172) and communicate the purpose, direction and philosophy of the institution to the employees and public. For Sunnybrook, this means it wants to be there when it matters most, invent the future of healthcare and provide care with excellence, collaboration, accountability, respect and engagement (Sunnybrook Health Science Centre, 2016). These statements are the starting off point for strategic planning and serve to guide the actions of those who will develop and implement the plan (Desmidt, Prinzie & Decramer, 2011). By adding one Nurse Clinician and changing the role of all Clinicians, senior management will have accurate data on the care provided and resources utilized in order to develop a plan that will meet the needs of those who reside in the facility now and in the …show more content…
Additionally, the data was not always accurate as staff used subjective, rather than objective data. With the position now centralized, the job of the MDS Nurse Clinician ends with the completion of the MDS and any gaps or errors in the documentation are forwarded to the Advanced Practice Nurse (APN) to address, it is the same for the EHR Nurse Clinician. The main role of the APN is to implement evidence-based research into practice and to educate staff on new clinical procedures and while documentation is within their role profile, senior management believes it is not the best use of their time as the efficient use of resources is crucial to ensure fiscal responsibility and the delivery of quality care (Weiss,