Trillium Health Partners’ (THP) Invitation to Leadership Program (ITL) is designed to support
highly motivated individuals build their leadership capabilities through targeted
professional development. The program offers a structured pathway for growth, combining
formal leadership training with dedicated mentorship to enhance participant learning.
The ITL program underwent a...
Objective: To explore the factors that affect the implementation of Best Practice Guideline (BPG) projects and provide a basis for developing evidence-based strategies to sustain the project.
Methods: A phenomenological approach in qualitative research was adopted to conduct semi-structured in-depth interviews with 15 stakeholders of the BPG projects, and data were analyzed using the...
Purpose/Objectives-
Falls are one of the leading reported patient safety incidents for patients receiving care and identified as a key priority for keeping patients safe. The fall prevention strategy was enhanced through a focus on aligning to evidence-based practice through the RNAO Best Practice Guideline (BPG) for Fall Prevention, addressing gaps in meeting the standards outlined in the...
A champion is a staff who facilitates and moves their organization through transformation. Change is often perceived as stressful and uncertain, but the most effective and successful process of change is when champions are involved, are part of the decision-making process, and have a say in how change should be conducted.
Within CAMH, the champions will bring awareness of best practices to...
This project explores the integration of inclusion principles specifically focusing on pressure injury prevention. The project highlights the collaborative efforts with Patient Care Advisors (PCAs) in co-designing an educational booklet, emphasizing the significant impact of inclusive and patient-centered approaches in healthcare.
Inclusion in healthcare transcends mere diversity; it...
Objective
This study aims to develop and implement an evidence-based bleeding management protocol for renal biopsy patients tailored to clinical application scenarios and evaluate its effectiveness.
Methods
Using the "6S" evidence pyramid model, we systematically searched evidence synthesis databases, clinical practice guideline websites, evidence synthesis/systematic review databases and...
Mariann Home is a 62 bed long term care home, located in Richmond Hill Ontario. Our BPSO journey began fall 2021. By being part of the BPSO, we have been able to evaluate programs such as Person and Family Centred Care, Delirium, Fall Prevention and apply our gaps to making positive changes too optimize the excellent Quality of care we offer.
Our palliative care re-development has been a...
The need for good oral care continues throughout the lifespan. Oral diseases can cause pain, discomfort, difficulties chewing and swallowing, and are also associated with heart and lung diseases, diabetes, and stroke. The need for good oral health is evident, as it leads to increase comfort for the resident, increased quality of life, self-confidence, and better overall health and well-being...
In 2020, suicide was the leading cause of unnatural death in Spain, with a rate of 8.3 deaths per 100,000 inhabitants and a high influence of mental health factors (1-4), highlighting the need to promote preventive measures.
For this reason, at the Torercárdenas University Hospital, Almería, Spain, we decided to begin the implementation of the Best Practice Guideline on Assessment and Care of...
Background: The effects of the guideline implementation may not immediately be obvious; however, the role and significance of the practice change project will become apparent when the guidelines are continuously applied. Sustainability is the key to maintain the results of practice change and continuous development of evidence-based practice. The continuous application of the guidelines can...
Background: Clinical practice guidelines, derived from systematic reviews that weigh the benefits and risks of various interventions, offers evidence-based recommendations for optimal patient care. The effectiveness of clinical guidelines centers on their recommended implementation strategies. The impact and value of these published guidelines rely on how well they are applied. Yet, there is a...
Trillium Health Partners’ Clinical Resource Team (CRT) comprises healthcare professionals
dedicated to advancing practice excellence. This team implements best practices organization wide, serving as a pivotal resource for early-career healthcare professionals to develop
foundational knowledge and skills.
In 2023, the CRT faced challenges including staff vacancies, inconsistent support...
Introduction: Falls and resulting injuries are a worldwide public health issue, constituting one of the leading causes of death from unintentional injuries (1). Preventive care is crucial in addressing this issue in the hospital setting (2,3). Our centre had no previous experience with implementing fall prevention measures, so we decided to start implementing the Best Practice Guideline on...
BREASTFEEDING AND INTENTIONS FOR BREASTFEEDING SUPPORT
OF FIRST-TIME FATHERS IN DUMAGUETE CITY
Camille Marie A. Allena, Theresa A. Guino-o, et al.
College of Nursing, Silliman University ( sucn@su.edu.ph)
Abstract
The WHO affirms that breastmilk is the best, safe food for infants. This study sought to describe the attitudes and intentions of first-time fathers and their possible...
Scarborough, where 73% of residents identify as visible minorities and 60% are foreign born, is one of Canada’s most diverse communities. This is reflected in SHN’s patient and staff populations. Our 2023 employee engagement survey showed 77% of employees self-identified as racialized and 40% were born outside of Canada. We celebrate the diversity of our workplace with the recruitment...
The Best Practice Spotlight Organization designation is a longstanding knowledge translation strategy .This program’s strategic approach has been proven to improve patient experience and health outcomes, lower cost of care by preventing complications, and enrich staff satisfaction.
Here are some methods to further utilize BPSO to promote fairness, diversity, and inclusivity:
Firstly, we...
Despite the success of the Registered Nurses Association of Ontario (RNAO) Best Practice guidelines (BPGs) integration in Canada and globally, little has been published about its integration in nursing education (Ewers et al., 2022; Malik et al., 2016). In health care organizations, application of BPGs has shown improvement in patient and organizational level outcomes which can be assessed in...
In the context of rising STBBI rates, 2SLGBTQIA+ patients are disproportionately affected by STBBIs due in part to obstacles impeding connection to comprehensive STBBI prevention, treatment and care. In York Region, patients have reported leaving the area to access more inclusive health care.
Using the RNAO 2SLGBTQI+ Health Equity BPG as a guide, learn how York Region Public Health (YRPH)...
Women’s College Hospital (WCH) is a world leader in health for women, health equity and health system solutions – a hospital designed to keep people out of hospital. We are developing ground-breaking innovations that address issues related to population health, patient and staff experience, equity and accessibility, and system costs using the quintuple aim framework.
In Summer 2023, WCH...
In 2021, William Osler Health System (Osler) received Accreditation Canada exemplary status, being recognized for achievements in people-centred care, including implementation of the RNAO Patient and Family Centred Care (PFCC) Best Practice Guideline (BPG).
A PFCC BPG initiative resulted in adding a question to the inpatient nursing admission assessment (NAA) “We want to involve you in your...
Objective: Explore the benefits of implementing an Indigenous Patient Navigator to enhance healthcare services by 1) offering additional support to patients and families within hospital 2) reducing gaps in service and removing barriers to accessing equitable healthcare 3) identifying health trends and common needs among the indigenous population.
Background: In 2021, 5,885 individuals...
The purpose of the rapid oral presentation is to share the steps taken within Niagara Region Public Health’s Family Health Division to support nurses in assessing and supporting clients who may be at risk for suicide. As part of the journey to implement and integrate the Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour best practice guideline new approaches to practice...
Learning Objectives: Learn how to develop a simple and efficient social media plan to increase public visibility of the BPSO culture at your health care institution.
Background: Social media is everything. The average time spent on social media by individuals is 2.27 hours per day (Digital 2022: Global overview Report). If you want to engage your audience, you need an efficient...
Objective: To standardize pediatric neurogenic bowel dysfunction management in a pediatric inpatient rehabilitation program.
Methods: An interdisciplinary taskforce including stakeholders from the clinical team, evidence review, and a family leader were used to develop the Standard of Care (SOC). A targeted search of knowledge tools from clinical practice guidelines, best practice statements,...
Attracting and retaining nurses has become a particularly acute need. New graduates (NG) and Internationally Educated Nurses (IENs) require a supportive strategy for integrating them into the highly specialized community nursing workforce while addressing their unique needs and diverse backgrounds. The need and benefit of a Transition to Practice Program (TPP) is well documented in the...
Introduction. The hospitalization of a premature newborn in a neonatal intensive care unit is generally an unexpected and stressful event for a family; the expectation of having a healthy child is interrupted by separation and loss of bond. Although modern units declare within their humanization policy to offer open-door services 24 hours a day, the real experience of a stay away from home in...
OHTs are built on a strong foundation of engagement with patients, caregivers and community. It is important to extend that strength into our work as a BPSO OHT. East Toronto Health Partners (ETHP) has evolved its BPSO OHT structure to include a community co-lead for its steering committee and has established a community engagement plan as part of its annual work plan. Our initial approach to...
Background: A group of international nursing students will host the inaugural international student virtual conference to highlight the use of Registered Nurses Association of Ontario (RNAO) Best Practice Guidelines (BPGs) within a global context. The aim is to break barriers, enhance equity, diversity, and inclusion through the use of RNAO BPGs. The conference is created, developed, and...
Workplace violence is a growing concern across all sectors. In response, and aligned with the BPG: Preventing Violence, Harassment, and Bullying Against Health Workers, SickKids developed the Comfort and Safety Bundle (CSB). The CSB is a screening tool to identify and mitigate risks of patient-related agitation and aggression.
The CSB takes a trauma-informed, systematic approach to safety,...
Learning objectives:
Participants at this session will learn about:
a. resources developed to support nurses in critical thinking about ethical principles
b. learnings from the evaluation results
c. successes and challenges encountered in implementation of the module; and
d. recommendations that apply to other health care organizations.
Professionalism is the knowledge, attributes,...
Background: Recruitment of internationally educated nurses (IENs) is a longstanding health human resource strategy. The current state of our nursing crisis has led to increased recruitment of IENs (Nji-Mokonya, 2018). Though the recruitment of IENs is gaining popularity, there remains a lack of a clear pathway for these nurses to transition back to practice (Kurup et al., 2023). Instead, IENs...
Skin-to-skin contact in the immediate postpartum period is associated with numerous benefits for the newborn and mother (1), including greater success in establishing breastfeeding, increased milk production, and improved emotional bonding (2, 3).
Within the framework of implementing the best practice guide: Breastfeeding - Promoting and Supporting the Initiation, Exclusivity, and...
Introduction.Clinical records are documents containing data, assessments and others informations about a patient's clinical status during the health care process. In most Spanish healthcare organizations, the Electronic Health Records(EHR) has been introduced as a way to facilitate transportability of pertinent information concerning patient’s illness across varied health providers. So, EHR...
Disparities among residents living in long term care may exist when an organization’s culture lacks respect, dignity, and acceptance. To improve cultural competence, Peel Region is utilizing best practice to create safe and inclusive environments that enhance the quality of care and the quality of life for residents, families/caregivers, volunteers. and staff.
Across its five centres, Peel...
The objective of the presentation is to share engagement strategies undertook with multiple members of the community to achieve public visibility of BPSO within a LTC home that began as a BPSO pre-designate in April 2024. In preparation for LTC BPSO pre-designate launch, the steering committee implemented several strategies to improve visibility internally among staff, residents and families....
Background: Recent data from a Transitional Care Unit (TCU) identified that 43% of older adult patients transferred to acute care facilities had risk factors for delirium. None of these patients had been assessed for delirium using a validated assessment tool. After surveying nurses, gaps were identified in knowledge of risk factors and recognition of delirium, management, prevention, and the...
Sharing our BPSO implementation journey from where we started in September 2020 to where we are now. How we created and changed the culture in our home and remarkable improvements we achieved along our BPSO implementation journey. The positive impact on the lives of our residents, staff, connection with families and our quality indicators as we implemented: Promoting Safe Alternatives to...
Background:
Successful implementation of the BPSO Framework into Long Term Care requires two important elements: Commitment and Champions. At Heritage Green Nursing Home we had a vision to change the culture into an “evidence based decision making” culture – a culture that required team members to think, talk and act aligned with evidence based practice principles. The BPSO framework was...
Trillium Health Partners’ (THP) relies on a highly trained, experienced nursing workforce to meet the complex care needs of our patients across specialized programs. Currently, half of THP’s nursing workforce are under the age of 29 and have less than 5 years of experience. With the demanding nature of their role and novice skill set, this group of nurses are reporting high rates of burnout...
Advancing Equity, Diversity and Inclusion at Chatham-Kent Health Alliance
Abstract
In Canada, healthcare is regarded as a fundamental right, with the provision of equitable and culturally competent care being essential for the well-being of its diverse population. However, despite efforts to promote inclusivity, disparities continue among communities, including Indigenous peoples,...
Abstract
Background
Scarborough Health Network (SHN) is committed to building our culture by empowering and inspiring our staff. In February 2022, SHN partnered with the College of Nurses of Ontario (CNO) and Ontario Health (OH) to introduce the Supervised Practice Experience Program (SPEP) within the organization. This initiative aims to assist Internationally Educated Nurses (IENs) who...
The Empathetic Hands: Wound Care Outreach course is designed for healthcare providers working with individuals struggling with addictions and homelessness and integrates the principles of the Registered Nurses' Association of Ontario (RNAO) Best Practice Guideline (BPG) on Engaging Clients Who Use Substances which promotes Equity, Inclusion, and Diversity. This course addresses challenges...
Johs-Artisensi (2017) highlighted the importance of involving residents actively in their care planning process, emphasizing their informed participation. This aligns with Van de Ven's view that patients value relationships with providers based on mutual respect and engagement in decision-making. These insights underscore the critical role of robust care planning in soliciting resident...
Osler started working towards achieving Best Practice Spotlight Organization (BPSO) Designation in April 2021. As part of this approach, the Preventing Falls and Reducing Injury from Falls Best Practice Guideline (BPG) was selected for implementation. To support and sustain the multiple practice changes, the Fall Prevention BPG working group developed a strategy to utilize Osler staff who had...
Early detection of personal expressions has been fundamental to the home’s behavioral support program. Markhaven Home for Seniors has an internal dementia rate of 65% in which personal expressions are often observed. With many post-pandemic changes, the program required a significant overhaul. Using RNAO’s Delirium, Dementia and Depression (3Ds) Best Practice Guideline and the Person and...
Research indicates that patients with darker skin tones are often diagnosed with higher-stage pressure injuries due to inaccurate assessments and delayed identification (Black, et al., 2023). Trillium Health Partners (THP), a 1500-bed community hospital, has prioritized pressure injury prevention since 2019, achieving a sustained reduction in overall hospital-acquired pressure injuries (HAPI)...
The Middlesex Hospital Alliance (MHA) is a 54 bed acute care community hospital caring for an often older person patient population on the medicine floor. Older adults are at risk for accelerated hospital decline during and after hospitalization (Mathews 2014). Providing cognitive stimulation has been shown to decrease falls, particularly in older persons with cognitive impairment. ...
Objectives: Health Human Resource challenges in critical care are a long-standing concern. The COVID-19 pandemic has exacerbated the gaps, requiring innovative approaches to support newly hired nurses while retaining experienced critical care nurses. Niagara Health successfully obtained funding in a competitive process to pilot an innovative Team Coach role in our Critical Care Program. The...
Background: Persistent tobacco use results in adverse effects during treatment, increased risk of recurrence and reduced survival. In Q1 to Q4 2021/2022, 172 patients declined a smoking cessation intervention at the KHSC SE Regional Cancer Centre. The project aimed to 1) understand why some oncology patients continue to use tobacco and what biopsychosocial factors influence their...
In Canada, older adults represent the second highest rate of suicide among all population groups, resulting in the 12th leading cause of death in this age group. Despite this information, suicide prevention and awareness are often overlooked in this specific population (WHO, 2014).
Working with fourth year Brock BScN nursing students, a survey was conducted to understand whether frontline...
To bring transformation and sustainable change in health care, frontline leadership should be supported, encouraged, and valued. Nurses and allied health staff have the creativity, insight, and expertise to drive meaningful change from the bottom up. They are on the ground every day and have the knowledge and skillset to implement evidence-based practices. They understand how to implement...
With the support of Resident and Family-Centered Care Best Practice Guidelines, we chose to enhance the bathing routines within our Long-Term Care home. Champion PSWs diligently strives to improve the quality of bathing routines to include personal preferences, diversity and cultural practices. Champions had conversations with residents and families to learn about their personal habits and...
St. Joseph’s Health Care strives to integrate cultural diversity in health care to ensure we are supporting nurses, to in turn provide best patient care. Our integration has three components, each targeted at supporting three different groups of Internationally Educated Applicants (IEA): Supervised Practice Experience Partnership (SPEP) Program applicants; Internationally Educated Nurses...
Study Title: The University of Calgary in Qatar’s Experience on Implementing and Integrating Best Practice Guidelines into the Nursing Curriculum to Foster Evidence-Based Practice Among Nursing Students
Abstract
Aim: This presentation aims to detail the integration of the Registered Nurses Association of Ontario (RNAO) Best Practice Guidelines (BPGs) into the nursing curriculum at the...
This project explores the vital intersection of inclusion, diversity, equality, accessibility, and anti-racism (IDEAA) within the context of healthcare, focusing on falls prevention initiatives. By integrating IDEAA principles into healthcare practices, we aim to create a more equitable and accessible environment for both patients and healthcare professionals.
The project highlights the...
This presentation highlights the use of an academic Best Practice Spotlight Organization (BPSO) initiative to advance equity, diversity, inclusion, and ability (EDIA) through nursing education at Nipissing University. This initiative is part of a larger effort to infuse evidence-based best practices throughout the undergraduate nursing curriculum, moving beyond mere representation to engage...
Purpose: This presentation describes the implementation of a Palliative Approach to Care in the Last 12-Months of Life and the End-Of-Life (EOL) During the Last Days and Hours Best Practice Guidelines (BPGs) at the Wexford Residence. The Wexford Residence team will share how they enhanced practices by integrating recommendations from the BPGs, considering the values, beliefs, preferences, and...
Imagine a healthcare environment where every patient, regardless of their background, receives the highest quality of care, and every staff member feels valued and supported. We are turning this vision into reality by leveraging the (BPSO) principles to foster equity, diversity, and inclusion (EDI) within our Emergency Program. Objective: This presentation aims to illustrate how Lakeridge...
Elgin County has utilized the principles of the Person and Family Centred Care BPG to advance equity, diversity and inclusion in our Long Term Care Homes. The teams used an interdepartmental approach between recreation programming and dietary services and a collaborative partnership with residents and families. This has been successful through detailed planning, effective communication and...
AON Health LTC Homes implemented two Best Practice Guidelines (BPG)’s concurrently in our path to become a BPSO designate. We introduced the project to our staff through committees, team meetings, and in department communication; encouraging staff to become BPG Champions – providing them with t-shirts and buttons we produced. BPSO was introduced to residents and families through postings in...
The City of Ottawa LTC Homes have been working on implementing the Oral Care Best Practice Guidelines. We have collaborated with multiple community resources to ensure adequate education and knowledge transfer to our staff. We would like to create a poster to showcase work done to date and how using community partners has improvement our Resident's Quality of Life and increased staff...
