Registered Psychiatric Nurses System Data Dictionary and Data Submission Specifications

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1 Registered Psychiatric Nurses System Data Dictionary and Data Submission Specifications Note: The definitions provided here are to assist you in completing your registration renewal form. For the complete Registered Psychiatric Nurse Data Dictionary please click on the link to the Canadian Institute for Health Information.

2 Contents of this publication may be reproduced in whole or in part provided the intended use is for non-commercial purposes and full acknowledgement is given to the Canadian Institute for Health Information. For further information, please contact: Consultant, Nursing Databases Health Human Resources Canadian Institute for Health Information 377 Dalhousie Street, Suite 200 Ottawa, Ontario K1N 9N8 Telephone: (613) Fax: (613) Canadian Institute for Health Information

3 Preface The nursing workforce consists of three regulated professions in Canada: registered nurses (RNs), licensed practical nurses (LPNs) 1, and registered psychiatric nurses (RPNs). 2 Members of these distinct professions work in a variety of roles and settings across the continuum of health services. Since 1980, the Registered Nurses Database (RNDB) has tracked the supply and distribution of registered nurses in Canada. This workforce data has contributed significantly to health human resource research and policy development in Canada and internationally. The Canadian Institute for Health Information (CIHI) assumed responsibility for RNDB data collection and processing from Statistics Canada in 1996, and for publication of RNDB data in To increase the comprehensiveness of the national nursing database, collaborative relationships were developed in 1999/2000 with provincial/territorial LPN and RPN regulating authorities. These relationships resulted in the establishment of a minimum data set for LPN data in spring 2000 and a minimum data set for RPN data in spring Thanks to the cooperation of the regulating authorities, CIHI now collects and reports supply and distribution information for all regulated nursing professionals in Canada. This document Registered Psychiatric Nurses System Data Dictionary and Data Submissions Specifications - Version 2.0 was created to facilitate the collection and submission of RPN data across Canada. Similar documents exist for RN and LPN data. Section 1 presents the minimum data set for RPNs in Canada and a detailed data dictionary. Section 2 contains the data submission specifications. Changes to this document may occur from year to year. For this reason, a revised version of the document will be distributed to RPN regulating authorities on an annual basis. Any questions or comments should be directed to: Consultant, Nursing Databases Canadian Institute for Health Information 377 Dalhousie Street, Suite 200 Ottawa, Ontario K1N 9N8 Tel: (613) Fax: (613) The term licensed practical nurse is used throughout this document. In some jurisdictions the terms registered practical nurse or registered nursing assistant are the accepted terminology. 2 RPNs are educated and regulated as a separate profession in British Columbia, Alberta, Saskatchewan and Manitoba only.

4 Section 1 Registered Psychiatric Nurses Minimum Data Set and Detailed Data Dictionary Introduction The scope of practice for registered psychiatric nurses (RPNs) is expanding and health care reform is changing how health services are organized and delivered. Without a minimum data set and standardized definitions, data editing and entry is subject to a variety of interpretations at the provincial/territorial and national levels. This data dictionary has been developed to facilitate the placement of data into existing categories and to enhance the comparability of data across the nation. As a result, some data may not appear to fit into the categories stated in the current data elements. To guide the collection of RPN data, initial consensus was reached in November 2001, then finalized in January 2002, on the data elements to be collected each year. The elements are reviewed by data providers and CIHI each year to ensure that the elements appropriately reflect the RPN profession. The data dictionary is divided into the minimum data set and the detailed data dictionary. The minimum data set for registered psychiatric nurses in Canada contains the list of agreedupon elements. For each element of the minimum data set, the detailed data dictionary lists the definitions, rationales for inclusion and sub-elements. The sub-elements are the varied terms specific to each provincial registration form that should be included (or mapped ) to each element. It is anticipated that the use of the dictionary will facilitate the collapse of the data and will allow for a more valid national perspective within the nursing community. Questions regarding the mapping of jurisdictional values to the elements of the minimum data set should be directed to: Consultant, Nursing Databases Canadian Institute for Health Information 377 Dalhousie Street, Suite 200 Ottawa, Ontario K1N 9N8 Tel: (613) Fax: (613)

5 Field/Element Definition/Rationale Sub-element Place of Work (indicate only one for each of primary, second and third employer) Primary place of employment; type of agency/facility Hospital (general, maternal, paediatric, psychiatric) Organization which offers in-patient and out-patient health care services available to the target population. General Hospital Psychiatric Hospital Regional Hospital Regional Health Centre Community Mental Health Agency/ Community Health Centre Organization that provides programs/services with a major focus on the stabilization/ restoration/optimization of the mental, emotional, psychological, social and vocational needs of an individual. Adolescent Treatment Centre Addictions Treatment Centre Community Mental Health Community Services Crisis Stabilization Agency Nursing Station (outpost or clinic) Stand-alone centres that have psychiatric nurses as the on-site managers and practitioners. Nursing Home/Long-Term Care Facility Centre where residents are accommodated who require nursing, psychiatric nursing and personal care on a continuous basis with medical service as required. Personal Care Home Nursing Home Convalescent Centre Geriatric Facility Intermediate Care Extended Care Residential Care Facility Stand-alone organization that has its primary focus the care, treatment, training and community preparation to target persons with developmental handicap/disability. Habilitation Services Group Home Boarding Home Developmental Handicap/Disability Agency Transition home Brain Injury Program Home Care Agency Organization that has as its major focuses the provision of services to support health care in the client's home. Home Care Agency VON Home Care Program

6 Business/Industry/ Occupational Health Office Organization that has as its major focus the health of workers. Private Nursing/ Psychiatric Nursing Agency Agency/Private Duty Agency that markets nursing/psychiatric nursing services for hire. Private Company Physician's Office/Family Practice Unit Centre which is organized around the delivery of health care primarily by a physician or group of physicians. Self-employed / Private Practice Educational Institution Organization in which learning is the major focus. Association/Government A national, provincial, territorial, regional or municipal organization or government that deals with policy development and/or the protection of the public (excluding a Correctional Agency). Correctional Agency Stand-alone organization/ facility that has as its primary focus the treatment and rehabilitation of persons detained or on probation due to a criminal act. Federal Penitentiaries Provincial Jails Pre-trial Services Probation/Parole Services Other

7 Field/Element Definition/Rationale Sub-element Primary Area of Responsibility (indicate only one for each of primary, second and third employer) Within agency/facility of employment, the major focus of activities related to one of the four primary areas of practice of psychiatric nursing (direct care, administration, education, and research). A. Direct Care Clinical services provided directly to client by practitioner. Medical/Surgical Care is provided to clients with a variety of health problems that require diagnostic procedures medical and nursing treatments and/or surgical intervention. Children & Adolescent Services Clinical/crisis services are provided in a facility or in the community to clients under the age of majority and to their families Treatment Programs: In-patient Community Schools Residential Mental Health Promotion Child protection/welfare Paediatric Geriatric Services (Geriatric / Long Term Care) Clinical services are provided in a facility or in the community to elderly persons who require short-term, intermediate or longterm treatment/interventions Personal care homes Psychogeriatric assessment, treatment, evaluation teams unit Community/ home base services Special care units Rehabilitation Services are provided in a facility or in the community to persons with a variety of cognitive/mental health problems that may require long term treatment/ interventions to optimize the mental, emotional, social & vocational life of the individual. Group home Boarding home Continuing care Assertive community treatment Outreach program Brain injury Program Psychosocial rehabilitation program Intensive case management

8 Developmental Habilitation/Disabilities Clinical services are provided in a facility or in the community to clients of all ages whose primary condition is a developmental disability / handicap Community support team In-patient and residential Addiction Services Clinical Services are provided in a facility or in the community to individuals, groups or communities whose primary concern is an addiction - Prevention Programs - Education Programs - Treatment Programs: - Residential - In-patient - Community-based - Detoxification Centre Crisis Emergency Services (Critical Care) Clinical services are provided in a facility or in the community to adults who require immediate, intensive, short-term assessment and intervention. Critical Incident Stress Debriefing program (CISD) Community post-vention Mobile crisis services Victim services Emergency services Hot lines Stabilization services Diversion program Urgent care Acute Services Clinical services are provided in a facility or in community to clients with a variety of psychiatric / mental health problems which require time limited treatment/interventions Several Clinical Areas Counseling Occupational Health Care of employees in defined businesses or industry.

9 Forensic Services Clinical services are provided in a facility or in the community to clients in contact with the criminal justice system. Regional psychiatric centres In-patient forensic units Community forensic services Remand services Oncology Palliative Care Other Direct Care Care to clients with cancer related health problems. Palliative Care provided to clients with a variety of health problems. Maternal Newborn Operating Room/Recovery Room B. Administration Overall management of area/unit/division/program. Service Involved with direct care services delivery. Education Involved with the delivery of educational programs. Other Administration C. Education Teaching students Teaching of individuals registered in formal psychiatric nursing education programs and others related to psychiatric nursing. Teaching employees Teaching clients Other Education D. Research Psychiatric Nursing research only Clinical Research Other Research Participation of RPNs in the research studies of/with other disciplines.

10 Field/Element Definition/Rationale Sub-element Position (indicate only one for each of primary, second and third employer) Current assigned role at place of employment as per title/job description. Chief Executive Officer Psychiatric nurse in uppermost management position within organization. Director/Assistant Director Psychiatric nurse second in command to uppermost nurse management position within organization. Manager/Assistant Manager Responsible for management of a particular team/group that delivers services. Usually a first level management position. director/assistant director associate director administrator supervisor assistant supervisor coordinator head nurse team leader assistant head nurse unit manager/assistant manager Staff Psychiatric Nurse/Community Psychiatric Nurse Major role is the direct delivery of clinical ervices. general staff psychiatric nurse direct service provider community psychiatric nurse community mental health nurse / worker occupational health nurse counselor therapist Psychiatric nurse liaison Instructor/Professor/ Educator Role of educator for a particular target group. in-service staff development instructor/professor educator Consultant Role as resource in one specific area or topic within one of the four areas of practices psychiatric nursing. Practice consultant Education consultant Research consultant Administration consultant

11 Clinical Specialist Psychiatric Nurse who provides services as an advanced clinical practitioner and who may have with additional roles of researcher, educator and administrator as per job description. Advanced practitioner Nurse practitioner Other

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