Case Study: The Impact of Nursing Professional Practice during the COVID-19 Pandemic at a Large Community Hospital in Canada.

The COVID-19 pandemic posed numerous challenges experienced by healthcare organizations. Nursing professional practice plays a crucial leadership role in supporting nursing staff and leaders in developing policies, parameters and philosophical approaches for delivering safe patient care. The profess...

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Publicado en:Nursing Leadership (1910-622X) Vol. 35; no. 3; pp. 48 - 66
Autores principales: Yoon, Jennifer, Hutchinson, Derek, Marville-Williams, Ceclle, Albano, Mariekris, Neves-Silva, Susana, Purdy, Nancy, Zuk, Aleksandra
Formato: tables/charts Journal Article
Publicado: Longwoods Publishing 2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Longwoods Publishing
      place: Toronto, Ontario
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        10.12927/cjnl.2022.27003
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        atl: Case Study: The Impact of Nursing Professional Practice during the COVID-19 Pandemic at a Large Community Hospital in Canada.
      aug:
        au:
          Yoon, Jennifer
          Hutchinson, Derek
          Marville-Williams, Ceclle
          Albano, Mariekris
          Neves-Silva, Susana
          Purdy, Nancy
          Zuk, Aleksandra
        affil: Deputy Chief Nurse Executive Vice President Quality, Patient Safety and Risk Humber River Hospital Toronto, ON
      sug:
        subj:
          COVID-19 Pandemic
          Hospitals, Community Canada
          Nursing Practice
          Nursing Staff, Hospital
          Hospital Policies
          Implementation Science
          Canada
          Nursing Shortage
          Nurse-Patient Ratio
          Workforce
          Burnout, Professional
          Policy Making
          Leadership
          Professional Practice
          Workload
          Students, Nursing
          Intensive Care Units
          Patient Centered Care
          Health Care Delivery
      ab: The COVID-19 pandemic posed numerous challenges experienced by healthcare organizations. Nursing professional practice plays a crucial leadership role in supporting nursing staff and leaders in developing policies, parameters and philosophical approaches for delivering safe patient care. The professional practice leadership at Humber River Hospital, a large Canadian community hospital, implemented three key interventions in this hospital-based case study: (1) proactive workforce planning, (2) increased nursing student placements and (3) novel "stretch model of care" in the intensive care unit (ICU). The overall results follow-ingthe implementation of these interventions resulted in substantial improvements. For example, proactive nursing workforce planning supported both a 98% reduction in agency utilization and an accelerated ICU certification program with an 84% certificate completion rate. Through innovative strategies, there was a significant increase (33-67%) in the number of nursing student placements during the first two years of the pandemic compared with previous years. Within the ICU setting, we maintained optimum ICU capacity that resulted in stronger partnership-driven relationships between nurses and physicians through an interprofessional "stretch model of care." Finally, we avoided emergency department closures and Code Orange calls during peaks of the pandemic.
      pubtype: Academic Journal
      doctype:
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      ougenre: Article
    language: English
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