Projects

CURRENT PROJECTS

Certification of specialty practice for advanced practice nursing roles

This project aims to provide internationally relevant recommendations about the certification of specialized nurses working in advanced roles, with a focus on CNSs, NPs, and generically titled advanced practice nurses.

Development and pilot-test of an intervention to support optimal implementation of clinical nurse specialist (CNS) roles in Québec

This sequential mixed-methods study aims to develop CNS-specific interventions to address gaps in CNS role implementation

Nurse Practitioner (NP) legacy database mining and learning system project 2023-2026

This comprehensive analysis of NP encounter data aims to demonstrate the extent of health service integration and innovation resulting from the introduction of NPs, and to inform future health human resource workforce planning and resource allocation for the education, onboarding, and training of specialty NPs

Building evidence to optimize the contribution of advanced practice nurses in primary health care in Chile in the context of the health system reform

Aims to identify and prioritize policy issues that would guide an analysis of the nursing labor market and the potential use of advanced practice nurses for the delivery of primary health care services within the Chilean health system

Advanced practice nurses research needs assessment survey

This project aims to inform the development of learning resources and strategies to strengthen the capacity of advanced practice nurses to integrate research and research-related activities into their roles

COMPLETED PROJECTS

The Nurse Practitioner (NP) Role in Complex Malignant Hematology (CMH)

Project lead: Denise Bryant-Lukosius

CCAPNR members on the project team: Nancy Carter

Goal: To inform the optimal utilization and implementation of NPs in CMH and promote long-term role sustainability and effectiveness for meeting patient and health services needs

Methods:

  1. Interviews and focus groups with nurses, health care providers, administrators, APNs, and patients

Outputs: 

Forbes, M. F., Carter, N., MacKenzie, K. L., Kouroukis, C. T., Balonjan, K. S., & Bryant-Lukosius, D. E. (2024). The Nurse Practitioner Role in Complex Malignant Hematology: A Qualitative Descriptive Study. Seminars in oncology nursing, 151625. Advance online publication. https://doi.org/10.1016/j.soncn.2024.151625 

The response and impact of advanced practice nurses for addressing health and health system needs resulting from the COVID-19 pandemic

Project leads: Erin Ziegler & Denise Bryant-Lukosius

Goal: Examined how APNs responded to address health & health service needs due to COVID-19; identified & described APN innovations & their outcomes; established priorities for future research from a national and global perspective

Methods:

  1. Synthesis of existing data on APN innovations
  2. Virtual regional stakeholder meetings
  3. Virtual global consensus meetings

Outputs: 

Ziegler, E., Martin-Misener, R., Rietkoetter, S., Baumann, A., Bougeault, I. L., Kovacevic, N., Miller, M., Moseley, J., Wong, F. K. Y., & Bryant-Lukosius, D. (2023). Response and innovations of advanced practice nurses during the COVID-19 pandemic: A scoping review. International nursing review, 10.1111/inr.12884. Advance online publication. https://doi.org/10.1111/inr.12884

Stakeholder Report October 2021 – FINAL

Comparing advanced practice nurse activities in Canada, Finland, and Hong Kong

Project lead: Krista Jokiniemi

CCAPNR members on the project team: Denise Bryant-Lukosius, Kelley Kilpatrick, Ruth Martin-Misener, & Joan Tranmer

Goal: Differentiated non-advanced specialized nursing roles and the advanced practice nurse’s role, in order to determine how these roles may complement one another and be optimally utilized within healthcare teams

Methods:

  1. Survey of advanced practice nurses in Canada, Finland, and Hong Kong using the Advanced Practice Role Delineation Tool

Outputs: 

Chair, S. Y., Wong, F. K. Y., Bryant-Lukosius, D., Liu, T., & Jokiniemi, K. (2023). Construct validity of advanced practice nurse core competence scale: an exploratory factor analysis. BMC nursing, 22(1), 57. https://doi.org/10.1186/s12912-023-01203-1

Jokiniemi, K., Bryant-Lukosius, D., Roussel, J., Kilpatrick, K., Martin-Misener, R., Tranmer, J., Rietkoetter, S., Carr, M., & Pond, G. R. (2023). Differentiating Specialized and Advanced Nursing Roles: The Pathway to Role Optimization. Nursing leadership (Toronto, Ont.), 36(1), 57–74. https://doi.org/10.12927/cjnl.2023.27123

Jokiniemi, K., Chair, S. Y., Wong, F. K. Y., & Bryant-Lukosius, D. (2022). Advanced practice role delineation within Hong Kong: A cross-sectional study. Nursing & health sciences, 24(3), 679–689. https://doi.org/10.1111/nhs.12964

Jokiniemi, K., Hølge-Hazelton, B., Kristofersson, G. K., Frederiksen, K., Kilpatrick, K., & Mikkonen, S. (2021). Core competencies of clinical nurse specialists: A comparison across three Nordic countries. Journal of clinical nursing, 30(23-24), 3601–3610. https://doi.org/10.1111/jocn.15882

 

Effectiveness of registered nurses (RNs) on patient and system outcomes in primary care: systematic review

CCAPNR members on the project team: Joan Tranmer, Ruth Martin-Misener, & Denise Bryant-Lukosius

Goal: To synthesize and appraise the quality of evidence regarding the effectiveness of RNs on patient-level outcomes in primary care.

Methods:

  1. Systematic review of the literature

Outputs: 

Lukewich, J., Martin-Misener, R., Norful, A. A., Poitras, M. E., Bryant-Lukosius, D., Asghari, S., Marshall, E. G., Mathews, M., Swab, M., Ryan, D., & Tranmer, J. (2022). Effectiveness of registered nurses on patient outcomes in primary care: a systematic review. BMC health services research, 22(1), 740. https://doi.org/10.1186/s12913-022-07866-x