keynote speaker – leonard brody · nln.on 2012 conference march 22nd & 23rd 2012 westin...

NlN.ON 2012 Conference

MARCh 22nd & 23rd 2012 WEsTiN PRiNCE HOTEL, 900 YORk MiLLs ROAd, TORONTO

KEYNOTE SPEAKER – Leonard Brody is the Co-CEO and a Director of NowPublic which is one of the pioneers in citizen journalism and quickly becoming one of the largest news agencies in the world. He is also a Venture Partner at Growthworks Capital, one of Canada’s largest national technology funds, and acts as an advisor to venture capital funds in the US, Europe and Asia.

Nursing Leadership Through a New Lens

ANNUAL CONFERENCE FOR HEALTH CARE LEADERS AND ADMINISTRATORS


THURSDAY, MARCH 22nD, 2012

8:00 AM Networking Breakfast

8:45 OPENiNG kEYNOTE - Leonard Brody LOOkiNG THROuGH A NEW LENs - 730 dAYs FROM NOW We are standing at one of the most challenging crossroads in human history. One that may not enable our past to predict our future. Technological evolution

has, in less than a decade, connecting every human being on the planet at the touch of button. Matched by demographic growth at both ends of the age continuum, we are fundamentally different people than we were only a few years ago. Combine this with the earth receding around us and the very foundations of our financial markets decaying and it is easy to feel disoriented, if not dismayed. Futurists are going to continuously be challenged by the pace of this metamorphosis thereby struggling in being able to predict where we are headed. Ten year, and even five year plans, are almost impossible. There are three drivers in this maelstrom that, if properly understood, can help one prosper in this chaos – mastering the concepts of the compression of time, the plentitude of access and the removal of value economics. This talk will help you to navigate the world around you and, most importantly, to be prepared for the next 730 days of your

life.

10:00 – 10:30 Refreshment Break

10:30 – 11:15 CONCuRRENT sEssiONs

A1 ExAMiNiNG THE RELATiONsHiPs BETWEEN CLiNiCAL MANAGER sPAN OF CONTROL ANd MANAGER ANd uNiT WORk OuTCOMEs iN ONTARiO ACAdEMiC HOsPiTALs Carol Wong, RN, BscN, MscN, Phd, Associate Professor, The University of Western Ontario, London, Pat Elliott-Miller, RN, BscN, MscN, Vice President, Patient Services & CNE, Children’s Hospital of Eastern Ontario, Ottawa, Heather Laschinger, RN, Phd, Professor and Distinguished University Professor, the University of Western Ontario, London, Michael Cuddy, Senior Vice President, The Ottawa Hospital, Ottawa, Raquel Meyer, Phd, Faculty of Nursing, The University of Toronto, Toronto, Margaret keatings, VP Professional Practice & CNE, The Hospital for Sick Children, Toronto, Camille Burnett, Phd Candidate, The University of Western Ontario, London, Natalie szudy, Phd, The University of Western Ontario, London

In this paper we will report the results of a study that examined the relationships between first line clinical manager span of control and manager and unit work outcomes such as, workload, job satisfaction, work engagement, organizational commitment, and turnover intentions as well as unit outcomes including turnover and absenteeism.

A2 CONNECTiNG THE dOTs FOR QuALiTY PATiENT CARE Joan Jickling, RN, BscN, MN, Director of Professional Practice, Elizabeth Buller, RN, BscN, MHA, Executive Vice President and Chief Nursing Executive, Cathy Renaud, Lynn Healy, RN, Clinical Resource Nurse, Jeneen Griffiths-Blackwood, RN, BscN, Clinical Educator, Angella dacres, RN, BscN, MN, Clinical Educator, William Osler Health System, Brampton

The Excellent Care for All Act has fundamentally changed the quality landscape of healthcare in Ontario and challenged nurse leaders to find creative solutions to transform thinking about quality care and front line accountability. The Safety Cross framework has bolstered front line accountability and proved invaluable to our practice transformation.

WEDNESDAY, MARCH 21ST, 2012

Join us for a casual drop-in reception to kick off the conference

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7:00 - 9:30 pm

New this year at the NLN Conference – Mid Career ForumIn recognition of one of NlN’s important stakeholder groups, new to this year’s conference, we have added the “Mid Career Stream”. This specialized series of sessions have been specifically designed to focus on issues relevant to the mid-career nurse and to those that provide leadership to staff who are within the mid-career cohort. The initial outline for this Stream includes the following:

1. Debra Bournes, the Provincial Chief Nursing Officer as our Keynote speaker. 2. A variety of leaders with specialized knowledge and experience with the mid-career co-hort that will share evidence, strategies and lived experience 3. A series of interactive sessions, including “real-time” participant polling technology to enable opportunities to share knowledge, resources and to network with fellow participants from across the province.

The Forum will run as a dedicated stream on Thursday, beginning after the Opening Keynote Session and concluding with the Poster Reception.

Please note that this dedicated session will require special registration (at no additional cost) and, a commitment to participate in the full series dedicated to this specialized topic. We hope that this dedicated time to engage in thoughtful dialogue on one specific topic will enable information sharing and development of actions in the practice settings.

Watch for a more detailed Program in late January on the NlN.ON website www.nln.on.com


A3 uNdERsTANdiNG divERsiTY: NuRsiNG LEAdERsHiP iN THE CHAMPLAiN REGiON Josephine Etowa, RN, BscN, MscN, Phd, Associate Professor, University of Ottawa, Ottawa, salma debs-ivall, RN, MscN, Manager of Inter-Professional Model of Practice, The Ottawa Hospital, Ottawa, Anne sochan, RN, MscN, Phd(c), Doctoral Candidate, University of Ottawa, Ottawa, diane Fillion, RN, MscN, Director of Nursing Practice, Bruyere Continuing Care Centre, Ottawa, debra kaye, RN, MscN, Advanced Practice Nurse, Maternal Fetal Medicine, The Ottawa Hospital, Ottawa, Michelle Morley, RN, MscN, Faculty, Algonquin College, Ottawa, Carmen Hust, RN, MscN, Faculty, Algonquin College, Ottawa

This abstract presents the findings of a study on ethno-cultural diversity in nursing within major health care facilities in the Champlain region. Findings include various descriptions of the characteristics of diversity including culture and generational differences. Paper will conclude with implications such as strategies to increase diversity within nursing leadership.

A4 EFFECTivE iNTEGRATiON OF BEsT PRACTiCEs TO PROMOTE EvidENCE-BAsEd NuRsiNG LEAdERsHiP iN THE CONTExT OF HOME CARE WORk ENviRONMENT Winnie sun, RN, BscN, MN, Phd Candidate, University of Toronto, Toronto, diane doran, RN, Phd, FCAHs, Professor, University of Toronto, Toronto, Carole Estabrooks, RN, Phd, FCAHs, Professor, University of Alberta, Alberta, Linda O’Brien-Pallas, RN, Phd, Professor, University of Toronto, Toronto, Nancy Lefebre, RN, MscN, CHE EXTRA fellow FCCHSE, Saint Elizabeth Health Care, Toronto, Peggy White, RN, MN, Ministry of Health and Long-Term Care, Toronto, Jenny Carryer, RN, MN, Research Manager, University of Toronto, Toronto

This research study was to investigate the relationship between documentation of interventions recommended in Best Practice Guidelines and client outcomes. The knowledge in this area helps nursing leaders to make decisions and plan appropriate resources to support timely access to current evidence that enables nurses’ uptake and application in practice.

“HOW TO” sEssiON

10:30 – 12:15 A5 FRAMEWORk FOR sHARiNG PATiENT sAFETY Nadine Agard, RN, BscN, LLB, Manager, Patient Safety, St. Joseph`s Health Centre, Toronto, Lisa O’drowsky, MscN, RT, Director Patient Safety and Quality, Genefer Behamdouni, MClsc, s-LP, Director of Risk Management, Runnymede Chronic Care Hospital, Toronto

This workshop will provide attendees with a practical solution to `creating an organization with a memory` when it comes to sharing patient Safety events/ incidents. Attendees with be guided on how to use story telling as a means of creating /sustaining a culture of safety and engaging frontline staff.

11:15 Break


B1 CREATiNG A CuLTuRE OF ExCELLENCE: PATiENT sAFETY ExECuTivE ROuNds Pat Elliott-Miller, RN, BscN, MscN, Vice President, Patient Services & CNE, Tracy Wrong, MHA, CHE, Director, Quality Management, Carol Cooke, RN, Manager Clinical Risk and Patient Safety, Children’s Hospital of Eastern Ontario, Ottawa

Patient Safety Executive Rounds has been seen as an opportunity to enhance the culture of safety by bringing the critical factor of senior leadership together staff and physicians in pursuit of a culture of patient safety excellence. It has proven to be a sustainable model to improve patient safety.

B2 dEFiNiNG THE BOuNdARiEs OF PATiENT CENTREd CARE kyle Anstey, Phd, Bioethicist, Linda Wright, MHsc, MsW, Director of Bioethics, Mary Jane McNally, RN, MN, Director of Nursing, University Health Network, Toronto

Patient-centred care is an established and important healthcare lens distorted by two common misconceptions. We discuss examples of organizational policies that respect patient choices within the limits of both the law, and of care that is likely to benefit the patient.

B3 ARE PROFEssiONAL PRACTiCE MOdELs usEFuL? A sTudY OF ONTARiO HOsPiTALs Barbara Jones, RN, BscN, MWs, Director, Performance Excellence, Orillia Soldiers’ Memorial Hospital, Orillia

Practice environments are central to healthcare quality and safety. Health care organizations often develop and implement a professional practice model (PPM) as one strategy to improve practice environments. This presentation reports findings of a study examining professional practice experts’ views of PPM implementation and use in Ontario acute care hospitals.


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Double Session


B4 WANTEd - NEW GRAduATEs Amy Hallaran, RN, BscN, MscN, Director of Professional Practice, katherine stansfield, RN, MN, Vice President of Patient Services and Chief Nursing Executive, Quinte Health Care, Belleville

A rural hospital’s experience in changing strategies for recruiting and supporting new nurse graduates, and the impact on changing a culture.

12:15 Lunch


C1 LEvERAGiNG HOBiC MEAsuREs TO iMPROvE CLiNiCAL OuTCOMEs ANd ORGANizATiONAL PERFORMANCE Lianne Jeffs, RN, Phd, Director, Nursing & Clinical Research, Ella Ferris, RN, MBA, Executive Vice President Programs & Chief Nurse Executive, Gail Wilson, RN, MscN, Director Nursing Practice and Clinical Adoption, Brenda Cardiff, RN, MN, Associate, Decision Support, san Ng, Phd, Principal Vision & Results, Mary Lanceta, RN, MN, Research Coordinator, St. Michael’s Hospital, Toronto Peggy White, RN, MN, Operations Lead, dorothy Pringle, RN, Phd, Executive Lead, Health Outcomes for Better Information and Care, Toronto

This presentation provides an overview of two studies associated with utilization of HOBIC measures. Findings provide direction for future work that includes implementing strategies aimed at enhancing utilization of HOBIC data for staff nurses and clinical leaders to optimize patient outcomes, inform quality improvement initiatives, performance monitoring, and resource allocation.

C2 BuiLdiNG HEALTHY CuLTuREs THROuGH iNNOvATiON ANd COLLABORATiON: A TOOLkiT TO AddREss WORkPLACE viOLENCE Annette Weeres, RN, BscN, MN, Professional Practice/Retention Recruitment Leader, Registered Practical Nurses Association of Ontario, Mississauga, Brenda Mundy, RPN, RN, BscN, Manager, Professional Practice, Vascular Access Team, Wound and Skin Program, and Student Placements, Southlake Regional Health Centre, Newmarket

A program developed for self learning and self assessment was shared through an innovative collaboration between a health care organization and a professional association. This program supports healthcare providers in building a stronger organizational culture to address workplace violence and harassment and contributes to quality work environments.

C3 dEvELOPiNG TEAMs TO LEAd THROuGH A sTATEWidE NuRsiNG LEAdERsHiP iNsTiTuTE Cynthia Persily, RN, Phd, FAAN, Professor and Associate Dean, West Virginia University, Charleston

An introduction to a highly successful statewide nursing leadership Institute, designed to train nurses to lead teams to transform the healthcare environment. An overview of the program, curriculum, and outcomes of over 25 team participants will be provided. Resources necessary for replication will be discussed.

C4 iNCORPORATiNG THE iHi TRiGGER TOOL As A PATiENT sAFETY iNTERvENTiON Anne kerr, RN, MscN, Patient Safety and Quality Coordinator, Queensway Carleton Hospital, Ottawa

Methodology for using a trigger tool to identify and trend adverse events, and an explanation of an effective process for reporting trends, developing action plans to address the root causes of patient harm and monitoring the effectiveness of the patient safety initiatives.

ROuNdTABLE sEssiONs

C5 THE PHENOMENON OF CONFidENCE iN THE NEW GRAduATE REsOuRCE NuRsE: A QuALiTATivE dEsCRiPTivE sTudY Opal Robinson, RN, BscN, MA Ed, Nurse Education Coordinator, Carolyn Brindley, BscN, Staff Nurse, NRT, kate Galloway, BscN, PCC Mental Health, University Health Network, Toronto

The purpose of this study is to discover how confidence affects the new graduate as she/he adapts to the workplace. A qualitative descriptive study will be the vehicle used to guide this project with Sister Calista Roy and her theory of adaptation as the driver. Individual interviews will be conducted with newly graduated nurses to describe their experience rotating through various units as they adjust to the new norms of their career.

C5 sTRENGTHENiNG NuRsiNG PARTiCiPATiON iN iNTERPROFEssiONAL ROuNds TO AddREss PATiENT NEEds iN REAL TiME Anita Long, RN, MsN/Ed, CON(c), Clinical Educator, smitha Casper-desouza, RN, MscN, CHE, Patient Care Manager, Elaine Avila, RN, BscN, Clinical Educator, shawne Gray, RN, BscN, CON(c), Staff Nurse, Cathy Harmer, RN, BscN, Staff Nurse, Sunnybrook Health Sciences Centre, Toronto

A pilot project for staff nurse participation in inter-professional rounds was implemented. This translated to the bed side nurse leading rounds and presenting patient’s perspective about their needs and concerns in real time. This presentation will share strategies utilized to improve nursing participation at the interprofessional rounds, the lessons learned and implications for practice.


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C5 usiNG THE ANdERsEN ANd NEWMAN CONCEPTuAL FRAMEWORk TO AddREss sENiORs HEALTH sERviCE uTiLizATiON iN ONTARiO Colleen seereeram, RN, BscNHs, MN, Phd(c), Clinical Nurse Specialist, University of Toronto, Toronto

Recent research suggests that overall patterns of seniors’ health service utilization in Ontario have increased. Therefore, we need to look at strategies to improve services delivered to better meet seniors’ needs in the community sector that are efficiency and cost-effective.

2:15 Break


d1 FACTORs THAT ATTRACT ANd RETAiN REGisTEREd NuRsEs iN THE FiRsT-LiNE NuRsE MANAGER ROLE karen Cziraki, RN, BscN, Msc student, Integrated Professional Practice Specialist, Grand River Hospital and Cambridge Memorial Hospital, Kitchener, Colleen Mckey, RN, Phd, CHE, FACHE, McMaster University School of Nursing, Hamilton, Gladys Peachey, RN, Phd, McMaster University School of Nursing, Hamilton, Pamela Baxter, RN, Phd, McMaster University School of Nursing, Hamilton, Brenda Flaherty, RN, BA, MPA, Hamilton Health Sciences, Hamilton

This presentation will emphasize the critical role of the First-Line Nurse Manager in today’s healthcare environment, identify the characteristics of nurses practicing in this role, highlight the potential loss of incumbents due to retirement, and discuss ways to attract and retain nurses in the role.

d2 “ROAd TO HOME” iNiTiATivE Mary Jane McNally, RN, MN, Director of Nursing, Toronto Western Hospital, Toronto, sherele McGhie, RN, MA. Ed, Advanced Practice Nurse Educator, Toronto Western Hospital, Toronto, kathryn Wise, MHsc, BHsc (OT), CHE, Manager Client Services, Toronto Central Community Care Access Centre, Toronto

The “Road to Home” initiative demonstrates how Local Health Integrated Network resources and a unique partnership between an acute care hospital, Community Care Access Centre and a Convalescent Care program can be aligned to create more effective care and more efficient referrals of complex patients from hospital into convalescent care.

d3 usiNG A QuALiTY LENs TO FOsTER ENGAGEMENT ANd LEAdERsHiP TO EvALuATE CARE PROCEssEs Ann Pottinger, RN, MN, Advanced Practice Nurse, Margaret Gehrs, RN, MscN, CPMHN (c), Director of Nursing, Rani srivastava, RN, Phd, Chief of Nursing and Professional Practice, Center for Addiction of Mental Health, Toronto

This presentation will describe how an organization successfully adapted the “tracer methodology” to engage direct care nurses to evaluate quality of care processes. Participants will learn how the roll-out of mock tracer surveys helped teams to enhance their knowledge of care standards and to identify quality gaps requiring remediation

d4 TRANsFER OF ACCOuNTABiLiTY – ENsuRiNG sAFE PATiENT HANdOFF Heather Ead, RN, BscN, MHs(c), Clinical Educator - Orthopaedics 1J, Angie Coluccio, RN, BscN, Clinical Leader, Trillium Health Centre, Mississauga

Nurses provide care to patients with complex and changing needs. How can we ensure when we transfer care to a colleague that there are no gaps in communication that could negatively impact patient safety. The session reviews a user-friendly Transfer of Accountability model which benefits patients and nurses.

d5 – “HOW TO” WRiTE AN ABsTRACT sue Munro, RN, BscN, MHsc, CHE, Vice President, First Stage Enterprises, Toronto, sara Lankshear, RN, Phd, President, Relevé Consulting Services, Tiny

Have you thought about submitting an abstract for a conference, were not sure how to proceed, and did not go ahead? Or, you’ve had a great research concept or institutional project, submitted an abstract, and were not accepted? If you are a first time writer, where do you begin? If you have been rejected, how can you improve your odds of having your next abstract selected? This session is a great opportunity to pick up on the “Do’s” and “Don’ts” of a successful abstract submission.

JOiN us AT 3:15 FOR THE OuTsTANdiNG “POsTER RECEPTiON” – ALWAYs A CONFERENCE HiGHLiGHT!

Details on the next two pages


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POSTER SESSION & RECEPTION: THURSDAY, MARCH 22nD, 3:15PM

1 Recent Changes to the Governance and Accountability of Health Professions in Ontario Kate Leslie, RN, BScN, JD, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto

2 Building staffing Capacity and Leadership: How we did it Karen Smith, RN, BScN, MHS, Angie Jeffs, RN, BScN, MN, Karen McCormick, RN, BScN, MN, Sunnybrook Health Sciences Centre, Toronto

3 using Academic Profiles to Enhance Graduate student Hospital Placements Jo Watson, PhD, RN(EC), IBCLC, PNC(C), Sunnybrook Health Sciences Centre, Toronto

4 Harnessing the Power of the Electronic World to Propel MedRec Forward Ruth Lee, RN, PhD, Marita Tonkin, RPh, BScPhm, ACPR, Wendy Seroski, RN, BScN, Patricia McEwen, RPh, BScPhm, ACPR, Michelle Barnard, RN, BScN, MEd(c), Nancy Fram, RN, BScN, MEd, Deb Hutchinson, MD, BSc(Kin), CCP(EM), FCFP, Debbie McKeown, RN, BScN, Natasha Johnson-Ramgeet, MD, Gidget Carlin, RN, BScN, FRCPC, Hamilton Health Sciences, Hamilton

5 understanding discharge Process from the Patients’ Perspective Mary Glavassevich, RN, BA, MN, Elaine Avila, RN, BScN, Raslen Samonte, RN, BScN, Mark Iacovelli, RN, BScN, CON (c), Nancy Wolf, RN, Sunnybrook Health Sciences Centre, Toronto

6 integration of Critical Care systems Promoting Best Care for Patients Linda Gravel, RN, BScN, ENC(C), Giulio Didiodato, MD, FRCPC, MPH, Royal Victoria Hospital, Barrie

7 Creating A New Culture Through infection Control standard Work Donna Rothwell, RN, BScN, Lindsay Dracz, RPN, ED, Niagara Health System, St. Catharines

8 Queensway Carleton Hospital End of Life Care Pathway Alice Retik, RN(EC), MScN, CHPCN(C), Queensway Carleton Hospital, Ottawa

9 Learning to Fly: supporting the Transition from Novice Nurse to Competent Practitioner Andrea Jewell, RN, MN, Evelyn Kerr, RN, MScN, Ginette Rodger, RN, PhD, OC, The Ottawa Hospital, Ottawa

10 Academia and Practice, Partners in Nursing Education Kristine Rogers, RN, BScN, MN, Colleen McKey, RN, PhD, CHE, FACHE, Ruth Chen, RN, MSc, Linda O’Mara, RN, PhD, McMaster University, School of Nursing, Hamilton

11 Building an Evidence informed decision Making (EidM) Culture in Public Health Nursing Practice Monica Gola, RN, MN, CPMHN(c), Beverley Bryant, RN, BScN, MEd, Peel Public Health Health, Mississauga

12 Acute Care Nurses Lead Grass Roots initiative to Enhance Patient safety through innovative Clinical Handover Tools Mary Muhic, RN, BScN, Mary Jane McNally, RN, BScN, MN, University Health Network, Toronto

13 Electronic Clinical Handover: E Triage and E Transfer Communication Tools Mary Muhic, RN, BScN, Mary Jane McNally, RN, BScN, MN, University Health Network, Toronto

14 Achieving Quality Patient Care through Medication Reconciliation Diana Russo, BSc, PharmD, RPh, Uchenwa Genus, BSC.Phm, ACPR, RPh, Renu Pathak, BSc.Phm, RPh, Kelsi Rousseau, BKin, MHA, CHE, Meredith Whitehead, RN, BScN, MScN, ENC(C), Nancy Coulis, RN, MScN, CNephC, Tiziana Rivera, RN, BScN, MSc, GNC(C), Kar Cheong Lee, MD, FRCPC, York Central Hospital, Richmond Hill

15 internationally Educated Professionals integration and Transition Program Kathleen Wilson, RN, Ed.D, Charlie Byer, RN, MS(N), CPN(C), St. Michael’s Hospital, Toronto

16 understanding the Complexity of Nurse Fatigue: Why should We Care? Susan Bookey-Bassett, RN, BScN, MEd, McMaster University School of Nursing, Hamilton

“NURSING LEADERSHIP THROUGH A NEW LENS”

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3:15 – 4:45 POsTER RECEPTiON

Poster Knowledge Networking Exchange

This dedicated session for poster viewing provides an excellent opportunity to learn about innovations, latest research and new initiatives in nursing leadership. The informal structure also provides another great opportunity to get to know colleagues and organizations.

Refreshments and snacks will be available.

The Poster Session is always a favourite highlight of the Annual NLN.ON Conference.

NlN.ON 2012 Conference 6

17 Professional Practice: dream to Reality Laura Duffield, RN, MScN, Crystal Houze, RN, BScN, MHSM, Chatham-Kent Health Alliance, Chatham

18 internationally Educated Nurse (iEN) and English as a second Language (EsL) Nurse integration Project – stabilizing The Nursing Profession Verla Fortier, RN, BA (Hons), MHSC (Health Admin), Ruth Lee, RN, MScN, PhD, Andrea Baumann, PhD, Jennifer Blythe, PhD, Daniela Dijmarescu, RN, Hamilton Health Sciences, Hamilton

19 Lights..Camera..Activation Lisa Northcott, RN, BScN, Jarrod Prieur, Reg. OT, Chatham-Kent Health Alliance, Chatham

20 Linking discharge Checklist and Post discharge Follow up Phone Calls initiatives to support Patient satisfaction and safety Tiziana Rivera, RN, BScN, MSc, GNC(C), Meredith Whitehead, RN, BScN, MScN, ENC(C), Kelsi Rousseau, Mieke Busman, RN, BScN, MPA, CPHQ, Jo-anne Marr, RN, MScN, MBA, CHE, York Central Hospital, Richmond Hill

21 Rounding - A Team Approach Cares to Ask Kathy-Lynn Stennett, BScN, Maureen Coleman, Chatham-Kent Health Alliance, Chatham

22 investing in Our Human Capital by Enhancing staff Engagement in unit Governance and Professional development Opportunities Elizabeth Butorac, RN, MN, Charmaine Mothersill, RN, MN, Julie Kruchowski, RN, BScN, St. Michael’s Hospital, Toronto

23 Leading service Excellence Through Walkabout Rounds Elizabeth Butorac, RN, MN, Cecilia Santiago, RN, MN, CNCC(C), St. Michael’s Hospital, Toronto

24 demystifying the Linkages between Existing initiatives and Current knowledge in Long Term Care (LTC) Janet Evans, RN, BScN, MN, Heather Thompson, RN, Regional Nursing Coordinator, Nepean

25 Nursing Engagement in Planning for the Future: Critical Care strategic Plan Orla Smith, RN, BScN, MN, Cecilia Santiago, RN, BScN, MN, Elizabeth Butorac, RN, BScN, MN, Sandy Richardson, Patrick Thomsen, Andrew Baker, MD, St. Michael’s Hospital, Toronto

26 Leadership and Management Education in Nursing: An Evidence-Based Program Evaluation for Learning and Practice Excellence Nancy Purdy, RN, PhD, Elaine Santa Mina, RN, PhD, Paula Mastrilli, RN, PhD(c), Beth Swart, RN, MScN, Sherry Espin, RN, PhD, Kileen Tucker-Scott, RN, PhD, Daphne Cockwell School of Nursing, Ryerson University, Toronto

27 An “Active Waiting” Education Program for Migraine sufferers: An innovative and Creative Approach to Long Wait-Times at a specialty Clinic Valerie Lawler, RN, BScN, MWH, Christine Lay, MD, FRCPC, Ian Stanaitis, Allison Wise, Women’s College Hospital, Toronto

28 A diverse Experience for the New Graduate Nurse Kally Persaud, RN, BScN, CPMHN (C), Val Johnston Warren, RN, MN, CPMHN (C), Grand River Hospital, Kitchener

29 Releasing Time to Care: Transforming the inpatient Care Environment to improve the Quality of Care for Our Patients Susan Bisaillon, RN, BN, MSc (Nursing), Kathy Elliott, RN, BSc, Joe Pasia, RN, Debra Carson, BScOT, MHSc, Barb Steed, RN, MN, Jean Samson, RN, Marcella Honour, RN, MN, Michael Lawrence, RN, BScN, ENC (c), Tara Lawrence, RN, BScN(c), Tina Leon-Garcia, RN, BScN, Trillium Health Centre, Mississauga

30 The Chief Nursing Executive / Chief Nursing Officer Governance and Leadership initiative: Creating Evidence-Based Resources to Maximize impact on Quality Monique Lloyd, RN, PhD, Irmajean Bajnok, RN, MScN, PhD, Sara Clemens, RN, BNSc, MN, Ella Ferris, RN, MBA, Susan McCutcheon, RN, MScN, David McNeil, BScN, MScN, Jane Mosley, RN, MScN, Sue Roger, RN, MA, Jo Ann Tober, RN, BScN, MSc, PhD, Susan VanDeVelde-Coke, PhD, Karima Velji, RN, PhD, CHE, Registered Nurses’ Association of Ontario, Toronto

31 using social Networking to support Evidence-Based knowledge Exchange Janet Chee, RN, BScN, MN, Derek Laventure, Hons.BSc, Registered Nurses’ Association of Ontario, Toronto

POSTER SESSION & RECEPTION: THURSDAY, MARCH 22nD, 3:15PM

Supporting New Graduates to attend the 2012 Conference

Based upon the success of the past four years and the feedback from past “New Graduate” attendees, we are pleased to announce the continuation of this valuable initiative of supporting future nursing leaders. The NlN.ON Board has dedicated necessary funding in the operating budget to support the registration of 20 novice nurses, who are in their first 12 months of employment, to attend this year’s conference. Information and applications will be sent to all CNE’s and of Directors of Care by early February. Please note that the support is for the registration fees only. The New Grad programming includes special features such as a private session with the keynote speaker, leonard Brody and a breakfast with the Provincial Chief Nursing Officer, Debra Bournes.


FRIDAY, MARCH 23RD, 2012

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8:00 am BREAkFAsT ANd AGM

9:00 PANEL disCussiON

suPPORTiNG NuRsiNG LEAdERs - ENsuRiNG suCCEss FOR OuR FuTuRE

Our diverse panel of nurse leaders from all organizational levels will engage in an interactive dialogue with the audience to shape the future of nursing leadership. What are the issues? How can we support each other to address them? Topics to include span of control, professional development, the evidence to practice gap, and, compression of time. The audience will direct the dialogue and discussion of the challenges and opportunities surrounding nursing leadership today. Collectively we will drive our agenda forward to promote success for nurse leaders across our health care system.

10:15 Refreshment Break


E1 LEAdERsHiP dEvELOPMENT THROuGH A NEW LENs Julia scott, RN, BA, MBA, CMC, Vice President Clinical Programs & Chief Nursing Executive, Markham Stouffville Hospital, Markham, Penny Paucha, MA, Executive Coach, Principal, Instincts at Work, Beverley simpson, RN, BsN, MsN, CMC, President, Beverley Simpson Associates, Judith skelton-Green, RN, Phd, FCCHsE, President, Transitions-HOD Consultants

This presentation will review new approaches to working and leading that are required in today’s healthcare environment, and the implications these approaches have for individuals and organizations. Building on their experiences in executive coaching and leadership development, the authors will review emerging knowledge and future directions in developing healthcare leaders.

E2 NuRsE LEAdERs` PERsPECTivEs OF REsEARCH-BAsEd dOCuMENTARY: NuRsEs GRiEvE TOO Christine Jonas-simpson, RN, Phd, Assistant Professor, York University, Toronto, Cynthia Macdonald, RN, MscN, Program Leader, Maternal Child Program, Halton Healthcare Services, Oakville, Beryl Pilkington, RN, Phd, Associate Professor, School of Nursing, York University, Toronto, Eileen McMahon, RN(EC), MN, PNC(C), Nurse Practitioner and Adjunct Clinical Faculty University of Toronto, Mt. Sinai Hospital, Toronto

Nurse leadership is critical when nurses grieve given nurses’ grief is significant and yet it is not often acknowledged. We will first present our research-based documentary, Nurses Grieve Too, and then focus our presentation on survey data reflecting nurse leaders’ perspectives of this documentary in light of their leadership practices.

E3 LEAdiNG ACuTE CARE HOsPiTALs TO ENABLE NEW NuRsE PRACTiTiONER (NP) AuTHORiTiEs Margaret Wilson, Msc(N), Nurse Practitioner-Adult, Professional Practice Leader, Nurse Practitioners, Esmeralda van Riemsdijk, Nurse Practitioner-Adult, Cardiovascular Surgery, Ella Ferris, Executive Vice President Programs & Chief Nursing Executive, Executive Staff, Heather Campbell, Director of Nursing Practice and Education, Erone Newman, Program Director, Heart and Vascular Program, david Latter, Chief of Cardiovascular Surgery, douglas sinclair, Executive Vice President and Chief Medical Officer, St. Michael’s Hospital, Toronto

This presentation will focus on describing one Toronto Hospital’s deliberate and strategic approach over the last year to foster readiness for these changes in legislative authority for NPs by building policy infrastructure and strategic partnerships. Learning Objectives for the presentation include: •DescribingrecentlegislativechangesaffectingNPpractice •Describingimplicationsofnewauthorities •Outliningpolicyinfrastructure •DescribingthelivedexperienceofdefiningapracticeagreementandutilizingnewNPauthoritiesinpractice

E4 WHAT is ACCOuNTABiLiTY iN NuRsiNG? AN ExPLORATiON OF NuRsEs PERCEPTiON ANd uNdERsTANdiNG Barbara Czerniawski, RN, BsN, MscN, Outreach Consultant, Pediatrics and Academia, Bonnie Hall, RN, BscN, MscN, Outreach Consultant LTC, Rehabilitation and CCC, College of Nurses of Ontario, Toronto

Professional accountability means being responsible for one’s actions and decisions, and accepting the consequences (CNO, 2010). Purpose: To explore nurses’ understanding of accountability in their professional nursing practice. Objectives: To explore how nurses define accountability To determine if nurses are able to identify behaviours and characteristics that demonstrates accountability in professional practice.


FRIDAY, MARCH 23RD, 2012

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10:30 – 12:15 E5 WHAT WOuLd iT TAkE FOR YOu TO COME ALONG? ONE ORGANizATiON’s ExPERiENCE usiNG dEEP dEMOCRACY Barbara O’Neil, RN, BscN, MAd, Ed, CNE & Chief of Interprofessional Practice & OD, Bluewater Health, Sarnia, Georgina veldhorst, RN, MscN, MBA, Management Consultant, VW Consulting Inc. Toronto-Nairobi

During change, unresolved employee concerns are frequently over-looked and organizations struggle to move forward. Discontent festers, results are sub-optimal, initiatives fail, and employees become disengaged. Deep Democracy tools help to surface issues in a respectful, non-confrontational way creating the environment for dialogue and moving the participants to consensus.


10:30 – 12:15 E6 BALANCiNG PuNiTivE ANd BLAME FREE CuLTuREs TO suPPORT sAFE, ACCOuNTABLE CARE Michelle Freeman, RN, BA, BscN, MscN, Lecturer, Faculty of Nursing, University of Windsor, Windsor

This session will explore the confusion in health care regarding blame free cultures. We understand that most errors result from faulty systems, not faulty practitioners. What about individuals who ignore safe practices? A framework to assist leaders with decision making will be introduced.

11:15 Break


F1 EFFECTs OF sTAFF Mix ANd sTAFFiNG ON PATiENT OuTCOMEs: A sNAPsHOT OF MEdiCAL-suRGiCAL uNiTs iN ONTARiO Nancy Purdy, RN, Phd, Associate Professor, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Julie Paterson, RN, BscN, Diabetes Educator, Sunnybrook Health Sciences Centre, Toronto

A recent study of staff mix, staffing indicators and their influence on patient outcomes will be presented as a backdrop to a discussion of strategies that acute care managers can use when evaluating changes to staff mix within acute care settings.

F2 sTRATEGiC PARTNERsHiPs ACROss PROFEssiONs: HOW LOOkiNG BACk HELPs us TO MOvE FORWARd Rhonda seidman-Carlson, RN, MN, VP Interprofessional Practice/CNE, Jennifer istvan, Bsc (PT), Manager Interprofessional Outcomes and Evaluation/ Manager SLP, Ade Oyemade, RN, BscN, MN(c), Manager Interprofessional Education, PPL Nursing, Mary kwan, Bsc, Pharm, R, Ph, PPL Pharmacy, The Scarborough Hospital, Toronto

In today’s healthcare world competing demands, complexity of patients and work environment and focus on quality has us all working smarter and harder. Unless the foundation of each profession is solid and the basic competencies of each profession well in place, moving forward and successfully meeting these demands is threatened. THis paper will describe a process of going back to basics and how it is assisting the organization to move forward to meet goals

F3 susTAiNiNG ANd AN EHR iN HOME CARE-ENsuRiNG CLiNiCAL ExCELLENCE Cheryl Reid-Haughian, RN, BHscN, MHscN, CCHN (C), Director, Professional Practice, Knowledge and Innovation, MaryJane Herlihey, RN, BscN, CCHN (C), Clinical Consultant, ParaMed Home Health Care, Ottawa

With health care landscape rapidly changing, the need to transform nursing care and service delivery is an organizational imperative. Leadership and technology that enables practice and care, and sustainability mechanisms are implemented in the assessment component of a care system that integrates nursing sensitive outcomes, a shared client portal and online resources.

F4 NuRsiNG EduCATiON dAYs: iNFORMiNG CLiNiCAL PRACTiCE – AN iNNOvATivE sTRATEGY irene Wu-Lau, BscN, MEd, Clinical Nurse Specialist - Nursing Education, Mount Sinai Hospital, Toronto

Nursing Education Days. An innovative strategy that utilizes blended learning, provides access to all front line nursing staff, supports the translation of evidence- based knowledge and identifies nursing learning needs, on an annual basis. The oral presentation will discuss impact on knowledge translation and the influence on nursing practice.

1:15 AWARds LuNCHEON - PREsENTATiON OF THE 2012 NLN.ON EduCATiON & REsEARCH AWARds

2:45 CLOsiNG kEYNOTE - debra Bournes, RN, Phd, Provincial Chief Nursing Officer, Province of Ontario

LOOkiNG TO THE FuTuRE OF NuRsiNG LEAdERsHiP THROuGH A NEW LENs

Double Session

Double Session


HOTEL ACCOMMODATION

For our 2012 Conference, NLN.ON will be again at the outstanding

Westin Prince Hotel 900 York Mills Rd., Toronto

Easy to reach from the 401 and the Don Valley Parkway, the Westin Prince is set in a beautiful parkland environment. Outstanding bedrooms and excellent dining facilities will combine to make this an event to remember! Plan to stay at the hotel and increase your conference experience. Share with a friend and reduce the costs.

Please call the hotel and make your reservations directly at:

416-444-2511 and indicate you will be at the NLN.ON Conference

Special NLN.ON Conference Rate Single or Double $159.00 (Valid until February 20, 2012)

Register on our website It’s easy and convenient!

www.nln.on.ca

For Additional Information NLN.ON 2012

c/o First Stage Enterprises 1 Concorde Gate, Suite 109 Box 26

Toronto, ON M3C 3N6

Tel: 416-426-7229 Fax: 416-426-7280

Toll free: 1-866-433-9695 Email: [email protected]

VISION Inspiring, supporting and advocating today

for nursing leadership tomorrow.

MISSION NLN.ON is an interest group of RNAO that inspires, promotes, and influences

nursing leaders and nursing leadership through innovation, integration and collaboration.

A Member Interest Group of


See you in 2013March 22nd & 23rd

NLN.ON Planning Committee

CONFERENCE CHAIR: Elizabeth Nemeth Healthtech Inc.

Kim Alvarado Hamilton Health Sciences- Henderson

Janet Anderson College of Nurses of Ontario

Sherri Huckstep VON Canada

Sara Lankshear Relevé Consulting Services

Jennifer O’Neil Hotel Dieu Hospital

Donna Rothwell Niagara Health System

Peggy White Ontario Ministry of Health and Long-Term Care

Kate Zimmerman North York General Hospital

CONFERENCE PLANNERS: Sue Munro First Stage Enterprises

Doug Rosser First Stage Enterprises


U s e t h e w e b s i t e t o r e g i s t e r w w w. n l n .o n .c a

Name _________________________________________________

E-mail _________________________________________________

Title/Position ____________________________________________

Organization ____________________________________________

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Postal Code ________________ Country ____________________

Work # ( ) __________________________________________

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Preferred Mailing Address Work ❏ Home ❏

Home Address _________________________________________

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Do you have any Special Needs (Dietary ❏ Other ❏)? Indicate below

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NLN.ON CONFERENCE1 Concorde Gate, Suite 109, Box 26

Toronto, ON M3C 3N6 416-426-7229Fax: 416-426-7280 Email: [email protected]

Registration &Conference Feesor Register online!www.nln.on.ca

CONFERENCE FEES

CANCELLATION POLICY

FINANCIAL ASSISTANCE: Bursaries may be available for Ontario RNs and RPNs from the Nursing Education Initiative, which is funded by the Ontario Ministry of Health and Long-Term Care and administered through RNAO and RPNAO. For additional details,contact RNAO at 416-599-1925 or visit www.rnao.org.

NOTES: NlN.ON HST # R128253010 STUDENTS MUST INClUDE PROOF OF FUll TIME REGISTRATION.

A refund will be issued if requested, in writing,on or before March 9th 2012. A $50.00 administration fee will be levied on all refunds. No refunds will be given after March 9th 2012.

❏ Mastercard ❏ Visa ❏ American Express

Name on Card _________________________________________

Account ______________________________________________

Expiry __________ Signature ___________________________

COST + HST = TOTAl

❏ NLN.ON/RNAO MEMBER $505.00 + $65.65 = $570.65

❏ RNAO/NON-NLN MEMBER $590.00 + $76.70 = $666.70

❏ NON-RNAO MEMBER $625.00 + $81.25 = $706.25

❏ FULL-TIME STUDENT $215.00 + $27.95 = $242.95

❏ Are you a 1st Time Attendee?

❏ Are you a “New”Leader?

PAYMENT

Delegate registration lists (business information only) will be shared at the conference to encourage post-conference networking unless you specifically indicate otherwise.

❏ No, I do not give permission to list my name in the program book

Payment may be made by personal or institutional cheque or money order. Make payable to: NLN.ON Conference or use your credit card:

TOTAL VALUE $

NLN.ON 2012 CONFERENCEMARCH 22ND & 23RD,2012

Nursing Leadership Through a New Lens

keynote speaker – leonard brody · nln.on 2012 conference march 22nd & 23rd 2012 westin...

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