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Stakeholders in Nursing Practice

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Kristyn Pankratz

on 15 May 2015

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Transcript of Stakeholders in Nursing Practice

Federal Minister of Health
is responsible for Health Canada and its agencies including the following:

1. Public Health Agency of Canada
2. Canadian Institute of Health Research
3. Hazardous Materials Information Review
4. Patented Medicine Prices Review Board
5. Assisted Human Reproduction Canada
What is the role of the stakeholder?
Each person/group involved can provide a
unique perspective
in making health care decisions.

as a stakeholder
Stakeholders in
Nursing Practice

Who is a stakeholder?
The Nurse and the Nursing Profession
Nurses belong to a group often referred to as "frontline" workers as they provide health care services
to patients.
By Zarah, Sabrina, Dina, Rahmath and Kristyn
"One who is
involved in
affected by
a course of action"

All interested parties provide their own
in a given field and can provide the
needed to support the decision-making process.
Who are the stakeholders?
Advocacy groups
Professional societies

And many others!
They perform a wide
of roles within their position and are the largest body of health care providers in
with over 360,000 regulated members.
Some of these key roles are:
Caregiver -
provision of aid for those who cannot take care of themselves and implementation of health-promotion actions
Teacher -
develop patient education programs to teach clients and their families
Client Advocate -
makes the patient the #1 priority and acts as mediator between them and others in the health care environment
Manager -
coordinates staff and delegates tasks to appropriate personnel
Evaluator -
reviews records and makes recommendations for improvement based upon findings
Researcher -
develops and implements research proposals to broaden understanding of issues in clinical practice
Consultant -
provides specialized knowledge and advice on health care issues
Case Manager -
monitors client progress towards expected outcomes and manages care for a caseload of clients
The Nurse and maintaining safety
Nurses have always played a major role in patient safety. As the professionals who are with patients around the clock, nurses are positioned to
prevent medication errors
, ensure patients receive the
correct therapy
and provide
safeguards from problems
such as
skin breakdown.
Because of their unique relationship with the patient, nurses are
more likely to recognize inefficiencies
and to be able to
make recommendations for change
Nurses taking Leadership
Educational changes in nursing now prepare nurses at all levels to
leadership roles.
for national nursing
licensure exams
have also been
There has been an increasingly strong call to make a baccalaureate degree the
minimum educational preparation
for registered nurses.
Advocating for best care
no matter of the outcome
Although it can have personally negative effects to challenge a physician or organization on behalf of a patient,
the nurse's main duty is to act as a patient advocate
Nurses at the bedside often recognize potentially serious issues such as a high rate of infections in one surgeon’s patients, the misuse of certain kinds of expensive medications or even verbal and sexual abuse.
Nurses are taught they have a responsibility to report such issues to protect the patients in their care.
The role of the Federal Government
For a patient to best contribute to their health outcome, they must be
and be
actively involved
as participants in their own care. For example, a diabetic patient who has been taught how to safely self-inject insulin, monitor their own blood glucose levels and report any deviation from ideal measurements is then
better equipped
and less likely to suffer the consequences of hyperglycemia.
The Patient as stakeholder
Based upon previous experiences within the health care setting, a patient is also able to provide valuable
as to what was effective and what was ineffective. Therefore, based upon this input, care provided can be
and best meet a client's specific health needs.
The patients are
to the health care system and the reason for its very existence. Unfortunately, despite financial involvement and their experience-based knowledge, many patients are still not given the opportunities to participate in the policy-making and decision-making of the system itself. While there are many groups representing patients with specific diseases, illnesses or conditions, or a specific issue such as the maintenance of patient safety; the opportunities for patients to personally
speak with a federal Health Minister
or introduce a bill into the House of
Commons is limited.
Are we truly placing
patients as the #1 priority?
Other Professions as Stakeholders
It is important to maintain collaborative partnership between nurses and other disciplines, all in the interest of meeting the patient’s health goals.
Nursing educators, physicians, facility administrators, social workers and other allied health staff members all partner with nurses and contribute
to a patient's care.
Nursing Educators

* Educators are to teach nursing students how to
prevent medical errors

* They have the great responsibility of teaching future generations of nurses to
identify risk factors
for their patients.

* They are responsible for teaching nursing students the
importance of thinking critically
acting efficiently
while providing patient-based care.
* Physicians dedicate their lives to help people improve their health.
* They
patients and the
from their treatments and surgical interventions.
* Physicians and nurses are the two largest related groups in health care. These two groups work hand in hand, providing services directly to the patient.

* Administrators of non-profit organizations must make the most out of whatever funds are available to provide the necessary care to patients.

* In facilities which are for-profit, administrators must focus more on the business interest of the organization.

* Administrators have various responsibilities towards the staff they manage; working conditions, hours, competitive wages, all which contribute to the morale and motivation of the worker, ultimately affect the quality of patient care.
Facility Administrators
* Include disciplines such as Physical Therapists, Laboratory Technicians, Respiratory Therapists, Dieticians, etc...
* All have various skill sets, different duties to perform, their focus is individual on a patient to patient basis

* Nurses and Physicians rely on the expertise and assistance of allied health personnel, their assessment results and other findings are necessary to effectively treat their patients.
Allied Health Professionals
Social Workers
* They are called upon in situations when psychosocial, spiritual and/or bereavement counseling is needed.

* Social workers often handle special aspects of certain patients’ situations.
The roles and responsibilities of health care are divided between the
, and
provincial and territorial governments
. The provincial and territorial governments have most of the responsibility for delivering health care, and all levels of government are responsible for funding health care through taxation. Provinces may also charge a health premium to their residents to help pay for publicly funded health care services, but non-payment of a premium must not
limit access to medically necessary
health services.
Decision making and ensuring quality of care.
to provinces/territories and primary and supplementary services to certain groups of people including First Nations, Inuit, and Refugees etc.
Ensure quality executive
of health care.
Setting and administering national
for the system under the Canada Health Act.
Health protection and regulation (Pharmaceuticals, medical services etc.)
Direct service to First Nations and Inuit including primary care and emergency services in nursing stations, health centres, in-patient treatment centres, and through community health promotion programs.
The role of the
Each Province/Territory has a Minister of Health who oversees and is responsible for its own health agencies. Each agency creates legislation, policies and programs for administering its health insurance plan and delivering its health services to that specific area.
-Administer most of health care services under Canada Health Act.
-Regulate prepaid health insurances that covers necessary medical costs
-Regulate the staff to deliver a quality health care to the clients and ensure availability of the health care. Ensure access of health care by everyone including the ones without a health care premium.
-Planning and funding of care in hospitals and other health facilities
-Services provided by doctors and nurses and other health professionals.
-Planning and implementation of health promotion and public health initiatives by nurses and other health professionals.
- Negotiation of fee schedules with health professionals.
Responsibilities of the Provincial/Territorial Government
1. Policy maker that makes health care decisions based on the evidence about what it works and what does not.
2. Providing training for the nurses to ensure competency and quality care delivered to the client.
3. Promote protection measures to decrease the occurrence of communicable disease.
4. Regulates the primary, secondary and tertiary health care delivery system.
5. Laws set up to control the use of pharmaceuticals.
6. Laws set up to protect the rights of nurses and other stakeholders.
7. Major component in ensuring enough nurses
in the workforce to provide affordable, available
and quality health care in the country.
Role of the Government in Nursing Practice
Provinces have normally provided funding through a direct transfer of funds base on a global budget. The amount is based on criteria such as number of patients served, average cost of procedures, labor employed and a variety of other factors.
How provinces financially contribute
* They teach future nurses all the
theoretical basis
best practices
, and
professional behaviors
by which they are to abide when they go on to become care givers.
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