The Registered Nurses’ Association of Ontario (RNAO) is the professional association representing registered nurses (RNs), nurse practitioners (NPs) and nursing students in Ontario, Canada. Established in 1925, the association’s mission is to pursue healthy public policy and to promote the full participation of RNs and NPs in shaping and delivering health services. RNAO has gained recognition globally for its Best Practice Guideline (BPG) Program that focuses on rigorous guideline development, support for implementation and evaluation. The program has produced over 50 evidence-based clinical and healthy work environment best practice guidelines and related resources to aid implementation and evaluation. The aim of the BPG Program is to improve the consistency and quality of nursing care; increase access to best evidence; and maximize benefits for patients, nurses, organizations and the health system.
RNAO’s vendor-neutral nursing order sets are comprised of action-oriented evidence-based interventions derived from the RNAO BPGs and are designed to aid BPG implementation and standardize the care provided to a specific patient/client for a specific condition (e.g. pain, pressure ulcers, smoking) in electronic, paper-based or hybrid environments. The order sets include clinically relevant nursing assessments, interventions and optimal patient/client outcomes for a variety of topics related to women and children, addiction and mental health, skin and wound care, chronic diseases and functional care. The individual assessment and intervention statements are organized within the context of the nursing process and reflect nursing care at different phases along the health continuum: health promotion and disease prevention, primary care, acute care, home health care, rehabilitation, long-term care and end-of-life care.
RNAO supports the evaluation of guideline implementation through NQuIRE (Nursing Quality Indicators for Reporting and Evaluation). NQuIRE is the first international quality improvement initiative of its kind, and involves the development and measurement of structure, process and outcome indicators related to the RNAO BPGs.
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Dr. Doris Grinspun RN, MSN, PhD, LLD (Hon), O.ONT.