SD1 Profile of Extended/Expanded Nursing Practice in Canada

[Table of Contents]

Submitted to:
F/P/T Advisory Committee on Health Human Resources

March 30, 2001

This project was supported by a financial contribution from the Health Transition Fund, Health Canada. The views expressed herein do not necessarily represent the official policy of the federal, provincial or territorial governments.

Project Team

This research project represents a collaborative effort of a public-private partnership with an interest in health care. This project was supported by a financial contribution from the Health Transition Fund, Health Canada. The views expressed herein do not necessarily represent the official policy of the federal, provincial or territorial governments.

The Centre for Nursing Studies of the Health Care Corporation of St. John's, Newfoundland offers a continuum of educational opportunities for those who wish to pursue a nursing career. It provides a high quality nursing education in a wide range of programs and services in a continuously changing health care system. The Centre offers a Bachelor of Nursing degree through a partnership with Memorial University of Newfoundland and Western Regional School of Nursing. The degree is awarded by Memorial University of Newfoundland. The Centre is an Associate Member of the Canadian Association of University Schools of Nursing (CAUSN) and a member of the Association of Canadian Community Colleges (ACCS).

The Institute for the Advancement of Public Policy, Inc. is a St. John's-based private consulting firm specializing in comprehensive research and analysis along with advisory, advocacy, and management consulting services designed to advance a client's interests in relation to public policy. Among its areas of particular interest are health policy and services, social policy, and information technology as it relates to public service delivery.

Project Team

Colleen Hanrahan, B.A., M.S.W., LL.B.
Project Leader
Director, The Institute for the Advancement of Public Policy, Inc.

Christine Way, B.N., B.A., M.N., PhD
Health Care Researcher/Educator
Faculty of Medicine/School of Nursing
Memorial University of Newfoundland

Jon Housser, LL.B.
Housser Consultants

Madge Applin, R.N., B.N.
Associate Director, Nurse Practitioner Program,
Centre for Nursing Studies

Table of Contents

Introduction 1.0 Background to this Research Study 2.0 Methodology 3.0 Profile of Extended/Expanded Nursing Practice 3.1 Policy Framework 3.2 Legislative Framework 3.3 Key Elements of Extended/Expanded Nursing Practice 3.4 On-Site Data Collection - Criteria for Site Selection 4.0 Organizational Structure by Jurisdiction 5.0 Conclusions and Implications APPENDIX A: Interview Protool - Legal Role and Regulation of Nursing in Primary Health Care Settings APPENDIX B-1: Legal Definition of Nurse / Nursing APPENDIX B-2: Definition of Extended Certificate of Registration/Nurse Practitioner Canadian Jurisdictions APPENDIX C-1: Interview Protocol - Association’s Views : Nursing Practice in Extended/Expanded Roles APPENDIX C-2: Interview Protocol - Regulation of Nursing in Extended/Expanded Roles APPENDIX D: Background information by jurisdiction APPENDIX E: Administration Survey Instrument APPENDIX F: Summary of Survey Data: Agency Administrative Personnel