BREAKOUTS 700

Thursday, June 28^th    2:45pm–3:15pm

 

 2:45pm-3:10pm - 25 Minute Oral Presentations

700: Connecting for Care: A Three Legged Stool Analogy

Pammla Petrucka, PhD RN,  University of Saskatchewan Regina, SK,  Sandra Bassendowski EdD RN University of Saskatchewan, Regina, SK, April Mackey, University of Saskatchewan, Regina, SK

Historically, registered nurses relied primarily on traditional means to connect with our clients, families, and communities – which were primarily dyad relationships. We have come a long way from the client coming to us for care or a nurse knocking on a door to make the linkages. This change is not solely a consequence of time or trends, but rather reflects integration of technology into an emerging triadic relationship of client-nurse-technology. This inter-dependence potentially strengths and stabilizes our ability to effectively and efficiently connect in ways never before possible such as through cellphones and even robotic presence. It also builds a care environment which provides more secure and functional connections than ever before. Our presentation will look at the strengths, opportunities, and learnings for ensuring that these connections are maximized and optimized in a range of community nursing settings. We will look from the historical to the current and imagine the future through images, anecdotal accounts, and evidence. We will use the analogy of the three-legged stool as a means to teach, co-create, and inform promising ways to connect for care.

Learning Objectives:

• Reflect on the role and potentials of technologies in connecting with clients, families, and communities with whom they work and iteract
• Identify the strengths of the emerging model of connection for care with a clear embedding of technologies
• Discuss and share examples of how this model has been exhibited or impacted on their roles/practices

 

701: Improving the Primary Health Care Principle of Accessibility through a University Nurse Led-Clinic in a Homeless Men Shelter

Francoise Filion, RN, MScN, McGill University, Montreal, QC,  Catherine-Anne Miller, RN, MHSc, McGill University, Montreal, QC

Introduction: Accessibility is at the forefront of Primary Health Care (PHC) and is a priority in Canada and Quebec. With the recent enhanced scope of practice of baccalaureate-prepared nurses in Quebec, a nurse-led clinic may provide comprehensive health care, especially to vulnerable populations. The goal of this initiative is to enhance accessibility to primary care services for male residents of four houses served by a homeless shelter through a nurse-led clinic supported by nursing students.

Methods: A local community-benefit organization (CBO) identified a gap in services for acute and chronic health problems for the male residents of four houses serviced by the shelter. In partnership with this CBO, a School of Nursing inaugurated a nurse-led clinic to enhance accessibility to primary care and create a unique learning environment for students. The outreach workers at the shelter mentioned a lack of continuity and access to health care and welcomed the initiative. One nurse clinician and four nursing students are part of the nurse-led clinic at the shelter 2 days per week.

Results: The results show a steady increase in the number of visits and the development of a trusting relationship between the clinician, students and residents of the shelter. Most residents did not need a further referral (ER or other clinic) and when needed, a student was available to accompany and advocate for them. Furthermore, the nursing students gained valuable competencies in caring for marginalized individuals. Further data to come.

Conclusion: This initiative to establish a nurse-led clinic in a homeless shelter is novel and strives to fulfill the PHC principle of accessibility. Future development of this initiative may include a nurse practitioner (NP) and NP students in mental health and primary care to provide greater services to the residents of the shelter.

Learning Objectives:

• Describe a new initiative by a School of Nursing in caring for a marginalized population
• Understand how the Principle of Accessibility in Primary Health Care is applied to a nurse-led clinic intitiative
• Discover the benefits of this novel approach for a population of male residents of four houses served by an urban homeless shelter

  

702: Infants Born into Canada’s Opioid Crisis:  Identification of Neonatal Abstinence Syndrome After Discharge

Amanda Haas, RN, BN, MN(s), Saskatchewan Polytechnic, Regina, SK

 

Infants born into Canada’s opioid crisis are perhaps its most innocent victims. Canada is currently in the throes of an unprecedented opioid epidemic. Over the past decade, nonmedicinal use of opioids, specifically fentanyl, has steadily and drastically risen, as have opioid-related morbidities and mortalities. Infants born to mothers using and abusing opioids are at risk for withdrawal symptoms and neonatal abstinence syndrome (NAS) shortly after birth. It may take 24-48 hours, and up to 5-10 days after birth, for signs and symptoms of NAS to develop, and by this time, infants have usually been discharged home with parents. The purpose of this presentation is to examine emerging trends in opioid abuse in Canada and the infants born into this crisis, describe current practice related to screening for NAS, and discuss where health care professionals may be falling short in adequately identifying and supporting these families.

Learning Objectives:

• Better understand the scope of Canada's Opioid Crisis
• Identify sign and symptoms of neonatal withdrawal
• Understand the current and potential role of CHNs and PHNs in screening/supporting these clients

703: A Nursing Leadership Project: Mentorship to Support Community Health Nursing Certification in Indigenous Communities 

Jacquelyn MacDonald, RN,BN,MN, CCHN(C), First Nations and Inuit Health Branch of the Department of Indigenous Services Canada (DISC), Halifax, NS,  Heather M. MacDonald RN, BScN, CCN (C), MN, First Nations and Inuit Health Branch of the Department of Indigenous Services Canada (DISC), Halifax, NS

Evidence has shown that specialty nursing practice certification has a positive impact on both patient and organizational outcomes.The number of nurses in the Atlantic provinces with community health nursing (CHN) certification is lower than the national average. There are 33 First Nations and 5 Inuit communities across 4 provinces in Atlantic Canada and this project cohort involved 10 nurses working in 7 of the 38 First Nation and Inuit communities. Nurses practicing in these communities have identified a need to enhance their community health nursing competencies. Therefore, we implemented a project to better understand the facilitators and address some of these obstacles, such as a lack of mentorship support. The project  purpose was to develop a nursing leadership mentorship framework to support CHNs working in Indigenous communities in achieving their Canadian Nurses Association (CNA) specialty certification in community health nursing (CHN). Given the complexity of community health nursing practice, mentorship support for certification is seen as a way of augmenting nurses’ ability to achieve the highest standard of nursing excellence, knowledge and competency within a unique, diverse and rich practice environment. This presentation will describe the 5 phases of the participatory design process, implementation, facilitation and evaluation. A critical success factor was the partners from First Nation communities, collaboration with several national professional nursing associations, including CNA and CHNC. The evaluation findings, key lessons learned and successes to be shared include; all 10 nurses who participated in the mentorship project and wrote the exam were successful in achieving their Canadian Nurses Association specialty certification in Community Health Nursing; Successful utilization of technology and innovation; and the Development of a draft CNA Certification Study Group and Mentorship Framework for use by other specialty groups (handout available).

Learning Objectives:

• Raise awareness of the value of competency based specialty practice, its impact on CHN practice and overall health outcomes.
• Demonstrate how innovative technology was utilized to facilitate virtual mentorship, enhance knowledge exchange and establish a community of practice.
• Describe 5 phases of the mentorship project including design plan, methodology, partnerships and resources

 

704: Scoping Review of Social Determinants of Health and the Relationship to Saskatchewan Mining

Carrie L. Allen, RN MN, Saskpolytech, Regina, SK,  Pamela Farthing, RN, BA MSc, Saskatchewan Polytechnic, Saskatoon, SK,  Jean Busby, RN, Saskatchewan Polytechnic, Saskatoon, SK,  Madeline Press, RN, MN, PhD, Saskatchewan Polytechnic, Saskatoon, SK

Background: The Saskatchewan mining industry is interested in what influences safety to lower morbidity and mortality in mining workers. This study investigated; conditions in which we live (social determinants of health), and the environment in the community (community factors), and how those factors influenced health and safety.

Methods: A scoping literature review was conducted to examine the impact of community factors or social determinants of health on safety engagement in the mining industry. A key word search was completed under the topics of mining, social determinants of health, and safety engagement.

Results: The scoping review revealed 97 articles of which 47 were found to be relevant to this review. The topics that emerged were individual factors, factors related to health, workplace factors, social factors, migratory workers, and corporate social responsibility. Similar studies under each topic were summarized together and an examination of the factors impact on safety engagement were discussed.

Conclusion: The research findings were summarized and recommendations for future research and to improve safety engagement were presented. Improvement in the community and social determinants of health has the potential to improve safety engagement. Further research and refinement of the factors examined would reveal factors that have the potential to improve individual safety engagement.

Learning Objectives:

• Describe the purpose of a scoping review
• How improvements in social determinants of health can impact the health and safety of workers
• How advocating for improvement in Community Health can improve safety and safety engagement

 

705: Supporting Nurses Caring for Clients and Families through the MAID Journey. Experiences from the field with MAID and how to best support our Nurses in Home Health Care

Michelle Pothier, RN, BN, MN, CCHN(C), ParaMed Home Health Care, Ottawa, ON,  Pauline Therrien, RN, BScN, ParaMed Home Health Care, Ottawa, ON

"We are involved with a lot of death in our job. I have seen too many bad deaths. The MAID I have been involved in are the best deaths, most peaceful and supported deaths I can imagine” (JT, CHN). As more and more Canadians suffering from terminal illness choose to stay at home; Community Health Nurses (CHNs) play a key role by supporting these clients by providing high quality end of life, palliative care.

With the passing of Bill C-14 in June of 2016, in some circumstances, end of life care not only includes palliative care, but in some cases the nurse was asked to care for a client who chose to receive medical assistance in dying (MAID) at home. With the implementation of MAID, Home Care Nurses faced moral and ethical dilemmas with the care they provide for these clients. Could they refuse to be a part of MAID and still be able to provide basic care for their clients? What if they were comfortable with MAID but worried about legal implications? What happens after the client passes away – how will I feel?

As an organization, nursing leaders recognized that there was a need to support our nurses with MAID in Home Care. ParaMed Home Health Care wanted to support these nurses throughout the entire MAID process – from when the decision to undergo MAID until after the death has occurred. It was discovered that the more support that nurse had, from different members of the health care team the more positive the MAID experience was for the nurse and ultimately the client and family. This presentation will explore the best way to support nurses who are involved with MAID in Home Care - From intake of the referral until well after the death of the client.

Learning Objectives:

• Demonstrate the importance of supporting nurses working with MAID through out the entire MAID journey – how nursing leaders can help.
• Foster a collaborative approach for all health care providers involved in every MAID journey.
• Strategies to sustain a supportive approach with MAID. Prevent MAID from becoming ‘just another routine procedure’ for the nurse in the home.

 

3:00pm-3:15pm - 15 Minute Oral Presentations

706B: From Desks to Drones: Innovation in Nursing Education and Practice

Sandra Bassendowski, EdD, RN, University of Saskatchewan, Regina, SK,  Pammla Petrucka, RN, PhD, University of Saskatchewan, Regina, SK,  April Mackey, RN, Masters of Nursing student, University of Saskatchewan, Regina, SK

Nursing education and practice are constantly evolving through the uptake and innovative uses of technology and tools that support student and registered nurse engagement with clients, families, and communities in a variety of teaching and learning environments. New technology tools and social media apps enable registered nurses to challenge and change traditional learning experiences by developing technology-enabled and enabling approaches that meet the learning needs of today’s clients.

Implementing innovative tools of technology, such as GoPro™ Cameras, Augmented Reality, and Drones into client care invite new approaches to connecting with communities. Social media is a powerful tool that can be used by healthcare organizations to raise awareness, share information, and engage with groups and communities (Bird, 2017). Using social media apps, such as blogs, Instagram, photovoice, Twitter™, and Facebook™, can reframe and reconstruct the scope of the work environment and connections with clients, families, and communities. This hands-on tech bar session will discuss and demonstrate how various social media sites and technology tools are being used in nursing education and practice to support students and registered nurses for enhancing client and community care outcomes. The presenters have conducted a variety of research projects about the use of technology in nursing education and practice and encourage questions or concerns that participants may have about the potential use, challenges, and applicability of these tools and apps.

Learning Objectives:

• Discuss the potential use of technology to support client, family, and community care.
• Assess usefulness of technology tools or apps for individual nursing practice.
• Select one or two tools or apps that would support individual nursing practice with clients, families, or communities.