July 2016 Summer Newsletter

Research on Impact Health Care System
Changes Indicates Opportunities for
Self Employed Nurses
Dear IPNIG Member,

Trust your summer days are filled with rest and relaxation! T he temperature outside gives a new meaning to "a long hot summer". You may want to sip a "long  lemonade " while reading our preliminary research findings!

ImpactHealthCareImpact of Health Care Changes
At our November 28, 2015 Annual General Meeting  members agreed to do research on primary health care model of delivery, on people's actual engagement in health care changes and their knowledge of the current diversity of nursing care services available. So this spring we looked at the "fluxing" state of our health care system and the impact on registered nurses expanded scope of nursing practice.
All of you, no doubt, have noticed the health care system is in a tumultuous state of change, to say the least! News media constantly reports the need to fix existing health care "gaps", the need to eliminate isolation, fragmentation, overlooked care needs and the nightmare people experience navigating for their health care needs. Media reports lack of consistent and continuous health care due to the absence of communication, and health care providers lacking referral resources to professional health care providers inevitably leave people wondering where to go for help.

On the other side of the coin, the innovative " new kids on the block ", self-employed registered nurses want acceptance of their health care skills with modernized health care modalities and techniques. However, they meet with resistance that wants to maintain " old way " health care delivery. Research shows a large group of at-home " burdened " family members cherish the idea of registered nurses providing day-to-day maintenance for a " loved one's " health needs for constant and chronic care.
Health Care Levels of Prevention

Zoom In!
People strongly acknowledge "an ounce of prevention is worth a pound of care" but the "powers" chose to include only 2% prevention measures in the health care system administration.

Essentially, our findings indicated the public needs education, i.e. all generations need to learn "how to" participate in a future sustainable primary health care system delivery to meet all people's health care needs. 

Indeed a far more comprehensive health care is needed above and beyond the limited primary "sick care" medical system. Primary Health Care delivery is not primary "sick "care. One is not like the other!
Canadian Nurses "What do they do?"
One of the most important aspects of our research was my adventure as a first time attendee at the Canadian Nurses Association CNA Annual General Meeting (June 18 to 23, 2016) in St. John, New Brunswick. The networking was fabulous!
CNA Biennial Convention in Saint John New Brunswick...nurses driving the shift to Primary Health Care! 
The five days at the CNA AGM were spent attending meetings with registered nurses, new graduated nurses, registered nurse specialists and with soon to retire registered nurses from across Canada. CNA created a welcoming atmosphere and presentations demonstrated the strength of CNA leadership. It was exhilarating to witness the younger generation of registered nurses expertise as well as finding the astounding number of innovative ways registered nurses deliver nursing care to look after their clients in their communities.
One presentation demonstrated the practical functionality of registered nurses and a nurse practitioner operating a mobile van, fully equipped clinically and diagnostically, for constant daily presence in rural towns in a western province .

The poster exhibited at the AGM  showed full utilization of registered nurses expanded scope practice, i.e., innovative registered nurses operating their own business that advocate patients care by navigating day-to-day health care needs in our complex health care system.
IntegrativeHealthIntegrative Health Care is Value Added and Cost Effective
Innovators New Nursing Services
Our networking with nurses across Canada expanded  our  understanding of other province's unique health care initiatives and significant use of Registered Nurses full nursing capabilities, unique ways used to facilitate their availability and the "powers that beinnovative  ways to pay for nursing care using provincial health care dollars.

Current federal and provincial policy tends to only use current hospital institution s to deliver health care, needs to be analyzed and upgraded to modernize heath care delivery using global delivery model of primary health care, i.e., "taking the care" to the client which is far more cost effective and better return on invested health care dollars.
Further research turned up innovative assistive new care delivery by industrious business operators. Here are some examples of these quickly developing services to meet the gaps in current health care delivery, i.e., public directory with a host of information where to get help ...  Senior Saviour Solutions and medical clinic new style administration ... Doctor Care :  p eople requesting the right to integrative health care. Self employed registered nurses business operators deliver health coaching, pain management, diagnostic and navigation health care system.  Self Employed Nursing Services.  

We researched future potential " new" health care legislation requiring registered nurses services directly or indirectly. In particular the legalization of medical and/or non-medical Marijuana and new regulation for physician assisted death. Our findings indicate the "powers that be" making the regulatory changes never ask the registered nurses involved for their input.  Nurse Newsline July 20, 2016
Is it time to ask?
Registered Nurses career opportunities continue to grow to fill heath care " gaps " in " our out-dated " health care system that falls short of meeting health care needs of many individual people.
Can we educate the public and politicians to the existence of registered nurses at work, reconnecting people to continuous and consistent health care they need?  
Can self employed nurses working outside the health care system, advocate for a recognition on the huge diversity nursing care services they deliver?  Nurses are in place delivering health care to people where they "Live Work and Play."   Nurses With You Every Step of the Way 2015

Can the political powers meet with registered nurse business owners and operators to interface on the way to connect people to the "wellness" care they need i.e. on time, in place and easily found? Looking at the Whole Picture

Is it time to introduce the public and the politicians to Registered Nurses delivering cost effectively a huge diversity of nursing care services in private nursing practices? ... click here to view list .
Diabetic Educator

Is it time to introduce the public and politicians to the significant increase in the regulatory scope of practice of professional registered nurses, i.e., prescribing, assessment, expanded clinical abilities?
Is it time to tell public and politicians that research showed 44% of Registered Nurses of the 400,000 Canadian Registered Nurses work outside the Health Care System?

Members what can you do?
Here is what you can do to get self employed registered nurses on the public and politicians radar! We ask all of you to respond on the web site with a description of your self-employed professional nursing profile of your work as a Registered Nurse These nursing profiles will be collated into a Professional Directory of Self Employed Registered Nurses Services. The nursing directory validates our research and can be handed to the parliamentarians and posted on our website as testimonials for the public to read.

We also ask for your "nursing story" to feature on our web site. We'll select a variety of nursing profiles and get in touch with those nurses. We'll help write your story to post on our website and it will be archived in our directory of self-employed nurses.
Canadian Association Self Employed Registered Nurses (CASE RNs)
One resource we found and now share with our members is the newly formed national Canadian Association Self Employed Registered Nurses [June 2, 2016]. This new nursing association offers benefits to self employed nurses, business savvy education, and the opportunity to unite together for a stronger national voice for nurses in their own business. 

Definition of a self employed registered nurse:  a registered nurse who provides professional nursing services, as a proprietor of a business, through direct patient care, education, research, administration or consultation.- Seizing the Challenge, by Carol L. Hamilton

See Canadian Association Self Employed Registered Nurses Inc.
Website and Facebook
Closing Summary

In closing, research indicates the existence of expanded health care nursing services by self employed Registered Nurses. Our data indicates people and politicians limited knowledge of the expanded scope of practice for registered nurses and nurses delivery of integrated health care nursing services utilizing full nursing capabilities. The health care system lacks integrative health care policy for wellness care, prevention, chronic and extended care. 

Time is "now" to include value added nursing hea lth care services that are delivered consistently  "on time, in place, for all people, in all communities".

Enquiries please contact IPNIG