Best Practice Guidelines

Best practice guidelines

Best practice guidelines (BPG) are systematically developed, evidence-based documents that include recommendations for nurses and the interprofessional team, educators, leaders and policy-makers, persons and their chosen families on specific clinical and healthy work environment topics. BPGs promote consistency and excellence in clinical care, health policies and health education, ultimately leading to optimal health outcomes for people and communities and the health system.

RNAO has about 50 BPGs covering nine categories: children and youth, clinical, equity, diversity and inclusion, foundational, health system, healthy work environment, mental health and substance use, older adults, and population health. The BPGs are freely available and organized alphabetically below.

March 2015

The purpose of this best practice guideline is to provide nurses and the interprofessional team across all care settings with evidence-based recommendations related to assessment and interventions for individuals aged 11 years and older who use substances and may be at risk for or experiencing a substance use disorder. 

Publication date
2002
The goal of this document is to assist nurses working with youth in a variety of practice settings, i.e. schools, public health units, community health centres, adolescent clinics, hospitals, and in family practice. Recommendations are inclusive of adolescent development across diverse contexts (e.g. cultural, socioeconomic, structural, political). This guideline is intended for nurses who are...
Publication date
2002
This nursing best practice guideline will address the therapeutic relationship and its central importance to nursing practice. Effective nursing practice is dependent on an effective therapeutic relationship between the nurse and the client. The guideline addresses the qualities and capacities of an effective therapeutic relationship, the state of knowledge, and the knowledge needed to be...
Publication date
2012
The aim of this guideline is to provide evidence-based recommendations for registered nurses, registered practical nurses and other health-care providers to facilitate client centred learning that promotes and enables clients to take action for their health. Regardless of how client centred learning is framed (self-care, self-management, client teaching, client education, health teaching) the...
Publication date
2018
Implementing supervised injection services is a best practice guideline (BPG) that supports decision-making around the most effective approaches for delivering supervised injection services (SIS) to people who inject drugs. These approaches promote engagement, support positive health outcomes, and help reduce harms associated with injection drug use. The BPG's 11 evidence-based recommendations...
Publication date
2017
This Clinical Best Practice Guideline (BPG) is to replace the RNAO (2007) BPG Integrating Smoking Cessation into Daily Nursing Practice (Second Edition). This BPG provides direction to nurses and other health-care providers to support individuals who use tobacco in all care settings. The implementation of the evidence-based recommendations provided in this BPG will enhance the health-care...
Publication date
2016
The goal of this best practice guideline is to strengthen collaborative practice among nurses, because effective collaborative practice is essential for working in health-care organizations. In this guideline, we focus on collaborative practice amongst three types of nursing professionals – registered nurse (RN), registered practical nurse (RPN) and nurse practitioner (NP) – and explore what...
Publication date
2012
The focus for the development of this guideline was managing and mitigating interpersonal conflict among health-care teams with the view that while some conflict is preventable, healthy conflict can also be beneficial. The BPG was developed to assist nurses in all roles and all settings, other health professionals and management teams to enhance positive outcomes for patients/clients, nurses and...
Publication date
2005
This guideline, Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with COPD, will address the nursing assessment and management of stable, unstable and acute dyspnea associated with COPD. It is acknowledged that individual competencies of nurses vary between nurses and across categories of nursing professionals (RNs and RPNs) and are based on knowledge, skills, attitudes and judgement...
Publication date
2005
The RNAO Best Practice Guideline Nursing Management of Hypertension (2005, 2009) was retired in October 2020. Comprehensive and up-to-date evidence-based guidelines for the management of hypertension are available. RNAO encourages users of this guideline to review the Hypertension Canada guidelines: https://guidelines.hypertension.ca. RNAO’s guideline development team completed an AGREE...