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Wrapping Up Season 7: Reflections and Future Directions
In this final episode of Season 7 of TeamUP! Sarah and Morgan wrap up the season integrating nurses into primary care practices.
They discuss the value of a team-based approach, their learnings about nursing roles, and how proper clinical policies and scope maximization can enhance care delivery. They address their take aways from the season like nursing diagnoses, the importance of written policy documents, and the benefits of ongoing team collaboration for clinician retention.
Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.And thanks to the whole ISU team and all the nurses we asked questions of in the hallways and at clinic to help with this season.
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An Ask Us Anything episode!
Producer Michael makes a rare appearance on the podcast where he brings your questions to Sarah and Morgan.
They discuss key topics such as nurse role in primary care health promotion, disease prevention, and care coordination, highlighting the impact of nurses on patient care quality. The episode revisits topics discussed in previous episodes to drive their point home further, such as the differences between LPNs and RNs, the benefits of team-based care, and effective strategies for integrating nurses into family practices. There is an emphasis on support systems for new nurses, and the hosts provide resources you can access in the show notes below.Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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TeamUP! Season 7 Episode 3
Diving into the differences between Licensed Practical Nurses and Registered Nurses within primary care settings.
TeamUP! Season 7 Episode 4
Learning about the complexities of being an employer of a primary care nurse within smaller private clinics.
TeamUP! Season 7 Episode 12
How nurses can facilitate care coordination in primary care to support complex patients.
Family Practice Services Committee Resources
Provides new supports for integrating a nurse into family practice, including links to the Nurse in Practice program, along with webinars, events, and a link to the Nurse Compass
Practice Support Coaches
Tools provided by FPSC in collaboration with the Division of Family Practice to support physicians and teams to help identify gaps, reduce overlap and redundancies, and identify quality improvements within practice.
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In this special episode of TeamUP!, Morgan and Sarah explore a nurse’s transition from acute care to primary care with seasoned nurses Diana and Nikki. They’re asked what questions they have as nurses curious about entering primary care.
Diana and Nikki ask about the skills required, job expectations, and specialty training necessary for primary care, as well as the importance of team dynamics and long-term patient relationships. The hosts try to answer each question while providing resources for further learning. The discussion underscores the proactive role of primary care nurses in preventing chronic conditions and highlights a nurse’s ability to carve out their preferred role within healthcare.
Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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PCN Jobs BC
This website provides a list of currently available jobs for healthcare professionals across the numerous Primary Care Networks of BC. Use the filter on the left to select your profession among other qualifiers.
BC Health Authority Websites
Navigate to the careers section within a Health Authority’s website and search “primary care nurse” to show results for all openings in primary care.
Fraser HealthInterior HealthIsland HealthNorthern HealthVancouver Coastal Health -
Episode 13 is a teamBIT that focuses on how nurses can support frail patients with complex needs through home visits and virtual touchpoints.
Morgan emphasizes the benefits of nurses assessing primary care needs in an environment that patients feel most comfortable in: their home. Morgan suggests a good starting place is with patients that are not yet currently receiving home care. Another approach nurses can use is virtual touch points for more frequent communication, offering a more accessible and personalized approach to help support patients who need more care. The episode concludes with our host exploring the advantages of involving nurses in coordinating care, leveraging their functional assessment capabilities, and integrating their work with broader clinical teams.
Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
===============**https://www.aafp.org/pubs/afp/issues/1999/1001/p1481.html**
This article, published in 1999, introduces the acronym “INHOMESSS” as a mnemonic that provides framework for the evaluation of a patient’s functional status and home environment.
**Nurse Home Visit Guidelines: Australian Medicare Local Alliance**
A guideline written for primary care nurses working in home care. This guideline provides information on the potential risks associated with entering an unknown setting and how to minimize these risks to nurses.
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In this teamBIT episode, Morgan discusses how nurses can facilitate care coordination in primary care to support complex patients.
Care coordination is less intensive than case management and involves assessing patient needs, connecting with community supports, and maintaining ongoing patient relationships. Morgan describes how, in care coordination, the role of nurses in optimizing care plans is emphasized, especially for frail or complex care patients. Benefits include reducing avoidable crises and ER visits, enhancing patient and family support, and helping patients remain at home longer.
Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student. -
In episode 11 of TeamUP!, Morgan and Sarah explore the significant role of nurses in aiding patients with mental health needs, particularly mood disorders, in primary care settings.
The hosts discuss how common anxiety and depression are, and how nurses' skills in connecting with patients are vital in providing comprehensive care. The conversation covers the different scopes of practice for Licensed Practical Nurses (LPNs) and Registered Nurses (RNs), and how these professionals assess and support patients with stable and unstable mental health conditions. Featuring key quotes and anecdotes from nurses in the field, the hosts look into the importance of team support, debriefing after stressful events, and the need for escalation pathways when patients require care beyond a nurse's scope of practice.
Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
===============TeamUP! Season 7 Episode 2: Nurses as a Profession — How nurses augment primary care
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In this episode, Morgan and Sarah discuss how nurses can provide diabetes management in team-based primary care.
Kacey, who is a certified diabetes education nurse, describes ways to introduce a nurse to diabetes management in a clinic. Morgan and Sarah also share insights into how nurses can provide patient education, streamline follow-ups, and emphasize foot care to prevent complications. The episode highlights practical tips and considerations for primary care teams to optimize diabetes care and coordinating with external diabetes education centres when possible.
Special Thanks
============
Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student. -
In episode 9 of TeamUP!, the focus is on exploring the integral role nurses play in medication management within primary care teams.
We will hear interview clips from Kacey, a registered nurse, who explains the responsibilities nurses hold, including taking comprehensive medical histories, assessing medication impacts, advocating for patients, and educating them about their medications. The discussion highlights the value nurses add during transitions of care and their ability to address sensitive topics, such as financial challenges, which may affect medication adherence. Nurses build patient trust, provide follow-up education, and work collaboratively within the team to enhance patient care.
Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student. -
In episode eight of TeamUP!, we learn about the benefits of shared visits with a primary care provider and a nurse.
Morgan and Sarah discuss how these shared visits can enhance team capacity, improve care for complex illnesses, foster team building, and create immediate capacity in the moment. With insights from nurses, the episode highlights the importance of synchronized care plans, trust-building, and efficient multitasking, all while encouraging you to incorporate a shared visit in your practice to fully understand the benefits.
Special Thanks
============
Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student. -
In this TeamUP! teamBIT Morgan is on his own again. This time he's talking about how to plan and promote a dedicated “nurse clinic” in your primary care practice to boost the presence of new nursing staff in your practice. The discussion includes selecting a focus area for the clinic, organizing appointments, and effectively promoting the clinic through various channels.
Examples given include clinics for blood pressure, immunizations, well-baby checks, diabetic foot checks, and STI screenings. The episode also emphasizes the importance of teamwork and patient engagement, with insights on making nurse clinics an accessible and valuable addition to practice.
Special Thanks
============
Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student. -
In this episode of TeamUP!, Morgan and Sarah discuss promoting a new nurse to patients in your practice.
Our hosts discuss the integration of nurses into primary care teams and highlight the importance of effective communication with patients regarding team-based care transitions. The conversation includes examples and scenarios for promoting new nursing staff within clinics, individual patient engagement strategies, and addressing patient concerns about seeing new team members. The episode also emphasizes understanding patient apprehensions and providing tangible benefits and personal introductions as a way to build trust and comfort.
Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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The Communication to Patient Checklist aims to equip your clinic with easy to follow, and categorized, ideas of when and how you can bring up team-based care to your patients. https://teambasedcarebc.ca/resources/tbc-communication-to-patient-checklist/#details
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In this mini teamBIT of an episode, Morgan is podcasting solo and looks into what a certified practice means in nursing, specifically in the context of British Columbia. There are five distinct areas of certified practice for nurses in BC, and they allow for autonomous diagnosis and treatment within specific scopes.
Morgan goes into detail for each certified practice: reproductive health, STI treatment, opioid use disorder management, RN first call, and remote practice. Emphasis is placed on the benefits of certified practice for primary care teams and the importance of integrating these certifications into practice.
Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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BCCNM Certified Practice website details the five certified practice designations available for nurses in BC along with their scope: https://www.bccnm.ca/RN/learning/certified-practice/Pages/Default.aspx
BCCNM Section 8: Restricted activities for certified practice gives more detail on the 5 certified practice designations: https://www.bccnm.ca/RN/ScopePractice/part4/section8/Pages/Default.aspx
Canadian Nursing Association - Advanced Practice Nursing webpage provides detailed information on both the clinical nurse specialist and nurse practitioner role and how they help meet the complex health needs of Canadians: https://www.cna-aiic.ca/en/nursing/advanced-nursing-practice
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In this episode of TeamUP! we learn about the complexities of being an employer of a primary care nurse within smaller private clinics.
Our hosts, Morgan and Sarah, discuss the complexity of being both a clinical team member and an employer, emphasizing the need for clear clinical policies and role definitions. Major topics include the challenges of holding multiple roles, the impact of power dynamics in teams, and the importance of transparent organizational policies. They also provide practical advice on creating clinical workflows, drafting policies, and leveraging nurses' skills for better team integration and patient care.
Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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BCCNM Controls on Nursing Practice:
This is an infographic that highlights the four levels of controls on a registered nurses’ practice. https://www.bccnm.ca/RN/ScopePractice/part1/Pages/controls.aspx
RN Suturing Decision Support Tool for BC:
This document is a detailed decision support tool to assist registered nurses working in British Columbia.https://www.clwk.ca/get-resource/treating-minor-uncomplicated-lacerations-adults-guideline/
BC Guideline (just updates July 2024) on COPD:
A scope-guide document that provides recommendations for how to interact with a person with chronic obstructive pulmonary disease.
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/copd
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In this episode, we dive into the differences between Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) within primary care settings.
Morgan and Sarah look at how each role fits into a primary care team, considering their distinct scopes of practice, training, and the types of patients they typically manage. Importantly the hosts give key clinical examples to highlight where one type of nurse may be better suited for a practice. The hosts emphasize how hiring a nurse that will be utilizing their full skillset in clinic is often better than hiring an overqualified nurse to work below their scope and recommend resources that are available to support integrating nurses into clinical teams.
Special Thanks
============
Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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Nurse Compass:
An interactive learning tool created to help primary care providers, leaders, and teams get to know and improve their knowledge of the scopes of practice for nurses in British Columbia. https://teambasedcarebc.ca/nurse-compass/
FPSC has a virtual guide to support the Ministry of Health’s Nurse in Practice Program https://fpscbc.ca/integrating-nurse-practice
In this episode Morgan and Sarah talked about blood pressure as an example when they were talking about diagnosis and management and nursing roles . See Hypertension - Diagnosis and Management for more information:
This document outlines recommendations on how to diagnose and manage hypertension in adults. https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/hypertension
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In this episode, Morgan and Sarah dive into the distinctions between doctors and nurses.
They explore the value nurses bring to primary care and discuss how autonomy shapes the role of a nurse. Morgan introduces the four domains of nursing: clinical practice, education, research, and leadership. There is an emphasis on the importance of interdisciplinary teamwork, the different approaches to patient care, and the cultural and social aspects that shape the nursing profession, along with examples of what a nursing diagnosis is compared to a medical diagnosis.
Special Thanks
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Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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Nurse Compass:
An interactive learning tool created to help primary care providers, leaders, and teams get to know and improve their knowledge of the scopes of practice for nurses in British Columbia. https://teambasedcarebc.ca/nurse-compass/
BC Health Professions Act: Nurses and Nurse Practitioners Regulation:
The detailed act. An online reference with a comprehensive list of definitions, scope of practice information, and other regulations for nurses and nurse practitioners in British Columbia. https://www.bclaws.gov.bc.ca/civix/document/id/complete/statreg/284_2008
CanMEDS-FM:
Canadian family physician competency framework. In the 2017 document you can find the seven domains that a family physician is expected to be proficient in.
https://www.cfpc.ca/en/education-professional-development/educational-frameworks-and-reference-guides/canmeds-family-medicine
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In the first episode of Season 7 of TeamUP!, hosts Morgan and Sarah introduce the season's focus on the role of nurses in primary care. This season will feature interview insights from a range of nurses.
In this episode, Morgan and Sarah discuss the new Nurse in Practice program in BC and explore how nurses can enhance team-based care in primary care clinics. This first episode gives a brief overview of all the topics they aim to cover throughout the season, including: how to support a nurse in your practice, being an employer, and the differences among the nursing designations, along with focused episodes on common conditions like diabetes and anxiety. This episode also highlights a new tool called the Nurse Compass, designed as a learning tool to help primary care clinics understand the scope of nursing roles so that roles can be aligned with practice needs.
Special Thanks
Throughout this season you’ll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual master’s degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
Nurse Compass is an interactive learning tool created to help primary care providers, leaders, and teams get to know and improve their knowledge of the scopes of practice for nurses in British Columbia. https://teambasedcarebc.ca/nurse-compass/NNPBC Program Stay tuned - launching soon!FPSC has a virtual guide to support the Ministry of Health’s Nurse in Practice Program. https://fpscbc.ca/integrating-nurse-practiceBC Nurse in Practice Program is BC’s primary care strategy designed to expand team-based primary care by integrating more nurses into family practices. https://www2.gov.bc.ca/gov/content/health/nurse-in-practice-program -
This episode focuses on Stage 5 of the Learning Pathway: Team Evaluation, and the importance of evaluation in the context of team based primary care. The hosts explore how evaluation acts as both the end and beginning of the cyclical process of enhancing primary care teams. Sarah and Morgan delve into the distinctions and overlaps between Quality Improvement and evaluation, methods of performing meaningful evaluations, and the introduction of evaluation tools aimed at measuring team effectiveness. The episode emphasizes that evaluation is not a linear process but a continuous circle that can commence at any stage of team development. Morgan highlights how it is often best to begin evaluating sooner than later because it is easy to spend far too long planning what to evaluate. You can always complete another evaluation cycle. The hosts then share the plan for a TBC evaluation project in BC that is going to engage 30 clinics in evaluation over the next few months.
The episode ends with a call to action focused on starting your evaluation journey by looking at available resources, reminding listeners to check back in the show notes of previous episodes periodically as more the learning pathway will continue to evolve. The season wraps up with a bit of a teaser for the next season of TeamUP!
Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
Links and ResourcesFor more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/
Measurement Plan Worksheet
Small worksheet to help identify what to collect, when and how to measure.
https://teambasedcarebc.ca/resources/measurement-plan-worksheet/#details
Team Effectiveness ToolTaking us back to where we started with S06- check out the Team Effectiveness tool, a short multiple choice assessment to help huide your learning on team based care.
https://teambasedcarebc.ca/team-effectiveness-tool/
Through the TeamUp network we are working to advance supports for team based primary care. Please reach out to [email protected] if you would like to learn more!
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This episode focuses on Stage Four of the learning pathway, emphasizing team performance and quality improvement within primary care settings. The hosts discuss the continuous learning approach as a key element of a healthcare system — which aims to improve patient-centred and team-centred care by applying evidence to practice. Morgan and Sarah explore the concept of quality improvement as an iterative process, emphasizing the importance of starting with a good question and evolving from there. The episode highlights how accepting a trial-and-error style approach may be a culture shift within a clinic. However, in doing so, the practice will improve with each iteration, the roles within the practice will become solidified, and colleagues will become more comfortable utilizing team-based care methods. Practical strategies such as leveraging available resources, engaging with coaching supports, and time-boxing QI cycles are discussed to encourage teams to initiate and sustain quality improvement methods.
Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
Links and Resources
For more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/
Practice Support ProgramThe Family Practice Services Committee has a robust breadth of resources to help optimize your BC-based practice and delve further into team based care and if you have access to PSP or TBC Coaches, they are wonderful resources if you are thinking about QI in your team. Contact your local PSP team for support.
PSP also offer compensation and MainPRO+ credits for eligible primary care teams participating in PSP services.
Learning Pathway ResourcesCheck out the QI Team Member Matrix Worksheet
Through the TeamUp network we are working to advance supports for team based primary care.
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In this episode, Morgan and Sarah move into Stage 3 of the Learning Pathway for Primary Care Teams. The focus here is on — after we have built a team, how do we develop it further and showcase the continuity of care to patients? The hosts discuss how patients may perceive team-based care as a disruption to their healthcare continuity, and they provide ways to think about communicating this positive change to patients. Morgan then breaks down continuity into four types: information, management, relational, and inter-provider. Sarah highlights key resources and shares an anecdote where she realized that her MOA was integral for her continuity of care. Morgan and Sarah emphasize the importance of communication within the clinic, and including patients in conversations that demonstrate HOW you are communicating and connecting as a team in practice.
Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
Links and Resources
For more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/
What Matters to YouThese resources helps us use conversations to understand more about our patients
https://teambasedcarebc.ca/resources/what-matters-to-you/
What matters to Patients with Virtual Care appointments
RN Virtual Virtual Primary Care Practice Guidehttps://isu.ubc.ca/registered-nurse-virtual-primary-care-practice-areas/
Relational Continuity Change Packagehttps://actt.albertadoctors.org/pmh/panel-and-continuity/continuity-posters/
Through the TeamUp network we are working to advance supports for team based primary care. -
Morgan and Sarah continue their discussion on Stage 2 of the Learning Pathway for Primary Care Teams. This episode is focused on Team Building, and specifically, seeing Patients as Team Members. The hosts make a point that patients are essential team members, and understanding the patient perspective when transitioning to team based care is important. If a practice is moving to team based care, patients likely won’t know what to expect, and may even be worried that their standard of care is lowering. Morgan and Sarah highlight the importance of exploring methods of communication to help explain this new care model. Furthermore, the discussion emphasizes how small communication changes in everyday practice can have a significant influence and help patients feel more supported. Finally, practical suggestions are made to help healthcare establishments in manifesting their teams via checklists, orientation activities for new patients, posters, and website representation.
Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
Links and ResourcesFor more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/
To get started check out the culture change toolbox and the “Questions to consider before getting started” on P 12 of the toolbox.
Read over the AHRQ White Paper discussed in this episode “Creating patient Centred Team Based Care” (2016). This includes a great list of strategies for providing patient centred team based care (p. 7-19)
Check out the activities laid out in the Patient Centred Teams “Setting the Stage” handout
Past Podcast Episodes that may be of interest:
TeamUp podcast: S05 E02 Patients as team membersExplore more of the resources in Stage 2 of the Team Based Care Learning Pathway.Through the TeamUp network we are working to advance supports for team based primary care. Please reach out to [email protected] if you would like to learn more!
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