Canada's First Nurse Practitioner–Led Clinic: A Case Study in Healthcare Innovation
Abstract
Canada's first nurse practitioner-led clinic opened in 2007 after a period of intense lobbying. The development of this clinic has received a great deal of attention in the nursing world and among the general public, but the factors that enabled it have not been examined. The antecedents outlined in healthcare innovation concept analysis - including leadership, financial considerations, idea generation, teamwork, culture and demand - provide a framework for examination of the campaign for the nurse practitioner-led clinic. This review demonstrates the complex interplay of factors that drive healthcare innovation and expands understanding of the leadership and change competencies of the advanced practice nurse.
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Increased involvement of non-physicians such as Registered Nurses and Nurse Practitioners has long been recognized as an effective way to enhance access to primary care services.
“Increased involvement of non-physicians such as Registered Nurses (RNs) and Nurse Practitioners (NPs) has long been recognized as an effective way to enhance access to primary care services.6-12”
From Evaluating the cost of NP-led vs. GP-led primary care in British Columbia (2024) · cites this paper as [7]
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- Authors
- Heale, R., & Butcher, M.
- Affiliations
- Laurentian University (CA)
- ORCID
- Heale, Roberta
- Venue
- Nursing Leadership
- Publisher
- Longwoods Publishing
- Published
- 2010-09-17
- Volume
- 23
- Issue
- 3
- Pages
- 21-29
- ISSN
- 1481-9643 (ISSN-L)
- 1929-6355
- OpenAlex
- W2151834399
- Cited by
- 21
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2021: 2 · 2018: 3 · 2016: 1 · 2015: 1 · 2014: 2 · 2013: 1 · 2012: 3
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nursing leadership (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Education, Practice, and Leadership
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Keywords
- nurse practitioner-led clinic, healthcare innovation, advanced practice nursing, leadership skills, organizational change, idea generation, teamwork, organizational culture, financial considerations, demand for care, Canada
- MeSH terms
- Clinical Competence, Diffusion of Innovation, Health Services Needs and Demand, Leadership, Lobbying, Nurse Practitioners, Ontario, Practice Patterns, Nurses'
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