workplace Violence, Harassment and Bullying Against Health Workers best practice guideline (BPG).

    The BPG provides 15 evidence-based recommendations for health service organizations and academic institutions so they can recognize, prevent and manage violence, harassment and bullying in the workplace, changes that will enable nurses and other health professionals to focus even more care on patients. Recommendations focus on: (1) risk assessment tools and strategies; (2) organizational policies, procedures, and responsibilities; and (3) educational approaches and strategies.

    The second edition of this guideline builds upon the most recent and relevant evidence to improve earlier guidelines issued in 2008 and 20

    Registered Nurses’ Association of Ontario. (2019). Preventing violence, harassment and bullying against health workers. Toronto, ON: Author. Retrieved from https://rnao.ca/sites/rnao-ca/files/bpg/VPW_FINAL_WEB_July_2.pdf

    This work is funded by the Ontario Ministry of Health and Long-Term Care

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    Professionalism in nursing is an essential ingredient in achieving a healthy work environment and is enabled by the context of practice.

    Overall Goals of the BPG:

    1. To identify the concept of professionalism as a guiding tenet that enhances outcomes for nurses, patients, organizations and systems.
    2. To define the attributes of professionalism.
    3. To identify and discuss the evidence related to each attribute of professionalism.
    4. To provide strategies for success.

    The key areas addressed by this guideline are:

    • Identification of a set of attributes that signify professionalism of the nurse
    • Evidence from the Joanna Briggs Institute systematic review and other literature
    • Knowledge, competencies and behaviors of effective nurses who exhibit professional practices in their workplace
    • Organizational structures, key elements and processes that support development of effective nursing professional practices
    Registered Nurses’ Association of Ontario. (2007). Professionalism in nursing.  Toronto, ON, Canada: Author. Retrieved from https://rnao.ca/sites/rnao-ca/files/Professionalism_in_Nursing.pdf

     

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    Nursing Leadership Gap Analysis

    Organizational assessment tool to assist with implementation and evaluation of the RNAO Developing and Sustaining Nursing Leadership Best Practice Guideline, Second Edition by comparing current practice to evidence-based practice.  Source: Registered Nurses' Association of Ontario's Long-Term Care Best Practices Program, Toronto, ON.  September 2013.

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    Intraprofessional Gap Analysis

    Organizational assessment tool to assist with implementation and evaluation of the RNAO Intra-professional Collaborative Practice among Nurses BPG by comparing current practice to evidence-based practice. Source: Registered Nurses' Association of Ontario's Long-Term Care Best Practices Program, Toronto, ON.

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    This RNAO developed tool helps determine where your organization is in relation to the implementation of the best practice guideline recommendations for Managing and Mitigating Conflict in Health-Care Teams. This is an organizational assessment tool comparing current practice to evidence-based practice.

    Developed by the RNAO Long-Term Care Best Practices Initiative, September 2013. Registered Nurses’ Association of Ontario. (2012). Managing and Mitigating Conflict in Health-care Teams. Toronto, Canada. Registered Nurses’ Association of Ontario.

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    An online “Mind Tools” article outlining 10 common communication mistakes

    Reference: Mind Tools.(ND)10 Common Communication Mistakes Avoiding Communication Blunders and Misunderstandings Retrieved from website: https://www.mindtools.com/pages/article/common-communication-mistakes.htm

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    This article describes ten common leadership mistakes and ways to avoid these pitfalls.

    © Mind Tools Ltd, 1996-2014. All rights reserved.

    MindTools.com. (n.d.). 10 Common Leadership & Management Mistakes: Avoiding Universal Pitfalls [Online]. London, United Kingdom: Author. Retrieved from http://www.mindtools.com/pages/article/leadership-mistakes.htm [Accessed: June 6, 2014].

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