Nursing in Canada

Nurses in Canada practise in a wide variety of settings, with various levels of training and experience. They provide evidence-based care and educate their patients about health and disease.

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Two nurses with a baby in the nursery at Toronto East General and Orthopaedic Hospital, 1955
Canadian nurses with wounded soldiers[1]

The role that nurses have played in the development of Canada has been recognized through the designation of seven National Historic Sites of Canada related to nursing. Five nurses' residences (the Ann Baillie Building,[2] Begbie Hall,[3] the Hersey Pavilion,[4] the Pavillon Mailloux[5] and the St. Boniface Hospital Nurses' Residence[6]) were designated in commemoration of the growing professionalism of nursing and of the expanded role of nurses in health care over the course of the 20th century. The La Corne Nursing Station[7] and the Wilberforce Red Cross Outpost[8] were designated, in part, in honour of the role played by nurses in delivering health care to isolated areas.

Nurses in every setting demonstrate their commitment to continually improving their nursing practice by annually engaging in a written reflection, an analysis of the year, and 2 learning goals. Every nurse registered in the General or Extended class is required, under the Registered Health Professions Act, 1991, to participate in the Quality Assurance (QA) program.[9]

History

In 1617, Marie Rollet (1580-1649) arrived in New France with her husband, Louis Hébert, Québec's first apothecary. She became New France's first laywoman, by working with her husband to tend to those who were suffering from starvation and illness, including natives.[10]

In 1641, Jeanne Mance, a nurse from Langres, France, arrived at Fort Ville-Marie, New France. She was recruited by Father Charles Lallemant, a Jesuit priest, for the Société Notre-Dame de Montréal. In 1642, she established the Hôtel-Dieu de Montréal, one of the oldest hospitals in North America.[11][12]

In 1737, Marie-Marguerite d'Youville founded the Sisters of Charity of Montreal, a religious order known as the Grey Nuns. In 1747, they were granted a charter to operate the General Hospital of Montreal. The order went on to expand to other cities across North America and is still in existence today. In 1990, she was canonized by Pope John Paul II, and is the first native-born Canadian to be elevated to sainthood by the Roman Catholic Church.[13]

In the late nineteenth and early twentieth centuries, women made inroads into various professions including teaching, journalism, social work, and public health. These advances included the establishment of a Women’s Medical College in Toronto (and in Kingston, Ontario) in 1883, attributed in part to the persistence of Emily Stowe, the first female physician to practise in Canada. Stowe’s daughter, Augusta Stowe-Gullen, became the first woman to graduate from a Canadian medical school.[14]

From 1884 to 1910, Mary Agnes Snively was the Superintendent of Nurses at the Toronto General Hospital's School of Nursing, where she established the first nursing student residence and a proper curriculum. In 1908, she became the first president of the Canadian Society of Superintendents of Training Schools for Nurses. She was also a co-founder of the International Council of Nurses and served as their Honorary Treasurer from 1900 to 1904.[15]

Apart from a token few, women were outsiders to the male-dominated medical profession. Midwifery—practised along traditional lines by women—was restricted and practically died out by 1900.[16] Even so, the great majority of childbirths took place at home until the 1920s, when hospitals became preferred, especially by women who were better educated, more modern, and more trusting in modern medicine.[17]

Prairie province settlement

In the Prairie provinces, the first homesteaders relied on themselves for medical services. Poverty and geographic isolation empowered women to learn and practise medical care with the herbs, roots, and berries that worked for their mothers. They prayed for divine intervention but also practised supernatural magic that provided as much psychological as physical relief. The reliance on homeopathic remedies continued as trained nurses, doctors, and how-to manuals slowly reached the homesteaders in the early 20th century.[18]

After 1900 medicine, and especially nursing, modernized and became well organized.

The Lethbridge Nursing Mission in Alberta was a representative Canadian voluntary mission. It was founded, independent of the Victorian Order of Nurses, in 1909 by Jessie Turnbull Robinson. A former nurse, Robinson was elected as president of the Lethbridge Relief Society and began district nursing services aimed at poor women and children. The mission was governed by a volunteer board of women directors and began by raising money for its first year of service through charitable donations and payments from the Metropolitan Life Insurance Company. The mission also blended social work with nursing, becoming the dispenser of unemployment relief.[19]

Richardson (1998) examines the social, political, economic, class, and professional factors that contributed to ideological and practical differences between leaders of the Alberta Association of Graduate Nurses (AAGN), established in 1916, and the United Farm Women of Alberta (UFWA), founded in 1915, regarding the promotion and acceptance of midwifery as a recognized subspecialty of registered nurses. Accusing the AAGN of ignoring the medical needs of rural Alberta women, the leaders of the UFWA worked to improve economic and living conditions of women farmers. Irene Parlby, the UFWA's first president, lobbied for the establishment of a provincial Department of Public Health, government-provided hospitals and doctors, and passage of a law to permit nurses to qualify as registered midwives. The AAGN leadership opposed midwife certification, arguing that nursing curricula left no room for midwife study, and thus nurses were not qualified to participate in home births. In 1919 the AAGN compromised with the UFWA, and they worked together for the passage of the Public Health Nurses Act that allowed nurses to serve as midwives in regions without doctors. Thus, Alberta's District Nursing Service was created in 1919 to coordinate women's health resources of the province. Alberta's District Nursing Service developed chiefly from the organized and persistent political activism of UFWA members and only minimally from the actions of professional nursing groups that were clearly uninterested in rural Canadians' medical needs.[20]

The Alberta District Nursing Service administered health care in the predominantly rural and impoverished areas of Alberta in the first half of the 20th century. Founded in 1919 to meet maternal and emergency medical needs by the United Farm Women (UFWA), the Nursing Service treated prairie settlers living in primitive areas lacking doctors and hospitals. Nurses provided prenatal care, worked as midwives, performed minor surgery, conducted medical inspections of schoolchildren, and sponsored immunization programs. The post-Second World War discovery of large oil and gas reserves resulted in economic prosperity and the expansion of local medical services. The passage of provincial health and universal hospital insurance in 1957 precipitated the eventual phasing out of the obsolete District Nursing Service in 1976.[21]

Military service

Over 4000 women served as nurses in uniform in the Canadian Armed Forces during the Second World War. They were called "Nursing Sisters" and had already been professionally trained in civilian life. However, in military service they achieved an elite status well above what they had experienced as civilians. The Nursing Sisters had much more responsibility and autonomy, and had more opportunity to use their expertise than civilian nurses. They were often close to the front lines, and the military doctors – all men – delegated significant responsibility to the nurses because of the high level of casualties, the shortages of physicians, and extreme working conditions.[22][23]

Education

Registered Nurses (RNs) and Registered/Licensed Practical Nurses (L/RPNs) throughout Canada study a diverse range of mandated subjects including, but not limited to: physiology, anatomy, pathophysiology, epidemiology, microbiology, nutrition and dietetics, pharmacology, organic chemistry, nursing theory and nursing skill. Extensive hands-on practical training, colloquially referred to as "clinical" by students, starts as early as year one and extends to graduation.

Registered nursing education

Most provinces prefer that the Registered Nurse (RN) hold a Baccalaureate degree, typically a Bachelor of Science in Nursing (B.Sc.N) or Bachelor of Nursing B.N.) or similar (degree names vary slightly depending on the granting institution). Currently, many RNs have been "grandfathered in" and are practising with a previously obtained 2-3 year diploma that was achieved at the college level, in many cases was or is equal to practical nursing education. This cohort of RNs are encouraged by the Canadian Nurses Association and their respective provincial colleges to return and upgrade their education to that of the Baccalaureate prepared RN due to research suggesting that the degree-prepared RNs have improved outcomes for patients and families. RN education now is mandated to be 4 years in length through a degree granting institution (a university) in all provinces except Quebec. However, some institutions have "accelerated" baccalaureate programs at 3 years in length, where students study full-time and over the summers. Additionally, there are 2 year programs, but entrants into these programs typically have been granted previous non-nursing degrees.

Practical nursing education

Registered Practical Nurses (RPNs), is a title applied to practical nurses in Ontario and Quebec, which is not to be confused with Registered Psychiatric Nurses, are equivalent to Licensed Practical Nurses (LPNs) in the other provinces and territories of Canada which favour this title. Practical nurses are educated at the college level after two to three years of study and are granted a diploma upon successful completion. Practical nursing training is quite similar to the registered nurses education with much of the same subjects, and with the same nursing skills to RN, however given the reduced period of study, students receive a more focused foundational body of knowledge; this results in the inability of RPNs to provide autonomous care to highly acute and unstable patients, unless caring for the patient in collaboration with a Registered Nurse. RN's are also encouraged to collaborate with other RN's on highly acute and unstable patients, however may do so independently. Practical nursing students are exposed to hands-on training as early as the first semester of year one, continuing through to graduation, making RPNs sometimes more skill proficient post graduation. Practical nursing training is extensive compared to practical nursing training in the United States. Many RNs in the United States continue to graduate with two year associate degree programs. Should these nurses with such training wish to immigrate to Canada, they would be required to challenge the practical nursing qualification in Canada as it is viewed as equivalent to the two year registered nurse degree program in the US.

Graduate nursing education

Uniquely in Canada, McGill University offers a "direct entry" Master's degree, where applicants do not need previous education in nursing, achieving licensure as well as a MSc (Master of Science). However, this program is longer (by one year) than equivalent "nurse entry" degrees.[24]

RNs can pursue further education at the Masters or Doctoral level, receiving a Masters of Science in Nursing or PhD, respectively. Additionally, there are several different types of master's degrees. Depending upon field of study, the RN can choose to study to become a Nurse Practitioner, an Advanced Practice Nurse, a Registered Nurse First Assist (Surgeon's assistant) in addition to many other fields of study. Unlike the United States, the role of Registered Nurse Anesthetist does not presently exist in Canada.

Graduate education for nurses in other fields
  • Registered nurses with university prepared education, interested in advancing their studies or practice, may choose to study to become physician assistants, at a faculty of medicine in Canada. These nurses may decide to study in this area instead of becoming a nurse practitioner. The physician assistant profession is based more in the medical-model which is similarly modeled after physician education, with theories and practice related directly to medicine. The physician assistant profession is not directly related to nursing. Nurses may pursue this area for a desire to learn the study of medicine in-depth and to practice medicine.

Nursing licensure

Like other regulated professions, after graduation from an approved program in a recognized school, nursing students pass a licensing test before they can practice as a nurse.[25]

  • After completing a 2-3 year diploma program in nursing and passing the Canadian Practical Nurse Registration Examination (CPNRE) Computer Based Examination,[26] one can work as an RPN.[27]
  • After completing a 4-year bachelor's degree in nursing or bachelor of science in nursing and passing the National Council Licensure Examination (NCLEX-RN) Computer Based Examination,[28] one can work as an RN.[29]
  • After completing a professional master's degree in nursing and passing appropriate nurse practitioner examinations, one may work as a NP.[30]

Types of nurses in Canada
  • Registered Nurse (RN). RNs obtain a four year baccalaureate degree in nursing from a college or university. There are also accelerated two or three year baccalaureate degree nursing programs. [31]
  • Registered Practical Nurse (RPN) in Ontario and Quebec. RPNs obtain a two or three year diploma in practical nursing. Registered practical nurse is equivalent to licensed practical nurse in Canada and is a region specific title.[32]
  • Licensed Practical Nurse (LPN), in the other Canadian provinces (British Columbia, Alberta, Saskatchewan, Manitoba, Prince Edward Island, Nova Scotia, New Brunswick, Newfoundland and Labrador and the territories). Licensed practical nurse is equivalent to registered practical nurse in Canada and is a region specific title.
  • Registered Psychiatric Nurse (RPN) is licensed to practice only in British Columbia, Alberta, Saskatchewan, Manitoba, and the territories. This title should not be confused with registered practical nurse in the provinces of Ontario and Quebec. [33]
  • Nurse Practitioner (NP) is an RN with additional training in advanced nursing which can perform additional tasks in their defined area and scope of practice.

Types of Training or Specialties

After receiving their initial 4-year baccalaureate degree or 2–3 years diploma and passing their licence exams, National Council Licensure Examination (NCLEX) or Canadian Practical Nurse Registration Examination (CPRNRE), nurses take further education to specialize in whatever agency or department they are employed.[34] It is not necessary but is encouraged by employers to join relevant professional associations for the facilitation of learning safe practices and timely adaptation, etc.

A circa 1910 postcard of the Anne Baillie Building in Kingston, Ontario

The profession of nursing is regulated at the provincial and territorial level in keeping with the principles of professional regulation endorsed by the International Council of Nurses. In the western provinces, psychiatric nurses are governed by distinct legislation.

All registered nurses and nurse practitioners in the province of Alberta are expected to maintain their clinical competence in order receive an annual practice permit from the College and Association of Registered Nurses of Alberta which also sets standards for scope of practice and provides practice support.

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See also

References
  1. "Alberta & the Great War". Flickr. January 1919. Retrieved 2016-07-06.
  2. Ann Baillie Building National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
  3. Begbie Hall National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
  4. Hersey Pavilion National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
  5. Pavillon Mailloux National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
  6. St. Boniface Hospital Nurses' Residence National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
  7. La Corne Nursing Station National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
  8. Wilberforce Red Cross Outpost National Historic Site of Canada. Canadian Register of Historic Places. Retrieved 30 October 2011.
  9. "Quality Assurance".
  10. "Marie Rollet (1580-1649)". A History in Families. August 27, 2008.
  11. Daveluy, Marie-Claire (1979) [1966]. "Mance, Jeanne". In Brown, George Williams (ed.). Dictionary of Canadian Biography. I (1000–1700) (online ed.). University of Toronto Press.
  12. Trent, Bill (1985). "Hôtel-Dieu de Québec: the story of Canada's oldest hospital". Canadian Medical Association Journal. 132 (1): 56–62. PMC 1346507. PMID 3880646.
  13. "Our History". The Grey Nuns of Montréal.
  14. Alison Prentice, Canadian Women: A History (1988).
  15. "Civilization.ca - Canadian Nursing History Collection Online - Types of Objects".
  16. Biggs, C. Lesley (1983). "The Case of the Missing Midwives: A History of Midwifery in Ontario from 1795-1900". Ontario History. 75 (1): 21–35. PMID 11615035.
  17. Oppenheimer, Jo (1983). "Childbirth in Ontario: The Transition from Home to Hospital in the Early Twentieth Century". Ontario History. 75 (1): 36–60. PMID 11615036.
  18. Woywitka, Anne (2001). "Pioneers In Sickness and in Health". Alberta History. 49 (1): 16–20.
  19. Richardson, Sharon (1997). "Women's Enterprise: Establishing The Lethbridge Nursing Mission, 1909-1919". Nursing History Review. 5 (105–130): 1062–8061. doi:10.1891/1062-8061.5.1.105. PMID 8979731.
  20. Richardson, Sharon (1998). "Political Women, Professional Nurses, and the Creation of Alberta's District Nursing Service, 1919-1925". Nursing History Review. 6 (25–50): 1062–8061. doi:10.1891/1062-8061.6.1.25. PMID 9357295.
  21. Richardson, Sharon (Winter 1998). "Frontier Health Care: Alberta's District and Municipal Nursing Services, 1919 to 1976". Alberta History. 46 (1): 2–9.
  22. Toman, Cynthia (2007). "Front Lines and Frontiers: War as Legitimate Work for Nurses, 1939-1945". Social History/Histoire Sociale. 40 (79): 45–74.
  23. Toman, Cynthia (2008). An Officer and a Lady: Canadian Military Nursing and the Second World War. UBC Press. ISBN 978-0-7748-1448-5.
  24. "Master of Science (Applied) in Nursing - Direct-Entry". Ingram School of Nursing. McGill University. Retrieved 2018-02-07.
  25. "Nursing Programs in Canada".
  26. CNO. "Canadian Practical Nurse Registration Examination (CPNRE)". www.cno.org. Retrieved 2016-07-06.
  27. Entry to Practice Competencies for Ontario Registered Practical Nurses
  28. CNO. "NCLEX-RN". www.cno.org. Retrieved 2016-07-06.
  29. Competencies for Entry-level Registered Nurse Practice
  30. CNA Canadian Nurse Practitioner Core Competency Framework
  31. https://www.cna-aiic.ca/en/nursing-practice/the-practice-of-nursing/education/rn-baccalaureate-education
  32. [RPNs obtain a 2- or 3-year diploma in Practical Nursing. RPNs obtain a 2- or 3-year diploma in Practical Nursing.] Check |url= value (help). Missing or empty |title= (help)
  33. "Home | RPNC".
  34. https://www.nurseone.ca/en/certification/what-is-certification/competencies-per-specialty-area. Missing or empty |title= (help)

Further reading
  • Biggs, C. Lesley (1983). "The Case of the Missing Midwives: A History of Midwifery in Ontario from 1795-1900". Ontario History. 75 (1): 21–35. PMID 11615035.
  • Coburn, David (1988). "The development of Canadian nursing: Professionalization and proletarianization". International Journal of Health Services. 18 (3): 437–456. doi:10.2190/1bdv-p7fn-9nwf-vkvr. PMID 3049408.
  • Gibbon, John Murray, and Mary S. Mathewson. Three centuries of Canadian nursing (Macmillan Co. of Canada, 1947)
  • Lancaster, J., H. Jessup-Falcioni, and G. Viverais-Dresler. Community health nursing in Canada. (Elsevier Canada, 2011)
  • McIntyre, Marjorie, and Carol McDonald, eds. Realities of Canadian nursing (Lippincott Williams & Wilkins, 2013)
  • McPherson, Kathryn M. Bedside matters: The transformation of Canadian nursing, 1900-1990 (University of Toronto Press, 2003)
  • Oppenheimer, Jo (1983). "Childbirth in Ontario: The Transition from Home to Hospital in the Early Twentieth Century". Ontario History. 75 (1): 36–60. PMID 11615036.
  • Richardson, Sharon (1997). "Women's Enterprise: Establishing The Lethbridge Nursing Mission, 1909-1919". Nursing History Review. 5 (105–130): 1062–8061. doi:10.1891/1062-8061.5.1.105. PMID 8979731.
  • Richardson, Sharon (1998). "Political Women, Professional Nurses, and the Creation of Alberta's District Nursing Service, 1919-1925". Nursing History Review. 6 (25–50): 1062–8061. doi:10.1891/1062-8061.6.1.25. PMID 9357295.
  • Richardson, Sharon (1998). "Frontier Health Care: Alberta's District and Municipal Nursing Services, 1919 to 1976". Alberta History. 46 (1): 2–9.
  • Tipliski, Veryl Margaret (2004). "Parting at the crossroads: the emergence of education for psychiatric nursing in three Canadian provinces, 1909-1955". Canadian Bulletin of Medical History. 21 (1): 253–279. doi:10.3138/cbmh.21.2.253.
  • Toman, Cynthia (2007). "Front Lines and Frontiers: War as Legitimate Work for Nurses, 1939-1945". Social History/Histoire Sociale. 40 (79): 45–74.
  • Toman, Cynthia. An Officer and a Lady: Canadian Military Nursing and the Second World War (2007)
  • Woywitka, Anne (2001). "Pioneers In Sickness and in Health". Alberta History. 49 (1): 16–20.
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