Registed Nurses' Association of Ontario

Clinical Practice Guideline Overview

The Registered Nurses' Association of Ontario (RNAO) launched the Nursing
Best Practice Guidelines Program in November 1999 with funding
from the Government of Ontario. The purpose of this multi-year program
is to support Ontario Nurses by providing them with Best Practice Guidelines
for client care. The program has been designed in multiple cycles. Each
cycle consists of five phases: planning, development, pilot implementation,
evaluation and dissemination/uptake. Each guideline also undergoes full
review every three years and revised as necessary. To date, the program
team has initiated six cycles of guideline development for dissemination/uptake.

Key Achievements:

  • Five broad clinical topic areas have been identified
    for the program to focus on. These include Gerontology, Primary Health
    Care, Home Health Care, Mental Health Care and Emergency Care.
  • Forty one guidelines, as well as a Toolkit and Educator’s Resource Kit for implementing these guidelines are now available.
  • Sixteen guidelines have been translated in French.
  • Eighteen health education fact sheets have been developed
    for patients and their families on various topics related to the guidelines.
  • Implementation and evaluation tools are being added
    to the Web site on a regular basis.
  • A broad cross-section of Ontario nurses, organizations,
    researchers and associations have committed themselves to the program
    in a number of ways: guideline development panels, Best
    Practice Spotlight Organizations, integrating guidelines in nursing
    school curriculum, championing the guidelines by promoting, influencing
    and implementing guidelines (Best
    Practice Champions Network), participating in various conferences,
    summer institutes, workshops and three-month fellowship experiences,
  • RNAO has hosted three Best Practice Guidelines international
    conferences. They are held every two years.  The next one will be in December 2009.
  • Every year, RNAO hosts a Best Practice Summer Institute. These one-week
    residential programs allow for development of organizational and professional
    capacity for guideline implementation and organizational change.
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