ABSTRACT
This article describes the experience of adopting the NCLEX-RN as an entry-to-practice exam among francophone baccalaureate nursing students in New Brunswick, Canada. The journey between 2012 and now has been difficult, and nursing leadership was necessary to inform key stakeholders regarding the inequities faced by francophone nursing students and to bring about change. Here is a description of the arduous work done by a group of concerned nurses (active and retired) to advocate for the rights of francophone nursing students.
Subject(s)
Communication Barriers , Educational Measurement/standards , Licensure, Nursing/standards , Clinical Competence/standards , Clinical Competence/statistics & numerical data , Education, Nursing, Baccalaureate/standards , Education, Nursing, Baccalaureate/statistics & numerical data , Educational Measurement/methods , Educational Measurement/statistics & numerical data , Humans , Licensure, Nursing/statistics & numerical data , Licensure, Nursing/trends , New Brunswick , Students, Nursing/statistics & numerical dataABSTRACT
Canada, like many countries, is in the midst of primary health care reform. A key priority is to improve access to primary health care, especially in remote communities and areas with physician shortages. As a result, there is an increased emphasis on the integration of primary health care nurse practitioners. As of March 2006, legislation exists in all provinces and two territories in Canada that allows nurse practitioners (NPs) to implement their expanded nursing role. In this paper, we will briefly review the historical development of the NP role in Canada and situate it in the international context; describe the NP role, supply of NPs in the country, and the settings in which they work; propose an NP practice model framework; summarize facilitators and barriers to NP role implementation in primary health care delivery; and outline strategies to address the barriers.