nursing practice council : literature review, implementation, and evaluation plan
abstract
the purpose of this paper is to outline an implementation and evaluation plan for the establishment of a nursing practice council (npc) for the public health and registered nurses in a
small rural health unit in southern ontario. a npc is a formal, employer-supported structure,
consisting of a representative group of front line nurses, and its purpose is to enhance the practice and
work environment for nurses by providing access to peer support and creating a forum for discussion
and decision making regarding nursing practice issues. the resulting enhanced nursing practice
environment may lead to benefits to the patient through improved care and benefits for the
organization such as improved nurse recruitment and retention.
in this paper, a health promotion program planning and evaluation framework will be utilized
to plan, implement and evaluate a npc for the haldimand norfolk health unit (hnhu), located in
southern ontario. as the npc is not a true health promotion program per se, the evaluation
framework for its development and implementation has been modified to suit this project. by using
this modified framework, a step by step plan can be developed, which will facilitate the identification
of enabling factors and barriers as well as provide information for the implementation evaluation
strategies throughout the process. consequently, timely corrections to the process can be made during
implementation which will in turn assist the project to succeed. the evaluation will seek to identify
the benefits to the nurses and the organization.
in this paper, information is provided on a review of current literature regarding the status of
public health nursing in ontario and the concepts and models related to npcs (section 2); the goal of
the paper (section 3); an overview of the project (section 4); the project implementation plan (section
5); the proposed evaluation framework (section 6); and the implications for public health practice and
policy (section 7).