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Shaping the future of Nursing establishing therapeutic ...

EstablishingNursing Best Practice GuidelineShaping the future of Nursingtherapeutic relationshipsJuly 2002 Revised2006 SupplementEnclosedGreetings fromDoris Grinspun Executive DirectorRegistered Nurses Association of Ontario It is with great excitement that the Registered Nurses Association of Ontario (RNAO)disseminates this Nursing best practice guideline to you. Evidence-based practice supportsthe excellence in service that nurses are committed to deliver in our day-to-day practice. We offer our endless thanks to the many institutions and individuals that are makingRNAO s vision for Nursing Best Practice Guidelines (NBPGs) a reality. The Ontario Ministryof health and Long-Term Care recognized RNAO s ability to lead this project and is providing multi-yearfunding.

Women’s Mental Health Research Program, Centre for Addiction and Mental Health Toronto, Ontario Jacqueline Choiniere, RN, MA ... including both theoretical ... Organizations will consider the therapeutic relationship as the basis of nursing prac-tice and, over time, will integrate a variety of professional development opportunities to support ...

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Transcription of Shaping the future of Nursing establishing therapeutic ...

1 EstablishingNursing Best Practice GuidelineShaping the future of Nursingtherapeutic relationshipsJuly 2002 Revised2006 SupplementEnclosedGreetings fromDoris Grinspun Executive DirectorRegistered Nurses Association of Ontario It is with great excitement that the Registered Nurses Association of Ontario (RNAO)disseminates this Nursing best practice guideline to you. Evidence-based practice supportsthe excellence in service that nurses are committed to deliver in our day-to-day practice. We offer our endless thanks to the many institutions and individuals that are makingRNAO s vision for Nursing Best Practice Guidelines (NBPGs) a reality. The Ontario Ministryof health and Long-Term Care recognized RNAO s ability to lead this project and is providing multi-yearfunding.

2 Tazim Virani --NBPG project director-- with her fearless determination and skills, is moving theproject forward faster and stronger than ever imagined. The Nursing community, with its commitment andpassion for excellence in Nursing care, is providing the knowledge and countless hours essential to the creationand evaluation of each guideline. Employers have responded enthusiastically to the request for proposals(RFP), and are opening their organizations to pilot test the NBPGs. Now comes the true test in this phenomenal journey: will nurses utilize the guidelines in their day-to-day practice? Successful uptake of these NBPGs requires a concerted effort of four groups: nurses themselves, otherhealth-care colleagues, nurse educators in academic and practice settings, and employers.

3 After lodgingthese guidelines into their minds and hearts, knowledgeable and skillful nurses and Nursing students needhealthy and supportive work environments to help bring these guidelines to life. We ask that you share this NBPG, and others, with members of the interdisciplinary team. There is much tolearn from one another. Together, we can ensure that Ontarians receive the best possible care every time theycome in contact with us. Let s make them the real winners of this important effort!RNAO will continue to work hard at developing and evaluating future guidelines. We wish you the best for a successful implementation!Doris Grinspun, RN, MScN, PhD (candidate)Executive DirectorRegistered Nurses Association of OntarioHow to Use this DocumentThis Nursing best practice guidelineis a comprehensive document providing resourcesnecessary for the support of evidence-based Nursing practice in the area of establishingtherapeutic relationships.

4 The document needs to be reviewed and applied, based on thespecific needs of the organization or practice setting as well as the needs and wishes of theclient. Guidelines should not be applied in a cookbook fashion but as a framework to assistin decision making for individualized client care, as well as ensuring that appropriate structuresand supports are in place to provide the best possible , other health care professionals and administrators who are leading and facilitatingpractice changes will find this document valuable for the development of policies, procedures,protocols, educational programs, assessment and documentation tools, etc. It is recommendedthat the Nursing best practice guideline be used as a resource tool.

5 Nurses providing directclient care will benefit from reviewing the recommendations, the evidence in support of therecommendations and the process that was used to develop the guidelines. However, it ishighly recommended that organizations or practice settings adapt these guidelines in formatsthat would be user-friendly for daily use. Organizations wishing to use the guideline may decide to do so in a number of ways: Assess current Nursing and health care practices using the recommendations in the guideline. Identify recommendations that will address recognized needs in practice approaches or gaps in services. Systematically develop a plan to implement the recommendations using associated tools and resources will be made available through the RNAO website to assistindividuals and organizations to implement Nursing best practice guidelines.

6 RNAO isinterested in hearing how you have implemented this guideline. Please contact us to shareyour story. Quotes from nurses and other organizational members who have implemented this guidelineare shared throughout this document. The quotes were gathered from the pilot implementationevaluation report (Edwards et al, 2001).1 Nursing Best Practice Guideline2 establishing therapeutic RelationshipsRuth Gallop, RN, PhD Team LeaderProfessor and Associate Dean, Research,Faculty of Nursing , University of TorontoSenior Researcher, Women s mental health Research Program,Centre for Addiction and mental HealthToronto, OntarioJacqueline Choiniere, RN, MADirector of Policy and ResearchRegistered Nurses Association of OntarioToronto, OntarioCheryl Forchuk, RN, PhDProfessor, University of Western OntarioScientist, Lawson health ResearchInstitute/London health Sciences CentreLondon, OntarioGabriella Golea, RN, MNDeputy Chief of Nursing PracticeCentre for Addictions and mental HealthToronto, OntarioNancy Johnston, RN, PhD(cand.)

7 Assistant Professor, Atkinson Faculty of Liberal & ProfessionalStudies School of Nursing , York UniversityToronto, OntarioAnne Marie Levac, RN, MNAdvanced Practice Nurse Child Psychiatry Program, Centre forAddiction and mental health , Clarke SiteToronto, OntarioMary-Lou Martin, RN, PhD(cand.)Clinical Nurse SpecialistSt. Joseph s health Care, Hamilton Centrefor Mountain health ServicesClinical Associate Professor, McMaster UniversityHamilton, OntarioTrish Robinson, RN, BScNOutreach mental health CoordinatorSt. Michael s HospitalToronto, OntarioSelinah Sogbein, RN, MHA, MEdAssistant Chief NursingOfficer/Coordinator Clinical ServicesNorth Bay Psychiatric HospitalNorth Bay, OntarioHeather Sutcliffe, RN, BScNPublic health NurseWellington Dufferin Guelph health UnitGuelph, OntarioFrancine Wynn, RN, PhDSenior Lecturer, Faculty of NursingUniversity of TorontoToronto, OntarioGuideline Development Panel MembersEstablishing therapeutic RelationshipsProject team.

8 Tazim Virani,RN, MScNProject DirectorAnne Tait,RN, BScNProject CoordinatorHeather McConnell,RN, BScN, MA(Ed) Project CoordinatorCarrie ScottAdministrative AssistantElaine Gergolas,BAAdministrative AssistantRegistered Nurses Association of OntarioNursing Best Practice Guidelines Project111 Richmond Street West, Suite 1208 Toronto, OntarioM5H 2G4 Website: Best Practice Guideline3 Barbara CadottePsychiatric Patient Advocate OfficeOntario Ministry of health andLong-Term CareToronto, OntarioDavid SimpsonPsychiatric Patient AdvocateRegional mental health Centre Ontario Ministry of health and Long-Term CareSt. Thomas, OntarioDeborah ShermanExecutive DirectorMental health Rights Coalition ofHamilton/WentworthHamilton, OntarioElizabeth PeterAssistant ProfessorFaculty of NursingUniversity of TorontoToronto, OntarioJay HammondPsychiatric Patient AdvocateCentre for Addiction and mental HealthToronto, OntarioKaren SherryCoordinator Nursing Resource Centreand GRASP Work Load MeasurementCoordinatorNorth Bay Psychiatric HospitalNorth Bay, OntarioKelly KayDeputy Executive DirectorRegistered Practical Nurses Associationof OntarioMississauga, Ontario Laurie AlbertiniPsychiatric Patient AdvocatePeople Advocating for Change throughEmpowermentThunder Bay, OntarioLinda Carey Psychiatric Patient AdvocateHamilton Psychiatric HospitalHamilton.

9 Ontario4 establishing therapeutic RelationshipsAcknowledgementThe Registered Nurses Association of Ontario wishes to acknowledge the followingindividuals and/or groups for their contribution in reviewing this Nursing best practice guideline and providing valuable sincerely acknowledges theleadership and dedication of theresearchers who have directed theevaluation phase of the Nursing BestPractice Guidelines Project. TheEvaluation Team is comprised of:Principal Investigators:Nancy Edwards, RN, PhDBarbara Davies, RN, PhDUniversity of OttawaEvaluation Team Co-Investigators:Maureen Dobbins, RN, PhDJenny Ploeg, RN, PhDJennifer Skelly, RN, PhDMcMaster UniversityPatricia Griffin, RN, PhDUniversity of OttawaResearch AssociatesMarilynn Kuhn, MHAC indy Hunt, RN, PhDMandy Fisher, BN,MSc(cand.)

10 RNAO wishes to acknowledge the followingorganizations in Toronto, Ontario for theirrole in pilot testing this guideline:Saint Elizabeth health CareNorth York General HospitalSt. Joseph s health Centre5 Nursing Best Practice GuidelineContact Information Registered Nurses Association of OntarioNursing Best Practice Guidelines Project111 Richmond Street West, Suite 1208 Toronto, OntarioM5H 2G4 Registered Nurses Association of OntarioHead Office438 University Avenue, Suite 1600 Toronto, OntarioM5G 2K8 DisclaimerThese best practice guidelines are related only to Nursing practice and not intended to takeinto account fiscal efficiencies. These guidelines are not binding for nurses and their useshould be flexible to accommodate client/family wishes and local circumstances.


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