• Understand how the concept of leadership has evolved over 
    time 
   • Understand current leadership theories in the context of 
    long-term care (LTC) 
   • Define clinical nurse leadership 
   • Reflect on personal leadership strategies  
   • Identify personal leadership strengths 
   Objectives: 
   Module 1 
               Trends That Impact Health Care in Canada
                                               Focus on                     Focus on 
                                               diversity                 patient safety
                                                                                                 Enhancing role of 
                                                                                                 RN more in acute 
                                                                                                         care
                                      Trends in nursing 
                                          education                                                      Increased 
                                                                      Self–care is                   responsibility of 
                                                                       the norm                        RPN in LTC
                                  Nursing 
                                  shortage                                                                More nurses in full-time 
                                                                                                                positions 70%
                                                                       Focus on nurses working in 
                                                                         inter-disciplinary teams
                    Issues in the workplace:
                Violence, workload, overtime, 
               scheduling, lack of professional                        Villeneuve & MacDonald, 2006
                            autonomy
    What changes have you seen in LTC over the past five years?
     • One case of Alzheimer's Disease in Canada every 5min - will 
     increase to 69% in 2034
     • 76% of people over age 65 have a chronic health problem
     • More RPNs, fewer RNs in long-term care
     • Focus on increasing quality care
     • Deprescribing 
     • More of a leadership role for nurses as the complexity of care 
     increases
    Changing Health Care 
    Environment
     • Restructuring
     • Bed closure & merger of hospital services
     • Patient acuity (hospital, LTC, and home care)
     • Complexity in care delivery (technology)
     Nursing human resources and quality of work life
     • Recruitment and retention
        • Sick time
        • Team work
      • Conflicts
      • Resident/patient satisfaction - compliance
     Impact on Nursing
            Standards of Practice
    • College of Nurses of Ontario (CNO)
    • Regulated Health Professions Act (RHPA)
    • Nursing Act
    • Ministry of Health and Long-term Care (MOHLTC)
    Governing 
    Bodies…