CNA and Choosing Wisely list 9 recommendations to minimize unnecessary care
Canadian Nurses Association joins Choosing Wisely Canada to help nurses and patients engage in conversations about unnecessary care
Ottawa, January 9, 2017 — In a first for Canada, the Canadian Nurses Association (CNA) has partnered with Choosing Wisely Canada (CWC) to release a list of nine recommendations to minimize unnecessary care. The list identifies tests, treatments and procedures commonly used in nursing that are unsupported by evidence and could expose patients to harm. The aim is to encourage dialogue between patients and their health-care providers to help make smart and effective choices for high-quality care. In releasing the list, CNA joins over 50 national medical professional societies who have already published (or plan to) a CWC list of recommendations. CNA is the first non-physician national group in Canada to do so.
To develop the list CNA established a nursing working group that represented Canada’s geographic diversity and the diversity of practice across nursing specialties. The group reviewed almost 200 items with corresponding evidence to generate its recommendations. The final list, which covers a wide range of care settings and patient populations, then underwent consultation with CNA members and other stakeholders before receiving approval from CNA’s board of directors.
The value of the nine-item list is easily seen through an example, such as recommendation five, which discourages the routine use of incontinence containment products for older adult and low-mobility patients. While this is an all-too-common practice, the evidence shows adverse outcomes including diminished self-esteem and perceived quality of life and a higher rate of skin problems and bladder infections. The recommendation also proposes adopting a care plan with shared decision-making that includes the wishes of the clients, caregivers and the wider health-care team.
”Choosing Wisely Canada is focused on changing health-care’s ‘more is better’ culture when it comes to medical tests, treatments and procedures,’’ said Dr. Wendy Levinson, CWC chair and co-founder and University of Toronto professor of medicine. “The goal of the campaign is to help health-care providers and patients decide together about the right tests and treatments at the right time while avoiding those that are unnecessary.”
“The Choosing Wisely Canada nursing list is a great way to engage patients and nurses in conversations about care. These conversations are opportunities to provide evidence-based information to empower patients and offer better patient care and reduced adverse outcomes,” said CNA president Barb Shellian.
See CNA’s Nine Things Nurses and Patients Should Question [PDF, 139.5 KB].