The framework, released in 2017, and the selection and implementation of education programs were a significant undertaking. The framework will support the implementation of the Nova Scotia Integrated Palliative Care Strategy, enhance the interprofessional nature of palliative care, and guide the further implementation of education programs. Other jurisdictions have expressed considerable interest in the framework.
Educational preparation of health professionals for Palliative and End of Life Care (PEOLC) is inadequate, and nurses are no exception. In 2004, the Canadian Association of Schools of Nursing struck a Task Force to develop PEOLC competencies to address this issue. The development of national PEOLC nursing competencies involved a multi-step, emergent, interactive, and iterative process. An overarching principle guiding this process was building national consensus about the essential PEOLC specific competencies for nurses among experts in this field while simultaneously generating, revising, and refining them. There have been three stages in this iterative, multi-step process: 1) Generating a preliminary set of competencies, 2) Building a national consensus among educators and experts in the field on PEOLC specific competencies for nurses, and 3) Refining the consensus based competencies for curriculum development. Ongoing follow up work for this project is focusing on the integration of these competencies into nursing curricula.
At Jervis Bay, strategic pest programmes to control the Red Fox Vulpes vulpes have been in place on the Beecroft Weapons Range (BWR) Beecroft Peninsula, New South Wales since 1995 and Booderee National Park (BNP) Bherwerre Peninsula, Jervis Bay Territory since 1999. As an integral component of the BWR plan, monitoring terrestrial and arboreal mammals has been carried out and demonstrated a significant increase in the abundance of Common Ringtail Possum Pseudochelrus peregrinus, Long-nosed Bandicoot Perameles nasuta, and Bush Rat Rattus fuscipes. There was no significant change in the abundance of Brown Antechinus Antechinus stuartii, Sugar Glider Petaurus breviceps or Black Rat (R. raltus). At BNP changes in population abundance of mammals were not monitored, but a comparison of the abundance of terrestrial mammals between the fox baited BNP and the adjacent un-baited Jervis Bay National Park (JBNP) showed Long-nosed Bandicoots, Bush Rat and Brown Antechinus to be in higher abundance in BNP than JBNP. Scat analysis further supported this finding (Roberts et aI, 2006), We assert that these combined findings are evidence that terrestrial native fauna have responded positively to continued fox control on both peninsulas, thus proving that measuring prey responses are a positive measure of success for strategic pest control programmes.
Cancer clinical trials (ccts) are essential for furthering knowledge and developing effective interventions to improve the lives of people living with cancer in Canada. Randomized controlled trials are particularly important for developing evidence-based health care interventions. To produce robust and relevant research conclusions, timely and sufficient accrual to ccts is essential.The present report delivers the key recommendations emerging from a workshop meeting, Improve Accrual to Cancer Clinical Trials, that was hosted by the Canadian Cancer Trials Group and funded by the Canadian Institutes of Health Research. The meeting, which took place in Toronto, Ontario, in April 2012 before the Canadian Cancer Trials Group annual spring meeting, brought together key stakeholders from across Canada to explore creative strategies for improving accrual to ccts. The objectives of the workshop were to provide an opportunity for knowledge exchange with respect to the research evidence and the ethics theory related to cct accrual and to promote discussion of best practices and policies related to enhancing cct access and accrual in Canada.The workshop provided the foundation for establishing new interdisciplinary research collaborations to overcome the identified barriers to cct participation in Canada. Meeting participants also supported the development of evidence-based policies and practices to make trials more accessible to Canadians living with cancer.
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