Intra-Professional Collaborative Practice among Nurses

A tool to assist with comparing your organization’s current practice with evidence-based RNAO best practice recommendations.

Registered Nurses Association of Ontario (2016) Gap Analysis-Intra-professional Collaborative Practice Among Nurses. Toronto. ON

The website of the College of Nurses of Ontario provides Information about the requirements and process of becoming a Registered Nurse, Registered Practical Nurse and Nurse Practitioner practising within Ontario for Ontario applicants, Canadian Applicants, International applicants and for nurses to enter CNO's Extended Class.

Reference: College of Nurses of Ontario (nd). Become a Nurse. Retrieved from http://cno.org/en/become-a-nurse/

CNA is the national professional voice of registered nurses in Canada. Representing nearly 139,000 registered nurses, CNA’s members include:

• Provincial and territorial nursing associations and colleges
• Independent RNs from Ontario and Quebec
• Retired nurses
• Canadian Nursing Students’ Association
• Canadian Network of Nursing Specialties

See more at: https://www.cna-aiic.ca/en/about-cna#sthash.H3OkfPpZ.dpuf  

Reference: Canadian Nurses Association Website: https://www.cna-aiic.ca/en/about-cna

There are nurse mentors throughout Canada who support and assist aspiring nurses through the Canadian Nurses Association (CNA) Certification Mentorship Program. Nurse mentors have current CNA certification and at least three years of experience in a nursing specialty. The toolkit offers guidance for the process.

This document is a statement of the ethical values of registered nurses and nurse practitioners. The new edition contains new and updated content that reflects the contemporary practice needs of nurses such as MAID, advanced care planning and primary care to mention a few. It is designed to inform everyone about the ethical values, subsequent responsibilities and endeavours of nurses. Included is updated nursing models and advocating healthy work environments. It is also a regulatory tool.

Copyright ©, Canadian Nurses Association, 50 Driveway, Ottawa, Ontario, K2P 1E2 CANADA, 2018 all rights reserved - See more at: https://cna-aiic.ca/en/terms-and-conditions-of-use#sthash.fcbIaPZC.dpuf

College of Nurses of Ontario- Code of Conduct for Nurses is a guide to support nurses with the professional practice standards by providing detailed guidance nurses require for safe and ethical care. The website includes information, the guiding document and related video. 

Reference: College of Nurses of Ontario. Code of Conduct for Nurses. Page last reviewed June 28, 2023

Retrieved from: https://www.cno.org/en/protect-public/code-of-conduct-for-nurses/

This paper is designed to serve as a best practices resource to healthcare leaders who are considering integration of conflict engagement training and professional development in their organizations. The focus is on common language training, cognitive maps for making sense of conflict, skill building, and follow up coaching.

Reference: Emerging Health Care Communities (EHCCO). (2010). Conflict Engagement Training for Health Professionals: Recommendations for Creating Conflict Competent Organizations. A White Paper for Healthcare and Dispute Resolution Professionals. http://www.ihi.org/resources/Pages/Tools/ConflictEngagementTrainingforHealthProfessionals.aspx

The article emphasises the importance of ensuring student nurses are provided with optimum learning environments. Strategies such as having prepared mentors to assist with the learning journey are identified as being a key strategy to overcome negative barriers.

Reference: Emanuel V, Pryce-Miller M (2013) Creating supportive environments for students. Nursing Times; 109: 37, 18-20. Retrieved from https://www.researchgate.net/publication/257761262_Creating_supportive_environments_for_students

The resource covers being a good listener, nonverbal signal, keep stress in check and assert yourself

Reference: Retrieved from HelpGuide.org http://www.helpguide.org/articles/relationships/effective-communication.htm

This table provides sample structure, process and outcome indicators which may be useful for organizations to measure their quality progress and change.

Reference: Registered Nurses’ Association of Ontario (RNAO) (2016). Intra-professional Collaborative Practice among Nurses, Second Edition, pages 50 - 53. Toronto, Ontario: Registered Nurses’ Association of Ontario. http://rnao.ca/bpg/guidelines/intra-professional-collaborative-practice-among-nurses

Health Force Ontario is the province’s strategy to ensure that Ontarians have access to the right number and mix of qualified health care providers, now and in the future. Included on the site is information about the Nursing Graduate Guarantee Initiative.

Reference: Health Force Ontario Website: http://www.healthforceontario.ca/en/Home

The brief and general introduction examines what communities of practice are and identifies 3 crucial characteristics. Many other examples of CoPs are also available

Reference: Wenger-Trayner, E., & Wenger-Trayner B.(2015). Introduction to communities of practice. A brief overview of the concept and its uses. Retrieved from http://wenger-trayner.com/introduction-to-communities-of-practice/

The Nursing Act establishes the mandate of the College of Nurses of Ontario and defines a scope of practice for the nursing profession

Reference: (Use Referencing Guide available at http://ltcprojects.rnao.ca/ltcbpi_general/node/633) College of Nurses of Ontario. (2014). Retrieved from http://www.cno.org/globalassets/docs/prac/41064_fsnursingact.pdf

Cette ligne directrice sur les pratiques exemplaires en soins infirmières et infirmiers est un document détaillé comportant les ressources nécessaires au soutien de la pratique basée sur des données probantes. Un milieu de travail sain, c’est un milieu de pratique qui maximise la santé et le bien-être des infirmières, des résultats de qualité chez le patient ou client, le rendement de l’organisation et du système, et les retombées sociales, y compris des collectivités en meilleure santé.

 Ce travail est financé par le Ministère de la Santé et Ministère des Soins de longue durée d'Ontario

This website is a National Nursing Assessment Service which coordinates a consistent national approach for internationally educated nurses (IENs). It contains information, educational materials and a video on the process to guide nursing students and nurses who are internationally educated to become and practise as a nurse in Ontario or other Canadian jurisdictions using the online service.

Reference: National Nursing Assessment Service (NNAS). Retrieved from http://www.nnas.ca/faq/

This 3-minute video by Renee Thompson, discusses bullying and incivility. Emphasizes that workplace culture is everyone's responsibility. 

https://healthyworkforceinstitute.com/coffee-and-conversation-videos/?playlist=e92c9c8&video=0214b60

Nurse Practitioners' Association of Ontario represents nurse practitioners in all levels of health care: primary, secondary and tertiary care. Reference: Nurse Practitioners' Association of Ontario Website: https://npao.org/

A position paper issued by the Canadian Nurses' Association outlines their position, values and beliefs on the obligation and concepts a regulated nurse must meet to achieve an intra-professional practice.

Source: https://www.cna-aiic.ca/en

Cette ligne directrice sur les pratiques exemplaires en soins infirmiers est axée sur la prévention et résolution des mauvais traitements et de la négligence envers les aînés dans divers établissements de santé et services communautaires à travers le Canada. Ces auditoires comprennent les infirmières, les gestionnaires, les éducateurs, les équipes d'amélioration de la qualité, les administrateurs, les décideurs, les organismes de réglementation des soins infirmiers et les organismes gouvernementaux. Financé par le programme Nouveaux Horizons pour les aînés du gouvernement du Canada.

Association des infirmières et infirmiers autorisés de l’Ontario. (2014). Prévention et résolution des mauvais traitements et de la négligence envers les aînés: approches axées sur la personne, coopératives et à l'échelle du système Toronto, ON, Canada: Auteur. Récupérée de http://rnao.ca/sites/rnao-ca/files/Preventing_Abuse_and_Neglect_of_Older_Adults_Final_French_0.pdf

The Registered Practical Nurses Association of Ontario (weRPN) has represented Registered Practical Nurses in Ontario for over half a century. Their vision is excellent care for all and their work is focused on optimizing the professional practice of RPNs to improve the health of the people of Ontario.

Reference: Registered Practical Nurses Association of Ontario (weRPN) website -Retrieved August 29,2016 from https://www.werpn.com/

This Best Practice Guideline focuses on evidence-based recommendations for RNs and RPNs on best nursing practices for developing and sustaining nursing leadership. 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; and personal resources that support effective leadership practices across the continuum of care.

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

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

This quick reference guide was created to support the uptake of the RNAO Best Practice Guideline Practice Education in Nursing. The full Guideline is available for free download from the RNAO website and this toolkit. This quick reference guide is targeted for nurses who are educators, preceptors, or mentors for undergraduate nursing students as a quick and easy way to review the Guideline recommendations. It will also be useful for educational institutions and service agencies implementing the Guideline. We encourage users of this quick reference guide to refer to the full Guideline for more complete and detailed information related to providing quality practice education for nursing students.

Reference: Registered Nurses’ Association of Ontario (RNAO). (2016). Practice Education in Nursing. Toronto, ON: Registered Nurses’ Association of Ontario. http://rnao.ca/sites/rnao-ca/files/SHWE_Quick_Reference_Guide_-_WEB_0.pdf

This Web page provides a training kit to learn and teach TeamSTEPPS 2.0 for Long-Term Care. The Long-Term Care Instructor Manual is designed to
help develop and deploy a customized plan to train staff in teamwork skills, and lead a medical teamwork improvement initiative in a nursing home from initial concept development through sustainment of positive changes. Materials include; comprehensive presentations and instructional guides, including short case studies and videos illustrating teamwork opportunities and successes.