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Purpose

To improve clinical outcomes for selected patient populations through advanced nursing practice, program planning and delivery, consultation, research, education, efficient resource utilization and effective leadership.

Major Responsibilities

Incumbents will participate in all areas of major responsibilities; the proportion of time dedicated to each responsibility will vary dependent upon client and organizational need.

1. Consultation

• Provides consultation to nursing staff, managers, co-ordinators, physicians and other team members regarding clinical and professional practice issues.
• Acts as a liaison and consultant to other health-care facilities/institutions regarding patient care and health services.
• Applies relevant research and a broad range of theories to clinical practice using critical thinking and decision making; utilizes research/evidence-based information to recommend nursing interventions.
• Facilitates a collaborative, interdisciplinary team practice model.
• Participates in the co-ordination of complex care and discharge planning.
• Monitors, evaluates and documents outcomes of decisions and interventions; revises the interdisciplinary plan of care in collaboration with the patient/family and the health-care team.

2. Leadership/Administration

• Acts as a mentor to nursing colleagues and others to improve and support nursing practice.
• Provides leadership in development, implementation and evaluation of quality management programs/initiatives.
• Participates in and supports nurses in continuous quality improvement initiatives evaluating the effectiveness of interventions/nursing services on patient outcomes.
• Participates and provides leadership on intra- and inter-disciplinary committees related to development of policies, procedures, protocols, guidelines, standards, education or research.
• Anticipates emergent and future issues/changes and provides leadership and vision in short- and long-term planning; contributes to strategic planning at all levels.
• Provides leadership in program development, implementation and evaluation.
• Employee recruitment, selection, retention, professional development and performance appraisal.
• Hires and supervises clinical and support staff as appropriate.
• Manages budgets and resources as appropriate.
• Shares expertise and provides consultation beyond the boundaries of the institution into regional, provincial, national and international communities in areas of specialization.
• Demonstrates an understanding of legislative and socio/political issues that influence decision making and develops strategies to influence health outcomes and health policies. provides leadership in shaping public policy in health care.
• Collaborates with academic institutions through shared projects and/or through joint appointments.
• Contributes to the broader context of nursing knowledge through scientific presentation and publication.

3. Clinical Practice

• Provides direct, specialized, comprehensive care/nursing services, emphasizing health promotion, disease prevention and collaborative management strategies to positively affect health outcomes.
• Identifies opportunities to develop medical directives, participates in their development, implementation and evaluation, and directly implements aspects of care based on medical directives.
• Demonstrates advanced knowledge and synthesis of advanced nursing practice within a clinical specialty.
• Performs advanced health assessment and clinical decision-making within a clinical specialty.
• Assesses complex practice issues and develops, implements and evaluates innovative approaches and programs addressing these issues.
• Provides counselling and education applying advanced knowledge and synthesis of therapeutic counselling modalities.
• Works collaboratively with clinical staff to assess, plan, implement and evaluate clinical interventions.

4. Research

• Enhances the scientific base of nursing practice by utilizing and supporting research in nursing and with other disciplines.
• Evaluates nursing and multidisciplinary research and assesses its impact on patient care and nursing services.
• Interprets, communicates and disseminates research findings to support patient care and recommends policy changes based on research.
• Conducts or develops collaborative research projects as a principal investigator or co-investigator to monitor and improve nursing services and patient outcomes.
• Publishes in clinical and scientific journals and presents at scientific conferences.
• Participates on research committees.

5. Education

• Acts as a role model and clinical expert in the clinical specialty.
• Supports nurses in professional development and career planning.
• Participates in institutional and community educational programs for consumers and health professionals.
• Participates in undergraduate and graduate nursing, and health education through preceptorship/supervision, consultation, and/or joint appointment at the university level.
• Plans, implements and evaluates needs-based continuing education for staff and clinical partners to promote quality patient care for specific populations.

Last updated on: December 5th, 2016