A sabbatical journey of discovery: patient safety.
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Biomedical subjects
Publications and source records attributed to Mary Ferguson-Paré.
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The leadership team at University Health Network describes why it decided to pursue a new information technology initiative to substantially reduce human and system errors and omissions associated with medication management.
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The purpose of this study was to describe the experience of persevering through a difficult time for patients, family members of patients, nurses, and allied health professionals during the severe acute respiratory syndrome outbreak. van Kaam's phenomenological research method, with the human becoming theory as the theoretical perspective, was used to gather and analyse data from 63 participants who agreed to describe a situation that illuminated their experience of persevering through a difficult time (either online or using a voicemail system). Data gathering occurred in early April 2003 in the midst of the severe acute respiratory syndrome outbreak in Toronto, Canada. The finding was the structural definition, persevering through a difficult time is dispiriting trepidation arising with witnessing suffering. It is a smothering connectedness with sequestering protection as unsettling contentment emerges amid unburdening hope. It sheds light on what is important for preparing for possible future outbreaks of this and other infectious diseases.
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Currently, the Academy of Canadian Executive Nurses (ACEN) is working with the Association of Canadian Academic Healthcare Organizations (ACAHO) to develop a joint position paper on patient safety cultures and leadership within Academic Health Science Centres (AHSCs). Pressures to improve patient safety within our healthcare system are gaining momentum daily. Because AHSCs in Canada are the key organizations that are positioned regionally and nationally, where service delivery is the platform for the education of future healthcare providers, and where the development of new knowledge and innovation through research occurs, leadership for patient safety logically must emanate from them. As a primer, ACEN provides an overview of current patient safety initiatives in AHSCs to date. In addition, the following six key areas for action are identified to ensure that AHSCs continue to be leaders in delivering quality, safe healthcare in Canada. These include: (1) strategic orientation to safety culture and quality improvement, (2) open and transparent disclosure policies, (3) health human resources integral to ensuring patient safety practices, (4) effective linkages between AHSCs and academic institutions, (5) national patient safety accountability initiatives and (6) collaborative team practice.
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Canadian nursing leadership is called to advance a national patient safety agenda for the delivery of safe, quality care in professional practice environments. Yet, the nursing discipline is burdened by issues and challenges related to clinical practice and workplace dilemmas that contribute to barriers and obstacles to safe, quality and humane care. We propose that the many clinical challenges faced by nurses in Canada can be more fully understood when framed by a patient safety perspective. Nurse executive leaders and nurse scientists are called to reform clinical practice and conduct research to reconcile patient care safety issues. This paper applies findings obtained from nurses via focus groups led by the Academy of Canadian Executive Nurses (ACEN) and integrates these findings into a patient safety perspective via a conceptual framework.
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The language used to describe nursing practice and nursing leadership has a profound influence on how nurses think about themselves, their work relationships, and indeed the very essence of their reason for being. Language often includes metaphor in order to help capture the complexities and layers of meaning that establish contexts for action. Nurses and others have relied on various metaphors to describe nursing work. However, there is one metaphor that, more than any other, has shaped the context of nursing work and formed the images and the meanings that nurses have of themselves and their purposes in practice. The privileged one is the military metaphor. This article explores the notion of metaphor, and its usefulness and potential to help nurses change their work patterns. The traditions and history of the military metaphor are examined and an alternative notion of the "frontier" is proposed in order to enhance understanding of the potential for change.
How patients experience out healthcare system is driven to a large extent by the excellence and consistency of standards in nursing practice. Best Practice Guidelines offer a bridge, that combined with organizational and professional commitment, can facilitate the goal of supporting knowledge workers.
We see nursing leadership existing at all levels in nursing...all nurses leading. Nurse executives within academic health environments across Canada will be influencing health policy directions and dialogue within the profession nationally. They will be contributing to the development of a national agenda for nursing practice, education, research and leadership. These nurse executives will lead in a way that makes an invigorating impact on human service in health care environments and they will be dedicated to preparing the nursing leaders of tomorrow. The Academy of Canadian Executive Nurses will connect with the Office of Nursing Policy, Canadian Nurses Association, Canadian Association of University Schools of Nursing, Association of Canadian Academic Health Care Organizations and others to develop position papers regarding key issues such as patient safety, health human resource planning and leadership in the Canadian health care system. Our definition of professional nursing practice, fully integrated with education and research, will be advanced through these endeavours. The end result of a strong individual and collective voice will be improved patient outcomes supported by professional nursing practice in positive practice environments. This paper is intended to stimulate dialogue among nursing leaders in Canada, dislodge us from a long and traditional path, and place us firmly in a new millennium of leadership for the profession and practice of nursing, a style of leadership that is needed, wanted and supported by nurses and the clients we serve. It is the responsibility of those of us who lead in academic health science centres to be courageous for the students we support, the puactitioners we lead and the renewal of the profession. We are the testing ground for nursing research, and need to be the source of innovation for nursing practice. It is incumbent on us to leap forward to engage a new vision of the professional practice of nursing with a reconfigured work design and work environment compatible with the new economy, workplace and workforce.