Health Workforce Planning and Regulatory Affairs Division

Mid Career

New Roles in Nursing

The HealthForceOntario health human resources strategy supports the creation of new health care provider roles, five of which are roles for nurses :

  • Registered Nurse-Surgical First Assist (RN-SFA)

    In this role, specially educated RNs function collaboratively with the surgeon and operating room team to provide pre-operative, intra-operative and post-operative care. RN-SFAs help to reduce surgical wait times, increase patient access to surgeries, improve patient safety and outcomes and enhance a team-based model of care. This role also supports recruitment/retention strategies by presenting new opportunities for career enhancement and skill development.

  • Registered Nurse performed Flexible Sigmoidoscopy (RNFS)

    In this role, RNs get clinical training, education and experience to provide flexible sigmoidoscopies to increase Ontario's capacity for colorectal cancer screening. The objective of the project is to evaluate RNFS as a new service delivery model for colorectal cancer screening and its potential to increase colorectal cancer detection in Ontario.

  • Nurse Practitioner with Specialty Education in Anaesthesia (NP-SEA)

    In this role, NPs with specialty education in anaesthesia provide anaesthesia care and pain management in hospitals. Learn.

  • Patient Navigator (PN)

    In this role, RNs provide information and support to guide patients through the diagnostic process of cancer care. Benefits of patient navigation include reduced time to diagnosis, reduced anxiety, increased patient satisfaction, fewer rescheduled or missed appointments and shorter wait times.

  • Discharge Navigator (DN)

    In this role, RNs support patients at high risk of readmission with transitional support and acute care after discharge. This new role has the potentialto reduce emergency room wait times and decrease rates of readmission.

Attending Nurse Practitioners in Long-Term Care Homes Initiative

The government is improving the quality of life and care of residents in long-term care homes (LTCHs) by funding a total of 75 new positions over three years, starting in 2016, through the Attending Nurse Practitioners (NP) in LTCHs initiative.

Attending NPs have overall responsibility for the management and coordination of care for residents in LTC (Long-Term Care) homes. They provide clinical leadership for the home’s inter-professional team, working collaboratively with physicians, staff and health system partners in the community.

The Attending NP role includes direct resident care (70%) and leadership activities, research and quality improvement (30%). Major responsibilities of the Attending NP include:

  • Development and implementation of the residents’ plan of care in collaboration with residents and their families, and the LTC home’s health care team
  • Providing proactive screening and assessment, timely episodic care and specialist referrals, follow-up care, ongoing chronic disease management, palliative and end-of-life care
  • Leadership and collaboration in research, education and evidence-based practices

Under the initiative, Local Health Integration Networks are collaborating with the Ministry of Health and Long-Term Care to select LTCHs that could most benefit from the services of an Attending NP. In order to assist employers with recruitment, a Recruitment and Integration Toolkit has been developed.

A full description of the Attending NP initiative and role can be found in the Attending Nurse Practitioners in Long-Term Care Homes Initiative Funding Policy.

Grow Your Own Nurse Practitioner Initiative

The Grow Your Own Nurse Practitioner (GYONP) involves re-purposing government funds already allocated to a Nurse Practitioner (NP) position, so that a community can sponsor a Registered Nurse (RN) to complete their post-graduate Primary Health Care NP education. The funds are used for salary continuance and tuition. Participating RNs sign a return of service agreement with the sponsoring organization.

Learn more about the Grow Your Own Nurse Practitioner Initiative

Primary Health Care Nurse Practitioner Education Program

The Primary Health Care Nurse Practitioner Education Program provides advanced education and clinical experience to Nurse Practitioner (NP) students in preparation for the Canadian Nurse Practitioner Exam-Family/All Ages. Primary Health Care Nurse Practitioners make significant contributions to Ontario's health care system and the nursing workforce by providing comprehensive nursing services including health promotion, disease and injury prevention, treatment, cure rehabilitation and support.

For More Information

Director, Nursing Policy & Innovation Branch and Provincial Chief Nursing Officer
12th Floor, 56 Wellesley Street West
Toronto, Ontario
M5S 2S3
Telephone: 416-327-9689
Fax: 416-327-0167
Email: nursing@ontario.ca