Advanced Clinical Practice Fellowships (ACPF)

Fellowships in this stream will have a primary focus on one of three sub-streams: 

Fellows in these sub-streams are encouraged to utilize resources, approaches or tools from RNAO’s third edition Leading Change Toolkit™ to support the advancement of your goals. This may include the Social Movement Action Framework, the Knowledge-to-Action Framework  and/or strategies in the section, engaging persons with lived experience.

Sub-streams: 
a) Individual change agent (Clinical) - This sub-stream is focused on the development of your knowledge, skills and expertise in a specific area of evidence-based practice that will enhance care delivery in your organization or community. For example, it could include gaining a deeper understanding of an area of clinical practice such as providing palliative care to children and their families, developing advanced pain assessment skills or enhancing your wound management knowledge.  

b) Change team (Leadership) - This sub-stream is focused on using strategies to mobilize and engage people to support the uptake and sustainability of evidence-based practice.  This may include enhancing your skills in areas such as education, research, management or policy through the engagement of change teams within your organization (i.e., implementation teams), persons with lived experience (i.e., patients and families), or other stakeholder groups within or outside of your organization.

c) Organizational (Guideline Implementation) - This sub-stream is focused on gaining the skills necessary to support the implementation and sustainability of a specific RNAO Best Practice Guideline. Fellowships in this stream will explore one or more aspects of the implementation of practice change, and will be expected to utilize frameworks, processes, strategies and tools within the third edition Leading Change Toolkit™.

This fellowship stream is focused on addressing diversity, equity and inclusion in the workplace and aligns with RNAO’s commitment to address systemic racism, injustice and discrimination, and improve health care for all. Fellowships in this stream are intended to strengthen your knowledge of equity, and may focus on improving diversity, equity and inclusion for staff, persons and families receiving care or communities. 

Examples of fellowship topics include addressing anti-Black racism in the workplace, creating safe spaces for 2SLGBTQ+ persons within the health system or improving Indigenous health services by addressing a particular call to action from the Truth and Reconciliation Commission report.  

Within this stream, priority will be given to those individuals who self-identify with the community that is the focus of their fellowship. Those who don’t self-identify with the community of focus will be required to demonstrate in their proposal how they have prepared themselves for the fellowship experience. For example, those wishing to focus on working with Indigenous communities would be expected to have participated in, and submit evidence of, cultural safety training in advance of starting their fellowship. 

Explore RNAO’s current In Focus topics to learn more.

Fellowships within this stream are focused on developing resources, approaches and programs that will improve the health and wellbeing of nurses and colleagues in the organization and/or community. This fellowship stream has been established in response to the current health human resources crisis and a reported increase in nurse fatigue and burnout associated with the COVID-19 pandemic and the chronic shortages of nurses within the system.

Fellowships in this stream may focus on promoting well-being and creating a healthy work environment, improving recruitment or retention of nurses, or providing mentorship or support for new staff. Refer to RNAO’s Work and Well-being Survey Results and Healthy Work Environment BPGs for more information. 

Fellowships within this stream focus on developing resources, approaches and programs that will support student clinical placements in long-term care homes. This fellowship stream has been established in response to the need to develop positive, engaging clinical placement experiences for third- and fourth-year nursing students. 

As a recruitment strategy, this will provide nursing students with the opportunity to experience the range of nursing leadership roles in long-term care and ultimately encourage long-term care as a sector in which to develop their career. Fellowships in this stream may focus on developing creative student placements that help develop clinical, leadership, advocacy and quality improvement skills. Explore RNAO’s In Focus page to learn more.