In July 2023, The College of Nurses of Ontario put their new Scope of Practice guidelines into place for all Nurses in Ontario. Significant changes to the document work hand in hand with the CNO's Code of Conduct and inform practice for nurses in Ontario.

As a nurse leader, it is incumbent on us to not only put this into our practice but also to support the nurses on our team with implementing it into theirs. This includes ensuring that the environment we work in is supportive of these practice changes.

After viewing the webinar from the CNO, let's take a minute to reflect on some of the ways that you can see how your practice needs to change.

You can refer to the Scope of Practice document here for any clarification....

Let's examine an example scenario:

As nurses, we care for people. We care for our patients and our peers. It is what we are trained to do. Forensic Nurses and all of our peers who care for patients of violent or extreme circumstances are at even higher risk of experiencing compassion fatigue and vicarious violence. COVID-19 has only added another layer to this challenge. Hopefully, with the support of each other, we can meet and uplift those most impacted.

After completing the following learning, you will have met the following learning objectives:

1. Examined the risk of vicarious trauma in your work.
2. Utilized reflective analysis to identify your current level of stress and work related trauma.
3. Examined mindfulness as a way to de-stress.
4. Created a plan to support your mental-health in the upcoming year.

"Helping forensic nurses recognize the situations that lead to moral distress is the first step in helping them to relieve their distress, reduce their burnout, and continue longer in practice" (Karakachian & Colbert, 2019, p.139).

Karakachian, A. & Colbert, A. (2019).  Nurses' Moral Distress, Burnout, and Intentions to Leave: An Integrative Review.  Journal of Forensic Nursing,15 (3), 133-142.  http://doi:10.1097/JFN.0000000000000249.

To read a copy click here:

https://drive.google.com/file/d/1SrISVV6Aw0NKJ0M5QpsWXVM-Vl8Vrj48/view?usp=sharing

Mindfulness can simply be defined as, "...the state of being attentive to and aware of what is taking place in the present” (Jacob & Holczer, 2016, p.33).

Jacob, C. J., & Holczer, R. (2016). The Role of Mindfulness in Reducing Trauma Counselors’ Vicarious Traumatization. Journal of the Pennsylvania Counseling Association, 15, 31–38.  http://pacounseling.org/aws/PACA/asset_manager/get_file/129164?ver=44#:….

You can download a copy at:

https://drive.google.com/file/d/1cj34FcZcAdz56upxwaCKfino_kHwXhnR/view?usp=sharing

"A Survey of Stress and Burnout in Forensic Mental Health Nursing"

https://drive.google.com/file/d/1eAe1qnHcCgOwJNT7uc4LcwG-q6yQYKWk/view?usp=sharing

"Intervening to Improve Compassion Fatigue Resiliency in Forensic Nurses"

https://drive.google.com/file/d/1QYW-3eIU7bAxJNHD2oKbfxNWVVDKQkec/view?usp=sharing

"Vicarious Trauma Among Sexual Assault Nurse Examiners"

https://drive.google.com/file/d/1U_A6tXBkkwKdxYNfLn1eGFBFMxjKcFh8/view?usp=sharing

In this lesson, you will

1. Learn about the ADDIE model and its stages
2. Explore the benefits and drawbacks of the ADDIE model

What is the ADDIE model?

ADDIE is an acronym for the framework that guides the course development process.  Watch the following video on the ADDIE model to find out more.  Then complete the matching exercise below which describes each ADDIE stage.

Why use the ADDIE model?

The purpose of the ADDIE model is to provide a framework to support the course development process.  Clearly defined stages guide course developers along the course development journey.  The model is simple and easy to remember.  It has been employed for decades and is an established and accepted foundation for instructional design.  Historically, it has been associated with design quality. 

The nice thing about ADDIE is it can be used in all types of projects, such as a learning intervention for AODA compliance in customer service or a training module on surgical devices for medical professionals.  Furthermore, this model aids in project management and doesn't require special training in project management techniques.

ADDIE also provides a holistic framework, which considers the relationships between stages rather than a series of self-contained sequential steps four course development.  What was done in previous stages impacts subsequent stages.  With that being said, the model also facilitates continuous course improvement and can be used to create prototypes. 

There are several tools that accompany the stages of ADDIE.  For example, templates for lesson plans can be helpful in the Design and Development stages.

Now that you can identify the stages of the ADDIE model and the model's advantages and disadvantages, we can examine the Design stage in more detail!  

Next lesson: Design in course development