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Beyond Boundaries: The Manitoba First Nations Remote Access Initiative
By Lesley Larsen, Edna Stevens and Darrin Stevenson
As more First Nations and Inuit communities establish Internet connectivity, web-based access to education and support is becoming a viable, more accessible and affordable alternative to traditional face-to-face access.

Bringing knowledge home: Embedding evidence in decision-making
This issue of Promising Practices in Research Use from the Canadian Health Services Research Foundation profiles Nancy Lefebre's intervention project as a fellow with the Executive Training for Research Application (EXTRA) program.

Building on Values: The Future of Health Care in Canada

The Romanow Report outlines recommendations to ensure the long-term sustainability of a universally accessible, publicly funded health system in Canada.

Caring for Ventilator Dependent Children at Home
By Dale Stedman and Tamizan Janmohamed
The goal of this brief article is to highlight the complexities associated with caring for ventilator dependent children at home, and to share some of the steps a home health care provider can take in order to facilitate communication and transition to home and to enhance family coping.

Developing a Preceptorship/Mentorship Model for Home Health Care Nurses
By Julie DeCicco
Preceptorship and mentorship programs are used in the health care sector to educate nurses, enhance their leadership skills, and improve their quality of work life. Recognizing the importance of these initiatives, Saint Elizabeth Health Care sought funding to create an innovative model of preceptorship/mentorship that meets the unique needs of home health care nurses

Author Posting. (c) Julie DeCicco, 2008.
This is the author's version of the work. It is posted here by permission of 'Julie DeCicco' for personal use, not for redistribution. The definitive version was published in Journal of Community Health Nursing, Volume 25 Issue 1, January 2008.doi:10.1080/07370010701836310

e-Learning in Long Term Care: Continuing Education Made Easier
By Nancy Lefebre and Carole Brearley
This article provides an overview of the strengths and challenges of traditional teaching methods, as well as an introduction to e-learning, its benefits and integration into an overall education strategy. (Reprinted with permission from the October/November 2003 issue of Long Term Care Magazine)

Evidence in the Palm of Your Hand: Development of an Outcomes-Focused Knowledge Translation Intervention
By Diane M. Doran, John Mylopoulos, Andre Kushniruk,, Lynn Nagle, Brenda Laurie-Shaw,
Souraya Sidani, Ann E. Tourangeau, Nancy Lefebre, Cheryl Reid-Haughian, Jennifer R. Carryer, Lisa A. Cranley, Greg McArthur
With the current explosion of health-related knowledge, it is a challenge for nurses to
regularly access information that is most current. The aim of the project was to develop an electronic information gathering and dissemination system to support both nursing-sensitive outcomes data collection and evidence-based decision-making at the point-of-patient care.

Following a New Leader: Emerging Consumerism Reshapes Community Health

By Shirlee Sharkey
Consumer-led initiatives will continue to grow in the future as individuals become empowered with knowledge through easier access to health information and a desire for self-management. As health care providers, we need to anticipate this remarkable shift and embrace it, recognizing the potential to provide more responsive and customized care through a role extending far beyond disease management.

Frequently Asked Questions about Home Care

An overview of home care in Canada, including information on what kinds of services are available, how home care is funded, who is eligible to receive home care, the assessment process, care delivery, how safety and quality in home care is ensured and similarities and differences in home care services across the provinces and territories.

Future-friendly Health Care: Optimism and Creativity Lead the Way

By Shirlee Sharkey
As health care professionals, we all have our own compelling reasons for choosing this line of work; and while our motives may be comprehensive and diverse, many relate to a compassionate spirit and the ability to make a meaningful difference in people's lives.

Health Council of Canada releases third annual report to Canadians
While the federal, provincial and territorial governments are making gains – and making good – on some commitments to renew health care, Canadians are not getting the detailed
information they need to measure progress in improving health care, the Health Council of Canada concludes in its annual report to Canadians.

Read Full Report
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Healthcare Revolution

By Shirlee Sharkey and Lesley Larsen
New applications of information and communication technologies are leading us to an incredible future. This future demands that we reinvent home care and our health system to provide more effective, efficient and responsive solutions to the changing needs of Canadians.

National Conference on Home Care, 1998 Proceedings

This milestone conference fostered dialogue on complex issues and national approaches to home care in Canada. SEHC President and CEO Shirlee Sharkey provided summary remarks on home care for the future.

Realizing the Potential of Home Care: Competing for Excellence by Rewarding Results

Report by the Hon. Elinor Caplan, Chair, CCAC Procurement Review
The CCAC Procurement Review delivers 70 recommendations on a range of issues, including continuity of care, integration, research, accountability and workforce stability.

Supersmart Homes: A New Meaning for Home Care

By Shirlee Sharkey and Lesley Larsen
The explosion of information online suggests significant implications for the health system. An enhanced role for providers will be that of knowledge navigator, interpreting and customizing information for consumers. The focus will shift from looking after people, to coaching them to care for themselves to the fullest extent possible.

The Canadian Home Care Human Resources Study: Synthesis Report
This Study seeks to analyze the short and long-term human resource issues facing the home care sector and serves as the basis for coordinated action to improve the availability of high quality home care for all Canadians.

The Future of Home Care in Canada: Roundtable Outcomes and Recommendations for the Future
By André Côté and Graham Fox, Public Policy Forum
In February 2007, 150 leaders in the homecare field from across Canada gathered in Gatineau, Quebec, for a national roundtable discussion on the future of homecare in Canada. Convened
by the Public Policy Forum and co-hosted by Saint Elizabeth Health Care, the event asked participants to articulate a vision for the future of homecare and identify practical next steps to assist decision-makers in moving us down the path toward that vision.

The Mosaic of Home Care in Canada

By Shirlee Sharkey
As a registered nurse and health care executive who has spent over half my 25-year career in home care, I always find it interesting to observe health systems in other counties and reflect on home care in Canada from an international perspective. While some countries have been mindful of the importance of home care from the outset, others are only beginning to take a serious look at this vital and dynamic sector.

The National Evaluation of the Cost-Effectiveness of Home Care

What services need to be in place in a community to enable a person stay at home? How should these services be coordinated? How much does it cost to provide care? How does the quality of care at home compare with that delivered by residential facilities? These are just some of the many questions that have been addressed by this program of research on home care in Canada.

The Role and Value of Homemakers/Personal Support Workers in the Health Care System

This paper provides an overview of the context in which homemakers/personal support workers function; a description of their role and value from a social perspective; educational preparation and standards; a discussion on their role and value in maintaining health and sustaining the health care system from policy and economic perspectives; and implications for the future.

Transforming wound care: The power of people, process and technology

By Shirlee Sharkey
The burden of chronic wounds is expected to increase with the aging population. Shirlee Sharkey describes how Saint Elizabeth Health Care has embraced the use of ICTs as a catalyst to transform and move beyond the traditional approach to wound care management and education, through the creation, implementation and evaluation of interactive web-based programs.

Understanding Home Health Nursing: A Discussion Paper

By Barb Mildon, Community Health Nurses' Initiatives Group (CHNIG)
The purpose of this paper is to contribute to an understanding of home health nursing by comprehensively describing the practice and its associated issues.

Unfinished Business: The Case for Chronic Home Care Services, A Policy Paper

Prepared by Marcus J. Hollander of Hollander Analytical Services Ltd.
The Romanow Commission and the Kirby Committee left a major gap in their policy recommendations when they did not directly address the role of home care services for persons with ongoing care needs - that is, those with chronic health conditions. This paper argues that the current approach to home care is misguided and may well lead to an increasing cost spiral in health care services and, in particular, hospital services and long term care residential services.

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