Issues & Advocacy

The Association staff and Board have been hard at work on our first strategic goal of establishing a viable, sustainable governance and organization structure for the Association, but we’ve also made it a priority to start working with our partners both provincially and nationally on important issues related to nursing and health.

Current Issues

scroll down to see all the issues. 

Get Your Benefits Project

The Association is pleased to partner with the Government of Manitoba, the University of Manitoba, Health Sciences Centre, the Manitoba College of Family Physicians and Community Financial Counselling Services on The Get Your Benefits Project.
 
The Get Your Benefits Project is a set of tools to help care providers share information about accessing the programs, supports and tax benefits that provide funds to families to help meet their needs. The program was created based on the recognition that income is a powerful determinant of health. 

Click here for more information and to access the tools.

Medical Assistance in Dying

The National Nursing Framework for Ethical Decision Making in Medical Assistance in Dying (Ethical Framework) was approved by the CNA Board in November 2016. Nurses are now able to access the framework on the CNA site

Canadians have been able to access medical assistance in dying since June 2016. The focus of the Association is now supporting nurses in using the Ethical Framework and on removing legislative barriers. CNA is addressing the legislative barriers at a federal level. The Association is working to address barriers at a provincial level.

Specific guidance regarding nurse’s responsibilities is available from CNPS at www.cnps.ca and from the College of Registered Nurses at crnm.mb.ca. Resources for health care providers and the public can be found at http://www.wrha.mb.ca/maid/.

Read More:
The Association and Medical Assistance in Dying 
Medical Assistance in Dying Task Force 

Removing Legislative Barriers

Manitoba is one of the few jurisdictions where a nurse practitioner cannot pronounce death or sign a death certificate. Nurse practitioners can provide primary care, palliative care and medical assistance in dying. Nurse practitioners need to be able to pronounce death and sign death certificates to ensure patients in their care have access to care from NPs at the end of life. The Manitoba government introduced Bill 17 to enable medical assistance in dying in Manitoba. While the amendments to the Vital Statistics Act and the Fatality Inquiries Act in Bill 17 create access for patients cared for by physicians, it does not go far enough for patients who receive care from nurse practitioners. The Association is working with the Nurse Practitioner Association of Manitoba to advocate for further amendments under Bill 17 to enable patients under the care of a NP to receive that care to the end of their life. 

CNA Code of Ethics

The CNA Code of Ethics is being revised to ensure it remains relevant in contemporary practice.  The Association invited nurse ethicists and other interested members to provide feedback on the draft so that the Code continues to support Manitoba nurses in the years ahead. There has never been a time when guidance and ethical decision-making has been more important for nurses. Nurses encounter ethical issues in every day practice in every setting and every role. Thank you to those nurses who took the time to review the draft and provide feedback on this important guiding resource. 

Home Care on Hill Day 

The federal government committed to invest 3 billion dollars to improve home care and community care for Canadians. This commitment did not appear in the federal budget. This year, as CNA Board and staff visited MPs on Parliament Hill efforts were focused on the government following through on its commitment to invest in home care and community care to enable Canadians to receive care at home. CNA highlighted a National Action Plan for home care that it developed with its partners, the Canadian Home Care Association and the College of Family Physicians. CNA focused on the importance of caring for Canadians at home and the opportunity to utilize new models of care that include the important role home health nursing provides, particularly with complex chronic care, independent aging and palliative care. 

Support for caregivers was also discussed including the need to develop a federal tax measure to protect workers income while providing support and guarantees for workplace leave protection. 

Sustainability Reviews

The Association was invited to contribute a nursing perspective in the two sustainability reviews underway in the province. 

The Association first met with Dr. David Peachey, Health Intelligence Inc. to contribute ideas and perspectives as the professional voice of registered nurses to the Preventative and Clinical Service Review.  

Next, the Association, along with the three nursing regulatory bodies, participated in a meeting with KPMG as part of the Sustainability and Innovation Review initiated by the province to review the economy, efficiency and effectiveness of health care in Manitoba.

Some of the themes and issues discussed included the need for a patient centered approach; developing new models of care that include inter-professional collaborative teams and nurse/nurse practitioner led models; the importance of public health and preventative care; the importance of care in the community including home health nursing and more breadth and depth in long term care to support aging at home; reducing barriers to efficient care through the use of standards, lean processes that add value to the patient and remove waste and evidence based protocols; better alignment of health policy and health services to meet patient need; and removal of legislative barriers to enable access to care from nurse practitioners and access to medical assistance in dying. 

Expanded Scope of Practice

The independent panel reviewing feedback on the draft regulations governing registered nurse practice under the Regulated Health Professionals Act submitted its report to government in June 2016. The Association received a letter from the Deputy Minister of Health, Seniors and Active Living acknowledging our contribution to the panel.  The panel recognized the positive impact an expanded scope of practice for registered nurses has in providing access for patients and capacity of the health system. The Minister has indicated his support for the College to continue to move forward in the process to become governed under the RHPA The Association will be working with the college as a collaborative partner during this period.