Registered Nurse Human Resources
Resource Deployment and Utilization
Resource deployment and utilization represents the amount and nature of the resources provided and used to provide health services that meet the health needs of the population at large. The ultimate goal of resource deployment and utilization decisions is to achieve an efficient mix of human and non-human resources that leads to the best health, provider and system outcomes.
CNA
Position Statements
Nursing Information and Knowledge Management – 2006, found at http://www.cna-nurses.ca/cna/documents/pdf/publications/ps87-nursing-info-knowledge-e.pdf
Scopes of Practice – Reaffirmed 2003 (with CMA and CPhA), found at http://cna-aiic.ca/CNA/documents/pdf/publications/PS66_Scopes_of_practice_June_2003_e.pdf
Staffing Decisions for the Delivery of Safe Nursing Care – 2003, found at
http://cna-aiic.ca/CNA/documents/pdf/publications/
PS67_Staffing_Decisions_Delivery_Safe_Nursing_Care_June_2003_e.pdf
Advanced Nursing Practice – 2007, found at http://cna-aiic.ca/CNA/documents/pdf/publications/PS60_Advanced_Nursing_Practice_2007_e.pdf
Evidence-Based Decision-Making and Nursing Practice – 2002, found at
http://cna-aiic.ca/CNA/documents/pdf/publications/
PS63_Evidence_based_Decision_making_Nursing_Practice_e.pdf
Discussion Papers
Valuing Health-Care Team Members: Working with Unregulated Health Workers, A Discussion Paper – 2008, found at www.cna-nurses.ca/CNA/documents/pdf/publications/UHW_Valuing_2008_e.pdf
Exploring New Roles for Advanced Nursing Practice: A Discussion Paper – 2005, found at http://cna-aiic.ca/CNA/documents/pdf/publications/Exploring_New_Roles_ANP-05_e.pdf
“Nursing Staff Mix: A Key Link to Patient Safety” in Nursing Now (Number 19 – January 2005), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/NN_Nursing_Staff_Mix_05_e.pdf
Country Report for the International Council of Nurses Workforce Forum – 2004 (with the Canadian Federation of Nurses Unions), found at http://cna-aiic.ca/CNA/documents/pdf/publications/canada_report_2004_e.pdf
“Measuring Nurses’ Workload” in Nursing Now (Number 15 – March 2003), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/NursesWorkloadmarch2003_e.pdf
Patient Safety: Developing the Right Staff Mix [Report of Think Tank] – 2003, found at http://cna-aiic.ca/CNA/documents/pdf/publications/PatientSafety_ThinkTank_e.pdf
Advanced Nursing Practice: A National Framework – Revised 2002, found at http://cna-aiic.ca/CNA/documents/pdf/publications/ANP_National_Framework_e.pdf
Research
Evaluation Framework to Determine the Impact of Nursing Staff Mix Decisions – 2005 (with the Canadian Council for Practical Nurse Regulators, Canadian Practical Nurses Association and the Registered Psychiatric Nurses of Canada), found at http://cna-aiic.ca/CNA/documents/pdf/publications/Evaluation_Framework_2005_e.pdf
Hadley, F. et al. Workforce Management Objective A: Assess Use, Compliance and Efficacy Nursing Workload Measurement Tools – 2005, found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/Workload_Measurement_Tools_e.pdf
Jeans, M. E., and Rowat, K. Leadership Objective C: Competencies Required of Nurse Managers – 2005, found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/Competencies_Required_Nurse_Managers_e.pdf
Nursing Leadership Development in Canada – 2005, found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/Nursing_Leadership_Development_Canada_e.pdf
Nursing Staff Mix: A Literature Review – 2004, found at http://cna-aiic.ca/CNA/documents/pdf/publications/Final_Staf_Mix_Literature_Review_e.pdf
The Development of a Multistakeholder Framework/Index of Rurality [Final report to Health Canada: Rural and Remote Health Innovations Initiative] – 2003, found at http://cna-aiic.ca/CNA/documents/pdf/publications/Final_Report_e.pdf
Staffing for Safety: A Synthesis of the Evidence on Nurse Staffing and Patient Safety, found at
http://www.chsrf.ca/research_themes/pdf/staffing_for_safety_policy_synth_e.pdf
Research Summaries
Baccalaureate or Higher Nurse Education Related to Fewer Surgical Patient Deaths – 2005 (Based on Aiken et al., 2003), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/RS_Baccalaureate_or_Higher_e.pdf
Collecting Baseline Patient Outcome Data Should Precede Nurse Staffing Changes – 2005 (Based on Potter et al., 2003), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/RS_Patient_Outcome_Data_e.pdf
Decreasing RN Staffing Levels May Not Result in Expected Cost Savings – 2005 (Based on Sovie et al., 2001), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/RS_Decreasing_RN_Staffing_e.pdf
Higher Levels of RN Staffing Are Related to Better Patient Outcomes – 2005 (Based on Needleman et al., 2002), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/RS_Higher_Levels_e.pdf
A Higher Proportion of RNs and RPNs on Inpatient Units May Result in More Positive Patient Outcomes – 2005 (Based on McGillis Hall et al., 2003), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/RS_Positive_Patient_Outcome_e.pdf Higher RN Staffing Levels Are Related to Fewer Deaths of Patients With Acute Myocardial Infarction – 2005 (Based on Person et al., 2004), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/RS_Higher_RN_Staffing_Level_e.pdf
Inadequate Nurse Staffing and Poor Organizational Support Affect Patient Safety Globally – 2005 (Based on Aiken et al., 2002), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/RS_Inadequate_Staffing_e.pdf
Long Working Hours of Hospital RNs Associated With Increased Errors – 2005 (Based on Rogers et al., 2004), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/RS_Long_Working_Hours_e.pdf
Nurse Staffing and Patient Death – 2005 (Based on Tourangeau et al., 2002), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/RS_Patient_Death_e.pdf
Nurse Staffing Model Influences Cost of Nursing Services – 2005 (Based on McGillis Hall et al., 2004), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/RS_Nurse_Staffing_Model_e.pdf
Nurses’ Education Level Can Influence Patient and System Outcomes in Community Home Nursing – 2005 (Based on O’Brien-Pallas et al., 2001; 2002), found at http://www.cna-aiic.ca/CNA/documents/pdf/publications/RS_Nurses_Education_Level_e.pdf
News Releases
New Ways of Thinking and Delivering Health Care: Advanced Nursing Practice Steps Up for Canadians’ Health (September 11, 2008), found at http://www.cna-nurses.ca/cna/news/releases/public_release_e.aspx?id=238
Nurse Practitioner Role to Strengthen Canada’s Primary Health Care System (April 15, 2005), found at http://www.cna-aiic.ca/CNA/news/releases/public_release_e.aspx?id=171
Canadian Study Provides Evidence Linking Nursing Knowledge to Lower Mortality Rates (March 20, 2002), found at http://www.cna-aiic.ca/CNA/news/releases/public_release_e.aspx?id=63
International Organization Documents
Buchan, J., and Dal Poz. (2002). “Skill Mix in the Health Care Workforce: Reviewing the Evidence” in Bulletin of the World Health Organization, 80(7), found at http://www.who.int/docstore/bulletin/pdf/2002/bul-7-E-2002/80(7)575-580.pdf
International Council of Nurses. (2001). Promoting the Value and Cost-Effectiveness of Nursing [Position statement], found at http://www.icn.ch/ps_D06_prom.value&Cost-effective.pdf
International Council of Nurses. (2007). Nurses and Shift Work [Position statement], found at http://www.icn.ch/ps_C07_nurses&shiftwork.pdf
International Council of Nurses. (2007). Part-time Employment [Position statement], found at http://www.icn.ch/pspart-time00.htm
International Council of Nurses. (n.d.). Nurses and Overtime [Fact sheet], found at http://www.icn.ch/matters_overtime.htm
International Council of Nurses. (2004). Workload Measurement in Determining Staffing Levels, for sale at http://www.icn.ch/bookshop.htm
Other Documents
Baranek, P. (2005). A Review of Scopes of Practice of Health Professions in Canada: A Balancing Act [Report of the Health Council of Canada], found at http://healthcouncilcanada.ca/docs/papers/2005/Scopes_of_PracticeEN.pdf
Besner, J., Doran, D., McGillis Hall, L., Giovannetti, P., Girard, F., Hill, W., Morrison, J., and Watson, L. (2005). A Systematic Approach to Maximizing Nursing Scopes of Practice, found at http://www.calgaryhealthregion.ca/rinh/documents/newsletter/FINALREPORT_SEPTEMBER20.pdf
El-Jardali, F., and Fooks, C. (2005). An Environmental Scan of Current Views on Health Human Resources in Canada: Identified Problems, Proposed Solutions, and Gap Analysis [Report of the Health Council of Canada], found at http://www.healthcouncilcanada.ca/docs/summit05/EnvironScanENG.pdf
Tomblin Murphy, G. (2005). Enhancement of Patient Safety Through Formal Nurse-Patient Ratios: A Discussion Paper, found at http://www.nursesunions.ca/cms/updir/2005-10-03-Nurse-Patient-Ratio-EN.pdf
