History of NPs in Saskatchewan

1965: First NP educational program in North America launched at University of Colorado by Dr. Loretta C. Ford.

1967: Two year courses leading to credentials in midwifery and outpost nursing Dalhousie University in Halifax

1971: Nurse practitioner programs at McMaster University and University of McGill.

1972: Boudreau Report recommends that the development of the nurse practitioner category be regarded in the highest priority in meting primary health care needs in Canada

1972: Six programs for northern nurses in conjunction with Medical Services Branch, Health and Welfare Canada located in universities of Alberta, Manitoba, Western Ontario, Toronto, McGill and Sherbrooke

1973 - CNA/CMA Joint Committee - joint Policy Statement on the role of the NP

1973 – Dr. V.L. Matthews at SRNA annual meeting stated nurses will be increasingly recognized as an independent professional service involved in ambulatory care.

1974 - Lalonde Report supports concepts of primary health care recognizing the influence of determinants of health on societal health and well-being and the role of the RN in health promotion and disease prevention.

1974 – University of Saskatchewan, six month training course developed by College of Nursing in conjunction with College of Medicine, Department of Family Medicine.

1974 – October 1, four nurses educated in the six-month course begin work as NPs in four communities who were to be members of a team including physicians and other allied health professionals. A two-year data collection period began.

1977 – Report on the Saskatchewan Nurse Practitioner Program showed that

  • One nurse left project after 18 months, another after 22 months most likely due to professional isolation
  • Program concentrated on primary care skills, previous experience was not enough to prepare nurses for envisaged roles of community health nurse and health and social coordinator
  • Future action recommended that:
    • Health care needs of communities be assessed objectivity and differentiated between expressed wants before any new type of health professional is introduced
    • An assessment be made of the health and social services currently available in communities
    • All existing and any new community health and social services be coordinated in order to minimize duplication and fragmentation.

1985- Most NP educational programs across Canada discontinued due to a perceived oversupply of physicians, lack of remuneration mechanisms, absence of provincial/territorial legislation; little public awareness of the role; and weak support from policy makers and other health professionals

1988: Interest in the expanded roles for nurses continued across Canada. Primary care nurses in the north requested support for their expanded roles. SRNA developed the following documents:

  • Roles and Functions for Registered Nurses Providing Primary Health Care in Northern Saskatchewan 1988
  • Roles and Functions for Registered Nurses Employed by Indian Health Authorities in Northern Saskatchewan, 1990

1990 - Saskatchewan Health's announcement regarding the "wellness model" and the findings of the Saskatchewan Commission on "Directions in Health Care" pointed to a changing and expanding role for registered nurses in the province.

1991 - Regional nursing officer Medical Services Branch initiated meetings with stakeholders. Both Medical Services Branch and the provinces Northern Services were having difficulty recruiting and retaining nurses in the north.

1992 - Saskatchewan Health requested that SIAST Wascana Institute develop a program in Advanced Clinical Nursing

1993 – May, thirty-five students accepted into the initial offering of the Advanced Clinical Nursing program.

1993 – Interest in expanding role continues and SRNA developed The Registered Nurse Scope of Practice Special Nursing Procedures and Nursing Procedures by Transfer of Medical Functions, 1993. This document developed the process for nurses to add functions to their role through delegation of function in any health care setting across the province.

1994 – Thirty-two graduates from the Advanced Clinical Nursing program. Graduates who found work in primary care nursing roles, functioned under delegation of medical function.

1997 – Saskatchewan health establishes a Primary Health Care services Branch

1999: SRNA developed the document The Registered Nurse Scope of Practice: Guidelines for Nurses Prescribing and/or Distributing Drugs by Transfer of Functions to provide additional standards for nurses in primary care roles.

2001 – Fyke Report and Saskatchewan Health Action Plan for Primary Health Care proposes an integrated system of health services through Regional Health Authority managed networks and teams of health care providers that includes primary care nurses.

2001 – January 20, NPOS established under the leadership of Heather Keith RN. Inaugural meeting was held in Prince Albert, Saskatchewan.

2002 - Twenty-one Primary Health Care services demonstration sites in the province that include primary care nurse practitioners

2002 – November 22, at a special SRNA membership meeting, participants passed bylaws regulating Registered Nurse (Nurse Practitioner) practice.

2003 – Registered Nurses Act, 1988 amended to allow nurses to order, perform, receive and interpret reports of screening and diagnostic tests; prescribe and dispense drugs; perform minor and invasive procedures; and diagnose and treat common medical disorders

2003 – October, Registered Nurse (Nurse Practitioner) [RN(NP)] Standards and Core Competencies published by the SRNA

2004 – January, the Primary Care Nurse Practitioner Program, Nursing Division, SIAST granted full approval as an RN(NP) educational program in the province of Saskatchewan by the SRNA.

2004 – The first RN(NP)s were licensed in April. By the end of the year, 48 were licensed in the province.

2005 - University of Saskatchewan develops and implements Master of Nursing Primary Health Care Nurse Practitioner Program (PHC-NP)

 2006 - Canadian Nurse Practitioner Initiative published Nurse Practitioners: The Time is Now, a report containing 13 recommendations to integrate NPs into health care. The CNPI then produced The Way Forward Plan: Committing to Action put the link to the underlined words to this page http://www.cna-nurses.ca/CNA/practice/advanced/initiative/default_e.aspx eliminate the others otherwise will constantly will need to be fixed.

 2006 - All Saskatchewan NPs complete Controlled Substances and Drug Act (CDSA) module for licensure in preparation for prescribing drugs monitored by the prescriptive review program and the CDSA

2007- 102 licensed RN(NP)s are practicing in the province

2010 - NP family all ages national NP competencies agreed upon across Canada.  Link underlined to http://www.cna-nurses.ca/CNA/nursing/npexam/competencies/default_e.aspx

 2011 - January SRNA implements the national competencies as the competencies for NPs in the province



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