Newfoundland and Labrador Nurse Practitioner Association Annual General Meeting September 22-23, 2011 A Special Interest Group of the Association of Registered Nurses of Newfoundland & Labrador NLNPA Annual Report 2011 1 Table of Contents President Report 3 Agenda 7 Minutes 8 Current Bylaws 12 Recommended By-Law Amendments 18 NLNPA Committee Representation 19 NLNPA Committee Reports Treasurer Report Auditors Report ARNNL Report CAAPN Report Fundraising Committee Report Bylaws Committee Report Scholarship Committee Report Nominations Committee Report NP Council of CAAPN Report Marketing Committee Report Education Committee Report Communications Report 20 20 21 24 30 30 30 31 32 34 35 NLNPA Report to ARNNL 41 NLNPA Membership Form 42 NLNPA Committee Interest Form 43 NLNPA Annual Report 2011 2 NLNPA President's Report Operating year for this report (September 2010 to August 2011) Number of Members: 52 Executive for the operating year September 2010-August 2011: President: Kelly Power-Kean 100 Forest Road, Room 1010 St. John’s, NL A1A 1E5 Phone: 777-8139 (w), 895-2905 (h) Fax: 777-8913 kpowerkean@cns.nf.ca Vice-President: Wanda Emberley-Burke wemberley@cns.nf.ca Past President: Sueann Kean sueann.kean@centralhealth.nl.ca Secretary: Heather Rumsey heather.rumsey@easternhealth.ca Treasurer: Geri Dalton geri.dalton@easternhealth.ca Communications Director: Donna Daley npacommunications@gmail.com Executive for the forthcoming year: President: Kelly Power-Kean 100 Forest Road, Room 1010 St. John’s, NL A1A 1E5 Phone: 777-8139 (w), 895-2905 (h) Fax: 777-8913 kpowerkean@cns.nf.ca Vice-President: Wanda Emberley-Burke wemberley@cns.nf.ca Past President: Sueann Kean sueann.kean@centralhealth.nl.ca Secretary: Heather Rumsey heather.rumsey@easternhealth.ca Treasurer: to be determined at AGM Communications Director: Donna Daley npacommunications@gmail.com NLNPA Annual Report 2011 3 NLNPA Website: http://nlnpa.ca September 2010-August 2011 NLNPA Activities: I would like to begin my initial report as NLNPA president by expressing gratitude to the executive and membership who have worked hard to ensure successful NLNPA ventures and initiatives over the past year. Wanda Emberley-Burke in her vice president role consistently plays a major role as planner and organizer of meetings for the NLNPA and has contributed significantly to all aspects of the NLNPA. She is the executive member on the NLNPA Education committee, and NL representative on the Canadian NP Council. She has been key in keeping membership abreast of current national initiatives, including the recommendation of representation on various committees. Geri Dalton has performed admirably in the challenging role of Treasurer and has ensured that NLNPA obligations have been met, finances are well managed, membership growth is vigorously pursued and executive and members are informed of the financial health of the organization. Geri has been the chair of the nominations committee, and executive member on the bylaws committee. As NLNPA Secretary, Heather Rumsey has ensured that executive meetings have operated smoothly including the preparation of minutes. It is hoped that in the coming year the minutes of all executive and general membership meetings will be available on the updated NLNPA website. Heather is the Eastern Health representative on the NLNPA Marketing committee and the NL Provincial Nursing Network. I would also like to thank Donna Daley, who bravely accepted the executive position of NLNPA Communications Director in March of this year. She has work diligently with our contracted webmaster to update and move our web page forward. Donna has also been busy with various communications activities, which have assisted our group with marketing the role of the NP in NL. Sueann Kean, as past-president of the NLNPA has offered to the executive her experience and expertise related to NLNPA operations. She is currently the chair of the Bylaws committee, and the executive member on the Conference Planning Committee. We thank her for her ongoing and invaluable support. National and international conferences are an important service to NLNPA members, and Bev McIsaac, Cathy Aylward and Jane Wells deserve special mention. Both Cathy and Jane have collaborated to prepare our AGM this year in Grand Falls-Windsor. Cathy is also the Advanced Practice Representative on ARNNL council and has kept us regularly informed regarding council activities as they apply to NP practice. Bev as president of CAAPN has kept NLNPA executive and members updated regularly regarding national NP issues and has been a key player in the NLNPA Annual Report 2011 4 organization of the national CAAPN conference taking place in Saskatchewan this September. Bev's unwavering enthusiasm for national and international representation of NPs has guaranteed that the NLNPA is strongly represented to CAAPN and CNA: these links provide NLNPA members with opportunities for input on a national level. Bev is also chair of both the NLNPA Marketing and Education Committee’s. Executive Meetings: The executive over the past year have met regularly. Meetings were held on October 29/10, December 2/10, January 14/11, February 11/11, March 25/11, April 5/11 and May 13/11. A meeting is also scheduled for September 7/11 in preparation for the September 22-23 AGM taking place in Grand Falls Windsor. In addition to these face to face or conference call meetings, the executive is constantly in contact with each other via email and phone regarding issues that come forward in between meeting dates. General Membership Meetings: Two general membership meetings were held over the past year on January 20, 2011 and April 13, 2011. The AGM will be held in Grand Falls Windsor on September 23, 2011 at a breakfast meeting from 7:30-9:00 am. We encourage all members and interested NPs to attend. Highlights NLNPA Activities for 2010-2011: The NLNPA executive and membership have been involved in a variety of activities over the past year. It is difficult to describe all of our work; however the majority of these events have been captured in the reports that precede this report. This list is provided as a summary of those activities: Contracting a webmaster to update and manage current NLNPA webpage Updating NLNPA posters for public audience and NP audience Participation in Nurses Week with an advertisement in the Telegram (May 2011) Participation in NLNU sponsored MHA breakfast with focus on NP practice (8 members attending) Participation in CAAPN sponsored NP Advocacy Workshop in Ottawa, with 2 NLNPA members attending Participation in CAAPN sponsored NP Advocacy Workshop Part 2 in Saskatchewan, with 1 NLNPA member attending Advocacy regarding ARNNL CCP issues Facilitating NLNU presentation regarding NP job reclassification issues Coordinating medtronic continuing education dinner session for NPs on insulin pump therapy Advocacy regarding insurance coverage of NP prescriptions (Sunlife, Massage Therapists) Participation in CAAPN 2011 conference (1 member sponsored to attend) Encouraged participation of all NL NPs in MHA letter writing campaign Participation in Provincial Nursing Network Participation in the Canadian Association of Advanced Practice Nurses (CAAPN) Participation in the National Nurse Practitioner Council NLNPA Annual Report 2011 5 Participation in formulating the ARNNL NP Verification of Competencies Process Representative on ARNNL NP Standards Committee Participation at special interest group meet and great at ARNNL AGM conference Continued NP marketing initiatives Donation of AED in association with NL Heart and Stoke Foundation (location Bishop Falls) Participate in ARNNLs NP Committees Increasing NLNPA scholarship fund (two annual $500 scholarships to NLNPA members) Reestablishing membership cards Organizing NLNPA fleece jacket purchasing Establishing NL NP pin which was financially supported by ARNNL Linkages with newly appointed Vice President and Chief Nursing Officer, Eastern Health regarding future Eastern NL NP initiatives Although not directly related to NLNPA activities, three of our members have been recognized either provincially or nationally this year. Karen Oldford was profiled in a recent Canadian Nurse article. In the article Karen has described some of the rewards and challenges of NP practice in Labrador. Geri Dalton was featured on provincial television and newspapers with the inauguration of the New Hope Clinic in St. John’s. Her passion and dedication to her patients was evident through her interview and patient testimonials. And finally, Goldie White was awarded the prestigious FNIHB Award of Excellence in Nursing which celebrates the dedication, initiative and excellence of nurses employed by First Nations communities, Health Canada and Inuit communities who work in partnership to improve the health of Canada's Aboriginal peoples. Congratulations to all! We are confident that other NL NPs have been involved in similar exciting initiatives. The NLNPA executive is hopeful that NPs will share their successes in NP practice on the newly updated NLNPA webpage. I would like to close this report by congratulating two NPs on their upcoming retirements. Both Geri Dalton and Sonja Parsons are retiring from the full time NP positions. As you all know, they have contributed tremendously to the NP movement in NL, and have truly been “trail blazers”. On behalf of the NP executive and membership, we wish you heart felt congratulations on your retirement and many years of retirement bliss. Respectfully submitted; Kelly Power-Kean NLNPA President August 31, 2011 NLNPA Annual Report 2011 6 Agenda NLNPA AGM September 23/11 Grand Falls Windsor 7:30-9:00 am 1. 2. 3. 4. 5. 6. 7. Welcome Approval of Agenda Approval of Minutes from September 2010 AGM President’s Report Treasurer Report Auditor Report Business Arising a. Committees/Associations i. CAAPN ii. ARNNL Council b. Internal Committees i. Fundraising ii. Bylaws iii. Scholarship iv. Nominations Committee v. Conference Planning Committee c. Partnership with Heart and Stroke-AED 8. New Business a. NP Council Of Canada b. Marketing Committee c. Education Committee d. Communication Director Report e. CNS Report f. ARNNL CCP g. NLNPA Annual Conference h. Presentation i. Election of New Executive 9. Next Meeting 10. Adjournment NLNPA Annual Report 2011 7 NLNPSIG Minutes General Meeting September 2010 Holiday Inn- St. John’s, NL 1. Meeting called to order at 1605 by Karen Oldford. 2. The agenda was approved by Karen with two small changes. Under New Business Bylaw changes will be A and Election of new executive will be B. 3. The minutes of the last general meeting were reviewed. They were adopted with no amendments. These were not the minutes included in the package. These teleconference meeting minutes will be adopted at the next meeting as at an AGM you adopt the last AGM minutes.. 4. Treasurers Report: - Reviewed by Geri. A copy was provided for review. - The expenses on the second page reflected those that incurred since Jan 19, 2010. The bank statement may look higher as there are 2 checks that haven’t cleared yet. - motion to adopt by Cathy Aylward, seconded by Jackie Foote. Adopted as read. 5. Business Arising 1. Committees/Associations: a) NP Marketing- This committee has not met in 6 months. The last big imitative - was the poster development. If you require some they are available from Sueann or Bev. Heather Rumsey discussed the fact that we should align ourselves with a not for profit organization. The website is now up and running. Heather suggested that we write a thank-you to Vicki Kaminski for her address and in that market the role. b) CAAPN- Bev McIsaac is away. Lynn Miller brought greetings to the group. - She talked about integration of roles and the challenges- CAAPN is a support at - the National level. CAAPN has been involved with the CNA conference in Nova Scotia. They sponsored a breakfast symposium at CNA re advanced practice roles. They NLNPA Annual Report 2011 8 - presented a document which highlighted the need for both advanced practice roles. This year they will reevaluate their mission and vision statements. They are redoing their organizational chart. They are revising their website. Advised the group that the CAAPN newsletter comes out 4 times per year. As part of our CAAPN membership we have access to 2 online journals with a third being added. She advised that the controlled drug and substance act is still being worked on but that it is not seen as a priority. Physician assists are being discussed but is like comparing apples to oranges. The next CAAPN conference is in Saskatchewan, Sept 29 and 30, 2011. Lynn advised that she has a contact for the video that the Nova Scotia group did- the cost was approx. 5-7 thousand. c) NPCC- Antoinette was a member of this group but it has not been active recently. d) Provincial Nursing Network- this group was established by Anita Ludlow. No recent meetings of this group. e) ARNNL Council - Cathy Aylward is the advanced practice representative. The - goal is public protection and to set standards. A big function is the complaints authorization committee- if on council you can be pulled in to be a part of this committee. Very eye opening as complaints are increasing. Cathy explained that this is a big part of why ARNNL fees increased- to cover the cost of legal fees. NP’s have increased an extra $50.00 above RN’s fees. Continued competency- do self assessment tool as plans can be audited. Samples- NPs can’t accept or distribute samples. No prescribing of narcotics. They meet 4 times per year. Any concerns contact Cathy. 2. Internal Committees: - Reports are included in the report. - Cindy Parrill was awarded the bursary this year. - Need a new conference planning committee- a list will be circulated tomorrow to see who is interested in being on this committee. The group was asked to consider where the next conference would be. 3. Pharmacy Board: - When they update their computer programs they have been asked to include the NP designation and not just Dr. NLNPA Annual Report 2011 9 4. NP Postings: - This has been rectified. 5. New Business a.) Bylaws: - Amendments reviewed. - Article 1- name-OK - Article 3- a-object-language current to reflect documents b- addition-“integration”- OK - Article 4- membership-1.1- 3 points-OK - Article 4- membership 1.2- 2 points- OK -Article 5- Additions to EX.- OK -Article 5- 4.- Holding of office-OK - Article 5-5. -Overlap of executive-OK - Article 5-6.- Attendance- OK - Article 5-8. -Overlap of executive- OK - Article 5-10.4.- Signing authority-OK - CAAPN fees-OK - Accountability quarterly report- OK - Article 5-10.5- Communication Director-OK - Article 6- 2.3- Grammar- OK - Article 6-2.4-Scrutineers-OK - Article 7-3- Meeting clarification-OK - Article 7-3.2- Attendance quorum-OK -Article 7-4-Special meeting-OK - Article 7-4.1- Written notice-OK -Article 7-5 Voting-OK - Article 7-6- Format of voting- OK - Article 7-6.1- Time sensitive issues- OK - Article 7-6.2- Notification-OK -Article 8-4- Addition-marketing and education-OK - Article 8-9- to scholarship- OK - Article 9- 1.3- Year change- OK - Article 9- 1.4- Fees- OK - Article 9- Signing authority- OK - Article 10-1- Amendment of Bylaws-OK Bylaw changes are carried with no opposition. - b.) Election of New Executive: Geri Dalton reviewed nominations for president and vice president. President- Kelly Power Kean- nominated and accepted- elected by acclamation. Vice President- Wanda Emberley-Burke- nominated and accepted- elected by acclamation. Treasurer- 1 year term- no nominations. Geri accepted the position for 1 year. Secretary- Heather Rumsey nominated and accepted- acclaimed. NLNPA Annual Report 2011 10 - - Communications officer- no nominations- deferred for now. Committee representatives will be sought during conference. c.) Heart and stroke Foundation: Partnership with them. $4000.00 “restart the heart program”- provides AED and training in an area. Recognition to our group including a plaque. Agreed to do this. 1st was Cathy Aylward and 2nd by Marci Greene, No opposition. Motion carried. d.) Video Survey: - Video re promotion of NP role in NL. Budget of $10 000- good investment. Lynn cautioned the group to have clear property rights. This will go to the marketing committee for investigation and follow-up. Motion to spend up to $10 000 to develop video. 1st Jane Wells, 2nd Geri Dalton. Video will be the property of NLNPSIG Develop partnership with ARNNL, NLNU. Look at schools/ media production for partnership. Motion carried. e.) Next Meeting To be called. Meeting adjourned at 1730. Respectfully submitted by Michelle Whittle NLNPA Annual Report 2011 11 NLNLA Bylaws Article I – Name The name of the Special Interest Group is Newfoundland and Labrador Nurse Practitioner Association hereafter referred to as NLNPA. Article II – Affiliation This group is a special interest group of the Association of Registered Nurses of Newfoundland and Labrador (ARNNL) and a provincial partner of the Canadian Association of Advanced Practice Nurses (CAAPN). Article III – Object The object of the NLNPA is to support and promote the development of Nurse Practitioner (NP) Education and Practice in the province of Newfoundland and Labrador by: (a) promoting the Canadian Nurses Association’s Nursing Practice Standards, ARNNL’s Standards of Nursing Practice, Standards of Practice for Nurse Practitioners and competencies for Primary Health Care Nurse Practitioners, and/or Nurse Practitioner Specialists in Newfoundland and Labrador; (b) promoting NP nursing practice, integration, education, research, and administration; (c) providing consultation and support to members on professional practice issues; (d) partnering with consumers and other health care and related organizations; (e) contributing to the development of standards of practice for NPs; (f) promoting and facilitating access to continuing education opportunities for NPs; (g) collaborating with key stakeholders for health system reform aimed at enhancing services available to citizens of the province; (h) adhering to the Canadian Nurses Association’s Code of Ethics for Nursing; and (i) lobbying for healthy public policy. Article IV- Membership 1. There shall be three (3) categories of NLNPA members. 1.1 Full membership shall consist of licensed NPs holding a current practicing or nonpracticing membership with the ARNNL. Regular membership shall: pay an annual fee as determined by vote of membership; NLNPA Annual Report 2011 12 have full voting privileges; be eligible to hold office and serve on committees; have access to consultation and support on professional practice issues; remain in good standing as long as dues are paid; and includes membership to CAAPN. 1.2 Associate membership includes student NPs, Clinical Nurse Specialists and supporters of NPs. The Executive Committee will approve associate memberships. Associate members shall: pay a reduced fee as determined by vote of membership; be non-voting members; not be eligible to hold office; be eligible to serve on committees; and includes membership to CAAPN. 1.3 Honorary members shall be individuals who have received unanimous approval of the Executive Committee in recognition of outstanding contributions in support of NP practice in NL. Honorary members shall: be exempt from paying annual fees; be non-voting members; not be eligible to hold office; and be eligible to serve on committees. 1.4 Members may resign from the NLNPA at any time. There will be no of dues with resignation. …refund 1.5 Members delinquent in the payment of membership fees by more than sixty …….(60) days after the membership expiration shall be considered as resigned. Article V – The NLNPA Executive Committee The NLNPA Executive Committee is the governing body responsible for the activities of the NLNPA. 1. The Executive Committee shall be: President, Vice President, Secretary, Treasurer and Communications Director. The Past-President acts as an advisor to the Executive Committee. 2. All officers shall be elected to a two-year term immediately following the election during the Annual General Meeting (AGM). 3. An individual may not hold more than one office at the same time. 4. No member shall hold office for more than three terms. NLNPA Annual Report 2011 13 5. A member shall be eligible for re-election to the Executive Committee after a lapse of one year. 6. All officers shall maintain active membership and are required to attend 75% of executive and general membership meetings. 7. An officer may resign at any time by written notice to the Executive Committee. 8. In circumstances where the entire executive is scheduled to change over, because of resignations, elected executive members and appointed executive members can serve an additional one year term to allow for staggering of exit of members from the Executive Committee. 9. The Executive Committee may fill vacancies until the next scheduled balloting. 10. A two-thirds vote is required at any AGM or special meeting called for the purpose to remove any elected officer for due cause before the expiration of their term, and appoint another member to complete the term. 11. The duties of the Executive Committee and its members shall be as follows: 11.1 The President shall chair all meetings of the NLNPA and the Executive Committee. The President shall act as an official spokesperson for the NLNPA, to interpret NLNPA activities and policies to others, and facilitate the mandate of the NLNPA. The President shall be a signing officer. The President shall prepare an annual report to present to the membership at the AGM and submit an annual report to the ARNNL. 11.2 The Vice President shall perform duties delegated by the president, assume the office of the President should that office become vacant between elections, and assume the duties of the President in the absence or inability of the President to act. 11.3 The Secretary shall maintain minutes of record of all meetings, attend to correspondence under the direction of the Executive, and maintain an accurate listing of members in conjunction with the Treasurer. 11.4 The Treasurer is a signing officer. The treasurer shall keep records of all monies received and disbursed, prepare financial statements and present such statements and a projected budget at the AGM. The Treasurer will receive and process membership applications and annual fees for the NLNPA and CAAPN and maintaining an active membership list. The treasurer should provide a quarterly report at the executive meetings. The Communications Director shall prepare a newsletter and articles for the media or other print or multimedia sources in collaboration with the executive and members. The director shall also liaison with the web administrator in keeping the website up to date. 11.5 NLNPA Annual Report 2011 14 Article VI - Nominations and Elections 1. There shall be a Nominations Committee consisting of three members elected by the NLNPA at each AGM, one of who shall be named the chairperson by the committee. 1.1 2. This committee shall implement the procedure for obtaining nominations for the elected offices, receive nominations submitted for all elected offices, and present a ticket of nominations to the Executive Committee eight (8) weeks prior to the AGM. If insufficient nominations are received, the committee must use reasonable efforts to ensure a contended election for office. The election of offices shall be held during the Annual General Meeting. 2.1 Active members with full membership shall be eligible for office, except as precluded in Executive Committee bylaws. 2.2 The candidate receiving the greatest number of votes shall be elected. 2.3 The chairperson of the nominations committee with draw lots to break a tie of votes. 2.4 The Executive Committee shall appoint two scrutineers to count the ballots and report the results to the nominations committee chair. The nominations committee chair will report the results to the general membership. Article VII – Meetings 1. A provincial meeting of NLNPA shall be held every year and be designated an Annual General Meeting (AGM). 1.1 The AGM shall be held at the call of the President. 1.2 Members shall be advised of the agenda, date, time, and place of the AGM at least six weeks in advance. 2. General membership meetings shall be held at least twice a year and/or at the call of the President. The agenda, date, time and place shall be made known to members at least two weeks in advance. 3. Executive Committee meetings may be convened by the president or any two members of the Executive Committee at any time but at least quarterly. 3.1 Notice of meetings shall be communicated to each Executive Committee member not less than one week prior to the meeting date. NLNPA Annual Report 2011 15 3.2 4. Fifty percent (50%) plus one of the executive membership shall be a quorum at any given meeting. A quorum is required for voting. The NLNSPIG may call a special meeting on the written request from 30% of the voting members. 4.1 Written notice of special meetings shall be served to members at 14 days before the date of the meeting. 4.2 A statement of the purpose for which a special meeting is called shall be sent to the members with the notice of the meeting. 5. Thirty percent (30%) of the membership of the NLNPA shall be a quorum at any given meeting. A quorum is required for voting. 6. Eligible members can vote using the following formats, showing of hand, telephone phone, ballot or electronic. 6.1 As deemed by the executive, special voting can be conducted to address time sensitive issues that are critical to conducting business of NLNPA. 6.2 Members will be notified regarding the special vote and the rational for the special vote via email or telephone. Article VIII – Committees 1. The committees of the NLNPA shall consist of two categories: standing committees and special committees, to be appointed by the Executive Committee as required. An executive member shall be assigned to all committees, as requested by the president. 2. Standing Committees of the NLNPA are: Bylaws Communication Marketing Executive Nominations Scholarship Education 3. Special Committees are those committees established by the president, the executive committee or by resolution from members at the Annual General Meeting. Article IX - Finances 1. There shall be an annual fee (dues) for full and associate members. 1.1 The annual membership fee for each category of membership shall be recommended by the Executive Committee and approved by the majority of members at the AGM. NLNPA Annual Report 2011 16 1.2 Notification of a proposed change of fee shall be sent to the membership at least two (2) months prior to the AGM. 1.3 The membership year shall begin January 1st and end December 31st. 1.4 Annual fees shall be payable at the AGM, and not prorated for less than a year of membership. Fees paid at the AGM will provide membership for the following calendar year. 2. The books shall have an audit by a non-executive person/party on a yearly basis. 3. Both the Treasurer and the President will have signing authority for all cheques and other orders of payment in the name of NLNPA. The treasurer should be the primary issuer of all cheques. In the absence of the treasurer, the president may sign cheques. Article X – Amendments 1. Amendments to these bylaws may be adopted at any AGM by a two-thirds (2/3) vote of those members in attendance. 2. Proposed amendments shall be submitted in writing to the Executive Committee at least twelve (12) weeks in advance of the AGM and circulated to the members at least eight (8) weeks prior to the vote. 3. Accidental non-receipt of notice by any member shall not invalidate any amendment made under this article. Article XI – Parliamentary Authority 1. The rules contained in the current edition of Robert’s Rules of Order Newly Revised, shall govern NPSIG except in cases specified by these bylaws, standing rules, or special rules of order adopted by the members. Adopted June 2000 Revised and Adopted June 2005 Revised and Adopted September 2010 NLNPA Annual Report 2011 17 Bylaw Amendment Recommendations for AGM 2011 Old Bylaw Article III (e) contributing to the development of standards of practice for NPs New Bylaw Ongoing contribution to the development of standards of practice for NPs Article VI- 2.3 The chairperson of the nominations committee with draw lots to break a tie of votes. The chairperson of the nominations committee will draw lots to break a tie of votes. NLNPA Annual Report 2011 Rational National NP standards have been developed. NLNPA will contribute as requested in future development or revision of the same. Grammatical correction. 18 NLNPA Committee Representation Marketing Committee Chair: Bev McIsaac Executive member: Donna Daley Eastern: Heather Rumsey Western: Ellisa Sinnicks-House Central: Ada Roberts Labrador: vacant Education Committee Chair: Bev McIsaac Executive member: Wanda Emberley-Burke Eastern: Peggy O’Brien-Connors Alisa Fowlow Carmel Collins Donna Best Western: vacant Central: Nadine Roberts Labrador: vacant Scholarship Committee Chair: Jill Bruneau Executive member: Kelly Power-Kean Eastern: Valda Duke Western: vacant Central: vacant Labrador: vacant Bylaws Committee Chair: Sueann Kean Eastern: Geri Dalton Western: vacant Central: vacant Labrador: vacant Nominations Committee Chair: Geri Dalton Eastern: vacant Western: vacant Central: vacant Labrador: vacant NLNPA Annual Report 2011 19 NLNPA Reports Treasurer Report: To be submitted at AGM as a separate document by Geri Dalton, Treasurer NLNPA. Auditors Report: To be submitted at AGM as a separate document by auditors Marcy Greene and Jill Bruneau. NLNPA Annual Report 2011 20 ARNNL Report: Association of Registered Nurses of Newfoundland & Labrador (ARNNL) Annual Report to NLNPA 2010-2011 Registration ARNNL members continue to contribute their expertise to the development of the CRNE and in particular, in the item writing and standard setting processes. Since 2007, NP graduates working in Primary Health Care are required to write the Canadian Nurse Practitioner Exam (CNPE) Family & All Ages Exam to obtain licensure. There were eight candidates who successfully completed the exam in 2010 and 9 who will be eligible to write the exam in 2011. NPs licensed in NL – 111 Non – practicing RNs –7 (Note: two RNs are currently completing the Nurse Practitioner Validation Process (2010) for NP licensure). RNs currently completing CNPE – 9 Interim Licenses - 12 Nurse Practitioner Standards Committee: In 2010-11, the NP Standards Committee reviewed and approved five Practice Protocols for NP Specialists. ARNNL also approved six Interim Licenses for NP Specialists. This was the first time that Article 6 Section 4 of the ARNNL Bylaws (2010) was used to allow NP-S to work under an Interim license. This Bylaw allows NP-S to work within the scope of practice of a Nurse Practitioner, with limitations, allowing him/her to work in the role while developing his/her Practice Protocol. ARNNL also issued nine licenses to NPs working in Primary Health Care. Two Registered Nurses availed of the ARNNL NP Validation Process, allowing them to be issued a practicing NP license after fully completing the Validation Process including 600 hours of clinical practice. The Nurse Practitioner Regulations and the Framework for NP Practice in NL has significantly expanded the scope of practice for nurse practitioners in the province and ARNNL believes this is an important step forward for nurse practitioners, one which will ensure NPs are able to practice to their full scope and play a significant role in delivery of health care services to all patients in NL. The NP Standards Committee approved three requests for drugs to be added to Schedule C of The Framework for Nurse Practitioner Practice in Newfoundland & Labrador (2008). Education Planning is underway at Memorial University to move the BN-NP Primary Health Care program to the Master in Nursing (MN) Degree and the MN-NP (Acute) to MN-NP (Adult) as recommended by the Canadian Nurse Practitioner Initiative (2006) and ARNNL. This will bring NP education in line with national standards. Submission of the new program for preliminary approval is expected in 2011 with the first intake of students commencing in September 2012. ARNNL continues to work with key stakeholders to move to 3 Streams of Practice (Adult, Pediatrics and Family All Ages) with a national exam for all 3 streams. NLNPA Annual Report 2011 21 Controlled Drugs and Substances Act: (national and provincial) The New Classes of Practitioner Regulations (NCPR) are still considered to be of high priority for all regulatory bodies, the Canadian Nurses Association and CAAPN. A recent letter from The Federal Minister of Health, Honourable Leona Aglukkaq to the Canadian Association of Advanced Practice Nurses (CAAPN) providing assurance to nurse practitioners in Canada, that this issue will be resolved in the coming months. ARNNL will continue to monitor and report on the status of this long standing concern for NPs. Continuing Competence Program for Nurse Practitioners The ARNNL Continuing Competence Program (CCP) was implemented in April 2010. An extensive province wide education initiative was undertaken in 2009 and 2010 to introduce the new program. Over 3200 members have attended at least one CCP education session. ARNNL hosted 88 education sessions in 2010-11. 96.7% of Registered Nurses indicated on their registration renewal that they completed all components of CCP. Of the 3.3% who left the questions blank or answered no, 51% had completed the requirements before March 31st, 2010. In 2011-12 licensure year, Nurse Practitioner’s will be asked to identify two learning goals, one goal from the NP Professional Standards and one from the Scope of Practice Standards. This is in keeping with feedback received from NPs. Provincial Issues ARNNL worked with Labrador Grenfell Regional Health Authority (LG Health) to address the issue of advertising nurse practitioner positions Job postings) as Regional Nurse/Nurse Practitioner. Future advertising of these positions will clearly differentiate the role of the NP from that of the Regional Nurse based on the legislated scope of practice of the roles. Massage Therapy – ARNNL working with the Newfoundland and Labrador Massage Therapists' Association (NLMTA) addressed an issue related to denial of referrals from NPs. This is issue is deemed to be associated with the Insurance Companies and not with NLMTA. ARNNL continues to address this with the Insurers. Medavie/Blue Cross – ARNNL working with CNA and CAAPN continues to work to address Medavie/Blue Cross’s policy related to allowing NPs to prescribe and order as per their legislated framework. The major issue is policy makers working in various jurisdictions in Canada not having a clear understanding of the legislated scope of practice of Nurse Practitioners. This issue is hoped to be resolved in the very near future as work continues on this issue. ARNNL Committees ARNNL has established several committees that are working with NPs, including: NP Marketing Committee NP Continuing Education Committee NLNPA Annual Report 2011 22 NP Streams of Practice ARNNL continues to dialogue and partner with the NLNPA on an ongoing basis to address all relevant NP issues. Respectfully submitted by: Beverley McIsaac RN, MN (ANP), ARNNL Nursing Consultant Regulatory Services/ Advanced Practice NLNPA Annual Report 2011 23 CAAPN Report: Canadian Association of Advanced Practice Nurses (CAAPN) HISTORICAL PERSPECTIVE CAAPN was initially formed in 1989 as the Canadian Clinical Nurse Specialist Interest Group (CCNSIG) and became a CNA associate group in 1991, with a mandate to provide a national voice for Clinical Nurse Specialists (CNS). This mandate has since been expanded to provide a voice for Registered Nurses practicing from a base of Advanced Nursing Practice (ANP) in Canada, and represents advanced practice nurses in a variety of roles including CNSs and Nurse Practitioners (NP). These nurses practice in a variety of settings and specialties across the continuum of care. To reflect expanded mandate, the name was changed in 1998 to the Canadian Association of Advanced Practice Nurses (CAAPN). CAAPN believes that a master’s degree in nursing is the core foundation for advanced nursing practice. GENERAL STRUCTURE The Executive of CAAPN is made up of the following positions: president, president-elect, pastpresident, secretary, treasurer/membership coordinator and communications director. Individuals are elected into these positions by the national membership at CAAPN’s Biennial General Meeting. The 2009-2011 CAAPN Executive members are as follows: Past President – Cynthia Struthers (Ontario) President – Beverley McIsaac (Newfoundland & Labrador) President-elect – Kimberley Lamarche (Nova Scotia) Treasurer/Membership Coordinator –vacant Secretary – Lynn Miller (Nova Scotia) Communications Director – vacant Mission - CAAPN is the national voice advocating for excellence in advanced nursing practice Vision - CAAPN is recognized as the national leader for all domains in Advanced Practice Nursing: clinical practice, education, research, policy and administration. Values Respect: CAAPN's actions are guided by the belief that all members are valued and respected Supportive: CAAPN is supportive of its members and fosters collaboration and relationship building within a framework of respect and understanding Shared Voice: CAAPN speaks with one shared voice on advanced practice nursing issues Inclusive: CAAPN is open to all advanced practice nurses in Canada and values diverse perspectives NLNPA Annual Report 2011 24 Transparency: CAAPN values the importance of maintaining trust by being accountable and transparent in its conduct OBJECTIVES – 2009-2011 based on Strategic Plan 1. Carry out our advocacy agenda a) To strengthen the voice and visibility of CAAPN b) Clearly articulate the contribution of APNs to Canadian health care systems c) Improve APN education – Standards for CNS, consistency in educational programs d) Support PhD programs for APNs e) Support APN Research 2. Create a sustainable organization a) To develop infrastructure to support CAAPN b) Engage members in CAAPN MEMBERSHIP: As of August 2011, CAAPN has 547 members with eight provincial partners including: British Columbia NP Association (BCNPA), Nurse Practitioner Association of Alberta (NPAA), Newfoundland and Labrador NP Association (NLNPA), Nurse Practitioner Association Nova Scotia (NPANS), Nurse Practitioners of New Brunswick (NPNB), Manitoba (NPAM), and Saskatchewan with two groups (NPOS and SANP), each with automatic CAAPN membership for a reduced rate through their respective provincial APN groups. Our members function in CNS, NP or CNS/NP roles and practice across a range of clinical areas which span all areas of the continuum of care. The common and integral bond that links members is advanced nursing practice. CAAPN has three types of membership: Regular Member - full voting/membership privileges, including eligibility to stand for Executive Office Associate Member - does not hold voting privileges; is not eligible to hold an Executive Officer position (including students) Honorary Member - full voting privileges but not eligible to hold an Executive Officer position NLNPA Annual Report 2011 25 CAAPN Membership by Province Province Clinical Nurse Specialist (CNS) Alberta (NPAA) British Columbia (BCNPA) Manitoba (NPAM) New Brunswick (NBNPA) Newfoundland & Labrador (NLNPA) Nova Scotia (NPANS) Ontario Prince Edward Island Quebec Saskatchewan (NPOS) Saskatchewan (SANP) NT/NWT Other Total 2011 6 85 155 7 74 51 59 5 0 0 2 54 1 50 547 members CURRENT CAAPN ACTIVITIES The most significant task undertaken by the CAAPN Executive over the last two years has been the building of the organization’s infrastructure and communication system. This has included: 1. CAAPN Biennial National Conference – Saskatoon, Saskatchewan 2011 2. Hiring of a part time Administrative Assistant 3. Political Advocacy Workshop - CAAPN partnered with the NP Council, CNA and Pfizer Canada to successfully plan and implement a political advocacy workshop in Ottawa for nurse practitioners. Financial support from Pfizer Canada was instrumental in offsetting the costs of this activity. The two-day interactive workshop was designed to influence public policy to mediate positive change in relation to the issues and barriers facing the NPs of this country. Michael Villeneuve from CNA facilitated the workshop; and, the objective of the workshop was to provide NPs with an opportunity to advance their skills and understanding of the processes involved in developing and influencing public policy. Each CAAPN provincial group had at least one representative attend. In addition, CAAPN supported one Clinical Nurse Specialist to attend the workshop. The conceptual design of the workshop was based on adult learning theory and the goal of the modular format was to enhance the capacity of advanced practice nurses to influence decisions at various levels that affect the quality of patient care. Two specific objectives of the Advocacy Workshop were: Building on knowledge and enthusiasm to encourage activity in the policy arena NLNPA Annual Report 2011 26 Discuss and learn about the policy making process, the key phases in leading change, and tools and strategies for influencing policy. To that end, APNs from all across the country shared their perspectives on issues and barriers impacting APN practice. Three common themes emerged: Canadians deserve the best possible health care; however, not everyone is aware of all of their care provider options; There still exists a lack of clarity about what NPs do, their cost effectiveness, and the positive outcome they generate; The health care system is facing challenges that requires a team approach; however, there is a lack of knowledge at institutional and government levels regarding the added value and leadership ability of NPs in a team environment, and as part of decision-making processes 4. Increased communication and linkage with provincial ANP groups and key provincial ANP contacts with at least two teleconference meetings annually; 5. Increased communication with key national ANP groups including CNA, Provincial associations/regulatory, APN Chair’s office and Health Canada; 6. Improved process for maintaining a current and accurate membership list, including an electronic distribution list and on-line renewal, to facilitate member communication; 7. CAAPN continues to advocate for amendments to the Controlled Drug and Substance Act (CDSA). During the past two years, CAAPN has attended meetings with Health Canada, written letters to the Minister of Health and Health Canada urging both parties to act on the implementation of regulations that would allow additional health care professionals to prescribe controlled drugs and substances and outlining CAAPN’s concern about the inadequate care received by patients because Nurse Practitioners are unable to prescribe controlled drugs and substances. In addition, the duplication in service and cost to the system, when NPs have to refer patients to other providers to obtain treatments requiring a controlled drug. CAAPN working with all key stakeholders will continue to advocate for legislative changes to support advanced nursing practice. 8. Collaborative Integration Plan for the Role of the Nurse Practitioner in Canada 20112015 - This past year CNA established working groups to create an integration plan for the nurse practitioners in Canada. The Canadian Nurse Practitioner Initiative (CNPI) strategic areas of legislation, regulation, education, health human resources and communication are the basis for the Collaborative Integration Plan for the Role of Nurse Practitioners in Canada. Some of the actions from CNPI were kept, revised; others are new based on the stakeholder feedback. CAAPN continues to work with CNA to develop this document 9. Regular meetings and involvement with CNA on issues relevant to advanced Nursing practice o CAAPN participated in the revision of the Canadian Nurse Practitioner Core NLNPA Annual Report 2011 27 Competency Framework (2010) o Participating in the McMaster Health Forum to engage in dialogue on: 1. Addressing the Integration of Nurse Practitioners in Primary Health Care Settings in Canada 2. Addressing the Integration of Clinical Nurse Specialists and Nurse Practitioners in Acute Care Health Care Settings in Canada. 10. CAAPN participated in the First Annual Canadian Partnership for Progress in Health Human Resources (CPPHHR) Conference, Royal College 11. Assisting CNA with ongoing work to profile NP and CNS roles in Canada with a vision to promoting awareness and understanding of the CNS in a manner similar to that used to by CNPI to promote the NP role (Webinars with focus on advanced nursing practice). 12. Assisting CNA with development of Fact Sheets for NPs – Emergency Room and LTC NPs 13. Invited by Infoway Canada to participate in the e-Prescribing Reference Specification review and validation by the Clinician Reference Group 14. Request from national journals highlighting advanced nursing practice (Canada Health Network, Today’s’ Parent, Chatelaine, Canadian Living). As the volume of national ANP initiatives increases, so too does the demand placed on CAAPN. As the national voice for advanced nursing practice, CAAPN is being pulled in many exciting directions. In addition to the above activities, CAAPN have also been involved in the following: Regular production and electronic distribution of the CAAPN newsletter to membership Linkages with membership –remarks to provincial meeting and responding to individual requests Surveys – CAAPN provided responses to a CNA and other stakeholders’ (Infoway, Health Canada, Researchers, APN Chair, etc.) request for feedback regarding implementation and sustainability of APN roles. Request for letters of support: Medavie /Blue Cross to amend current policy to allow NP to prescribe according to legislated scope of practice Working with Provincial NP Associations to resolve issues related to federal forms: EI Medical forms; Disability Tax Credit Forms, etc. Future work for CAAPN: 1. The need for support for the large volume of national ANP activity remains paramount. CAAPN’s current infrastructure, based on a volunteer executive, places significant limitations on our ability to participate actively or provide prompt and articulate responses to the many requests we receive. The volume of CAAPN members does not support the demanded activities. Membership engagement will be a priority in the coming years. 2. Revise and create CAAPN infrastructure to respond to the growing membership, both as provincial NLNPA Annual Report 2011 28 partners and individual members. Creation of councils and committees with appropriate terms of reference will greatly improve the ability of CAAPN to lead in the APN world and respond to external stakeholders. In addition, paid staff will need to be discussed as CAAPN moves forward. 3. Ongoing legislative, regulatory and policy amendments to support CNS and NP practice – CDSA, Food and Drug Act (Sampling), Title Protection/Credentialing for CNS). 4. Lobbying for sustained ANP positions in Canada’s health care system. 5. Continued need to advocate for and support graduate level education as entry to practice for advanced nursing practice. 6. Promoting a consistent approach to education and credentialing for CNS and NPs. 7. Work with CNA and APN chair on establishing consistent language and frameworks for Advanced Nursing Practice in Canada. Respectfully submitted by, Beverley McIsaac RN, NP MN President, Canadian Association of Advanced Practice Nurses NLNPA Annual Report 2011 29 Fundraising Committee Report: Oral report to be provided at AGM. Bylaws Committee Report: Two recommendations were made for amendments to the present Bylaws. These recommendations were forwarded to all NLNPA members 12 weeks prior to the September 23, 2011 NLNPA AGM. These items will be voted on at the AGM. Request for resolutions were sent to the general membership prior to the 2011 NLNPA AGM. NLNPA Scholarship and Education Committee Report: NLNPA Scholarship and Education Committee met several times over the past year 2010-2011. One face-to-face meeting was held in March, 2011, to review the eligibility criteria for NLNPA Scholarship awards. Ongoing communication occurred via email during the month of April, 2011. One teleconference meeting was held for selection of successful applicants in June, 2011. NLNPA Scholarship and Education Committee successfully approached the NLNPA with a request to increase the available funding for bursaries. Effective 2011, current funds available are two $500.00 bursaries. NLNPA Scholarship and Education Committee sent notification about funding available from the NLNPA bursaries to all nurse practitioners registered with the ARNNL in April, 2011. Nurse practitioners must be NLNPA members in order to be eligible to receive one of two $500.00 awards. The committee received a total of five applications from nurse practitioners across the province requesting funding for various educational programs. In June, 2011, letters were sent by mail and email notifying both successful and unsuccessful applicants. There were two successful candidates. One $500.00 award was granted to Charlene Downey to complete a hematology/oncology course through Harvard University. The other $500.00 award went to Marie Clarke to complete certification as a menopause counselor. Respectfully submitted, Jill Bruneau August 1, 2011 Nominations Committee Report: Notification of upcoming nominations were sent out to all NPs prior to the 2011 AGM. Current vacancy includes position of treasurer. One nomination had been received for treasurer prior to the AGM. An election will take place at the AGM on September 23, 2011. NLNPA Annual Report 2011 30 Nurse Practitioner Council of CAAPN Report: The Nurse Practitioner Council (NPC) is an expert, representative voice for Canadian nurse practitioners. Its mandate is to promote sustainable, integrated comprehensive NP practice. Enhance NP professional development. Support ongoing development of advanced practice nursing and promotes the health of Canadians by advocating for human health issues. The NPC shall act in ways that are congruent with the By-Laws, regulations, Goals and Objectives of CAPPN. (Terms of reference NPC 2010) Every teleconference meeting consists of highlights or “Round Table Discussions” around the country from each NP council representative. A brief example of these are as follows: I reported on the MHA breakfast with NPs with presentations from several local NP’s. Several provinces reported that there are no jobs for NPs, while others such as NS and BC are investigating fee for service payment schema for NPs. University of Alberta’s Primary Care NP program has been temporarily suspended due to no positions available for new graduates. CNA representatives are interested in providing a Primary Care Toolkit for NPs. This tool kit would provide assistance to NPs in their Primary health Care role and also allow stakeholders to understand the role of the NP as well. A survey is being developed and CAAPN/ CNA will organize a teleconference and focus groups for this project. Ongoing issues: Legislative requirements with regards to the Controlled Substances Act (CDSA) and NP’s prescribing controlled drugs and substances discussion, along with the Food and drug Act (FDA Canada) and distribution of drug samples, as well as the SOGC compassionate birth control Program have been ongoing. Bev McIsaac, ARNNL Provincial Advanced Practice Consultant and executive member of CAPPN, has kept everyone informed with her detailed communications on these issues. A two day conference on Influencing Public Policy: A Workshop for Canada’s Nurse Practitioners took place in Ottawa on May 8-9, 2011. Donna Daley and Cathy Alyward attended on behalf of NLNPA. The CAAPN Conference this year will be held in Saskatchewan on Sept 29th and 30th, 2011. Geri Dalton will be attending on behalf of the NLNPA executive. Respectfully submitted; Wanda Emberley-Burke VP NLNPA NLNPA Annual Report 2011 31 Marketing Committee Report: Committee Members: Bev McIsaac (Chair) Karyn Murphy Jennifer O’Neill Glenda Stagg Heather Rumsey Ellisa Siniicks House Ada Benoit Donna Daley In the Spring, 2011 a marketing strategy was developed with short and long term strategies that captures the NLNPA overall strategic direction for marketing the NP role. In a communication plan form, the focus relates to the role and contributions of Nurse practitioners within the health care system in NL. The target audience focuses on both formal and informal stakeholders. Communication strategies include strengthening the NLNPA website to include interactive features. To date, the website design has been completed; and, relevant information and resources are being uploaded on a continuous basis. A member’s-only site should be accessible at the end of August 2011. A mini communication plan for the NLNPA conference was developed to include key messages and goals for the conference in Grand Falls-Windsor, being held on September 22 and 23. This was submitted in July 2011. Also, NLNPA has arranged its own media coverage in addition to the local coverage for this year’s conference. The announcement of NLNPA’s donation of an Automatic External Defibrillator (AED) to the arena in Bishop’s Falls will be made at the NLNPA conference. NLNPA media coverage will capture the presentation of the cheque. And, the Canadian Heart and Stroke Foundation has arranged media coverage for the cheque presentation; and, at the Bishop’s Falls Arena at the time of the AED installation. NLNPA plans media coverage as well for the installation event. This initiative showcases the NLNPA partnership with Heart and Stroke Foundation; and, NLNPA’s commitment to the community. The NLNPA Banners and Posters were updated to reflect the new logo. A NP Ad was developed and submitted to The Telegram for Nurses Week. It appeared in the newspaper on May 7. Plans for additional opportunities for Nurses Week 2012 include ads in more provincially covered newspapers, radio ads, etc. The NLNPA is in the process of developing a tagline that will accompany all correspondence relating to the NP role in Newfoundland & Labrador. NLNPA Annual Report 2011 32 A Briefing Note was developed to capture the attention of formal and non-formal stakeholders in NL. It is specific to improving access to care for patients with the integration of more NP roles across the province. A copy of the Briefing Note was given to the Minister of Health & Community Services on his visit to the Northern Peninsula in July, 2011. An unscheduled meeting with Premier Dunderdale in Corner Brook in August provided an opportunity to discuss the importance, significance and benefits of the NP role in NL. A copy of the Briefing Note is being forwarded to the Premier’s office, at her request. There are plans to include a comprehensive report on NP practice with the Briefing Note. Plans for an NLNPA e-news bulletin are underway. This will facilitate regular communication among NPs in NL; and, will likely route via the website. Plans are underway for more promotional materials such as NP FAQ sheets, NP video, NP brochure, etc. Other ongoing Communication activities include: monitoring media for community, provincial, and national health issues/stories highlighting the NP role; and, develop and maintain a database of material to include in the e-newsletter designate regional spokespersons/champions who can be called on for media interviews, writing articles for NLNPA website, ARNNL’s ACCESS, NLNU’s In Touch, etc. Respectfully submitted Donna Daley, NP NLNPA Annual Report 2011 33 NP Continuing Education Committee Report: The NP Continuing Education Committee was renewed this past year on the request of the NLNPA executive and has met twice in 2011. As a request from the NLNPA general membership, ARNNL was asked to work with the NLNPA executive to look at availability of continuing educational opportunities for NPs. The members of the group are: Bev McIsaac (Chair) Donna Best Wanda Emberley-Burke Alisa Fowlow Carmel Collins Nadine Roberts Peggy O’Brien Connors The goals of the group are as follows: 1. Addressing the issue of sustained funding for NPs continuing education 2. Accessing continuing education opportunities for NPs 3. Availability of continuing education for NPs In reviewing the previous education initiatives of this committee, it was identified that there are monies available to assist NPs with further education related to amendments in Regulations or legislation. For example, focus on the CDSA and NPs completing a Narcotics and Controlled substance course. Committee members reviewed specific educational opportunities currently available, online, for NPs. The NLNPA website will house these sites under the broad categories of education, practice and research. A Survey will be developed and sent to all members in the fall, after the AGM, to ascertain NP continuing education needs. Respectfully submitted Wanda Emberley-Burke NLNPA Annual Report 2011 34 NLNPA Communications Report: A. Website January, 2011 A service provider was recruited to update and maintain the NLNPA Website; a contract was signed by the NLNPA and Simon Babineau outlining the terms of the agreement which included services being provided and compensation costs for same; the services set out in the contract are as follows: o Redesign of website involved update to logo only so that it reflects the change in the name o Development of a “members only” section to the site o Redesign and development time was allocated at 16 hours o Maintenance time was allocated at 3 hours/month March, 2011 Contact was made between the Donna and Simon to co-ordinate efforts to get the changes and updates started Final details for the contract were sorted out and terms finalized April, 2011 A draft of the “members only” site was developed and presented at the executive meeting Discussions took place to determine which of the information being uploaded to the site was most relevant for general access and which information should be most relevant to “members only” May, 2011 Technical difficulties were encountered with the site, given the host server was at ARNNL Discussions took place to determine if the service provider could take over as host, allowing for quicker web design and uploading of information; and, promote easier maintenance of the site Extra costs for these services were minimal and it was agreed to move forward with these changes Any consequences that might result from the dissolution of the current service provider were discussed, and satisfactorily addressed by both parties. NLNPA Annual Report 2011 35 Discussions took place relating to the impact of the dissolution of the agreement with the service provider Logo and name change updated on website June, 2011 Second draft of NLNPA Website submitted to Executive and service provider for perusal Links to membership form uploaded to website Information dates and venue uploaded to site for the NLNPA Conference in GFW, with notice more to follow Notice on home page uploaded indicating website is currently being updated Timeline for website to be up and running on or about June 30, 2011 B. Communications March, 2011 Donna Daley joined the NLNPA Executive board as the Communications Director Communication was established with the new service provider for the NLNPA website and efforts have been ongoing to get the updated site up and running to include a “members only” section April, 2011 CAAPN Political Advocacy Workshop announced for May 8-10 in Ottawa o Communications Director to represent the CAAPN provincial group at this workshop o Comprehensive report of attendance at workshop to be completed and submitted in time for AGM May, 2011 Attended Ottawa NP Political Advocacy Workshop May 8-10 (see full report for details) In partnership with ARNNL, a Newspaper ad (with pictures), specific to NP practice, was developed and submitted for Nursing week; it was printed in the May 8th issue Other promotional activities to include update of posters with new logo; and, a new brochure on the role of the NP is in development NLNPA Annual Report 2011 36 Can utilize concept from NPAO’s most recent poster; verbal consent has been obtained; Discussions with Executive to heighten NP visibility in the province; this would include adding formal media coverage via journalist student to do photo shoots and videotaping of NP conference o Would enhance media attention o Would also contribute to the development of a NLNPA portfolio, in combination with informal member photos throughout the conference June, 2011 Participated in NP marketing committee meetings; several projects pending via a communication plan for the next year Increased media attention to be arranged specific to NLNPA involvement with the AED announcement and presentation to the Heart & Stroke Foundation o NLNPA will have own media coverage, along with Heart & Stroke’s Media coverage o Heart & Stroke media release to be reviewed prior to release; o Contact info for NLNPA communications director to be included in all media releases I have been advised there is interest by the Grand Falls Advertiser to do a piece on the role of the Nurse Practitioner o Media contact has been made with Media Relations at Central Health; and they are open to the idea o The contact NP recommended by CH is away until mid-June o Once done, the article is slotted for print sometime in o I am not formerly involved in this media piece Through a happenstance meeting in the cafeteria of BBHC, I made contact with the MHA for our area, Wallace Young, JR. I utilized a key message I had ready relating to the benefit and cost effectiveness of the NP role in NL. After a great discussion, Mr. Young informed me the Minister of Health, Mr. Jerome Kennedy, is planning a visit to our area. We discussed the possibility of setting up the Minister’s itinerary to include a visit to one of our satellite clinics along the Northern Peninsula while I am working o My usual clinic day for each clinic was provided to Mr. Young in hopes of getting an opportunity to meet with Minister Kennedy during his visit o A Briefing Note is being developed for review by Mr. Young and the Minister o Contact with Mr. Young is scheduled before the end of June to follow up on our discussion; and, to determine if the Minister’s schedule has been finalized for a visit to this area Contact efforts (via email) were made to MUN’s school of medicine to propose a presentation to the medical students on the role of the Nurse Practitioner o No reply to date NLNPA Annual Report 2011 37 A mini communication plan specific to NP Conference is in development o To include key messages relating to the NP role o To highlight key messaging relating to the conference Key note speaker and theme Key agenda items o To include media release information relating to the AED A Workshop & Strategy Meeting for Canada’s Nurse Practitioners Sunday, May – Tuesday, May 10, 2011 CNA House – Ottawa CAAPN partnered with CNA and successfully planned and implemented a political advocacy workshop in Ottawa for nurse practitioners across the country. Financial support from Pfizer Canada was instrumental in offsetting some of the costs of this endeavor. The two-day interactive workshop was designed to influence public policy to mediate positive change in relation to the issues and barriers facing the NPs of this country. Michael Villeneuve from CNA facilitated the workshop; and, the objective of the workshop was to provide NPs with an opportunity to advance their skills and understanding of the processes involved in developing and influencing public policy. Each CAAPN provincial group sponsored one or more members to attend; and, a total of twentytwo NPs from most provinces had representatives at the table. Timing of the workshop was scheduled to take place in conjunction with Nurses Week. The conceptual design of the workshop was based on adult learning theory; and, the goal of the modular format was to enhance the capacity of nurse practitioners to influence decisions at various levels that affect the quality of patient care. Two specific objectives included: Building on knowledge and enthusiasm to encourage activity in the policy arena Discuss and learn about the policy making process; the key phases in leading change; and, tools and strategies for influencing policy. To that end, NPs from all across the country shared their perspectives on issues and barriers impacting NP practice. Three common themes emerged as set out below: Canadians deserve the best possible health care; however, not everyone is aware of all of their care provider options There still exists a lack of clarity about what NPs do, their cost effectiveness, and the positive outcome they generate The health care system is facing challenges that require a team approach at the clinical and policy levels; however, there exists a lack of knowledge regarding the added value and leadership ability of NPs in a team environment, including the decision-making processes at these levels. NLNPA Annual Report 2011 38 Several workshop modules were reviewed and discussed throughout the two days. I have extrapolated some of the learning into a small synopsis that can be utilized to prepare for any opportunity to promote the NP role to any/or all stakeholders in the health care system. In utilizing a leading change framework, the first element is to be strategic. Start with choosing the project and the timing of it; develop a vision; be able to communicate the vision to stakeholders, being clear about the need for change, and the desired outcome. Then to manage change, activities, tools and strategies include the development of resolutions and positions statements, personal meetings and lobbying, working with the media, and briefing notes. A well-written briefing note will reflect the many elements of the policy cycle, as follows: Include a statement of the original problem/chosen need Utilize research and information already developed Capture the current state of events, Set out who is involved Identify special considerations Include any legislation already in place Specifically state what the decision is you are seeking When writing a briefing note, assume the reader knows little about the issue; and, be very clear about what you are asking for. Do it all in two pages. Done effectively, the briefing note is designed to engage people who are part of decision-making and policy development. Engaging people also involves identifying and cultivating allies, and developing effective messages. An effective message is short, simple, clear and compelling. It is based on evidence and reinforced by statistics. The importance of having a key message ready is to be prepared for a target audience; and, the opportunity may present when you least expect it. Through the efforts of CAAPN, National NP Council, CNA, and Pfizer Pharmaceuticals, an opportunity was made available for Canadian nurse practitioners to learn the tools and strategies needed to promote positive change for the NP role in this country. Specifically, this learning should enable NPs to bring to the forefront the role of the NP, the service that is provided by NPs, and the positive outcomes NPs achieve in each of their roles. Continued efforts will be made at national and provincial levels to increase awareness and promote greater visibility of nurse practitioners within the health care system. To that end, a second meeting for the national team is planned for the end of June; and, the NLNPA will be making concerted efforts to meet the challenges facing the NP role here at home. We are not alone. The barriers are the same; and, together we can make change happen. It is also important to report a second area of discussion at the Ottawa workshop. It relates to CNA’s Government Relations Update on the NP CDSA strategic plan and their efforts to date. The briefing note, written by CNA’s CEO, was provided to each participant, and a statement of NLNPA Annual Report 2011 39 the problem was set out as follows: “the federal barrier under the Controlled Drug & Substance Act currently limits the prescribing authority of NPs from providing a full range of care to their patients”. A power point presentation by CNA provided an outline of this project from start to present day status. After countless efforts, the CNA continues to advocate in the political arena in this regard; and, a proposal to Treasury Board is expected in the coming months; publications in Canada Gazette are proposed for Fall 2011; and, enabling regulations from Health Canada under CDSA through New Classes of Practitioners Regulations (NCPR) is hoped to be in place by 2012. Provincial/Territorial nursing associations/colleges will prepare for new regulations. CNA reiterates the importance of NPs continuing to be involved in advocating for the NCPR. A third and final event in the workshop included an opportunity for the group to meet with Maureen Klenk, A/Chair Nurse Practitioner Council, to discuss future directions for NPs in this country. This took place at a dinner meeting on Monday night, May 9th and lots of talk generated ideas and activities for future projects and actions. Respectfully submitted; Donna Daley NLNPA Annual Report 2011 40 NLNPA 2011 Annual Report to ARNNL Annual Report Submissions January 2011: SIG/Chapter Title: Newfoundland and Labrador Nurse Practitioner Association President: Kelly Power-Kean Executive Members: Wanda Emberley-Burke (VP), Geri Dalton (Treasurer), Heather Rumsey (Secretary), Donna Daley (Communications Director), Sueann Kean (Past President) Number of Members: 46 Objectives of the group: The objective of the Newfoundland and Labrador Nurse Practitioner Association (NLNPA) is to support and promote the development of nurse practitioner education and practice in the Province of Newfoundland and Labrador. Highlights of the Year (Key Objectives/Accomplishments/Goals): Participation in Provincial Nursing Network Participation in the Canadian Association of Advanced Practice Nurses (CAAPN) Participation in the National Nurse Practitioner Council Participation in formulating the ARNNL NP Verification of Competencies Process Updated NLNPA website NLNPA Annual Conference September 2010, St. John’s Representative on ARNNL NP Standards Committee Participation in NLNU MHA breakfast with focus on NP Practice Advertisement in the Telegram during Nurses Week (May 2011) Looking Ahead: Official launch of NLNPA revised website NLNPA Annual Conference September 2011 September 15-16, Grand FallsWindsor Continue to market the role of NPs Donation of AED in association with NL Heart and Stoke Foundation Participation in national advocacy workshop in Ottawa Participate in ARNNL’s NP Committees NLNPA Annual Report 2011 41 Membership Form NL Nurse Practitioner Association (NLNPA) [ Name: _______________________________________________________________ Address: ___________________________________ Postal Code: _______________ Telephone: ____________________________(h) ____________________________ (w) Email: _______________________________(h) ____________________________ (w) Employer:____________________________________________________________ Year of Graduation from NP Program: ___________ School: __________________ Are you currently working as a NP? Yes □ No □ NP- PHC □ NP-S □ Other: _____ Where are you working?___________________ Please indicate your preferred mode of communication: Email □ Phone □ Regular mail □ Please specify home or work:_____________ Please indicate appropriate membership: *Full Membership $80.00: □ **Associate Membership $60.00: □ *Full membership: $40.00 (NLNPA) + $40.00 (CAAPN) **Associate membership (applicable to NP students and NP supporters): $20.00 (NLNPA) + $40.00 (CAAPN) ____________________________ Signature NLNPA Annual Report 2011 ___________________________ Date 42 2011 Committee Membership Interest Form NL Nurse Practitioner Association Name: _______________________________________________________________ Address: ___________________________________ Postal Code: _______________ Telephone: ____________________________(h) ____________________________ (w) Email: _______________________________(h) ____________________________ (w) Employer:____________________________________________________________ Are you currently working as a NP? Yes □ No □ NP- PHC □ NP-S □ Other: _____ Where are you working?___________________ Please indicate your committee participation interest: □ Marketing Committee □ Education Committee □ Scholarship Committee □ Nominations Committee □ Bylaws Committee □ Fundraising Committee □ Conference Planning Committee □ Other committee opportunities as required by NLNPA NLNPA Annual Report 2011 43