Health Systems Leadership and Administration

Canadian College of Health Leaders (CCHL)

Health Systems Leadership and Administration Program Requirements

The MN – Health Systems Leadership and Administration (HSLA) program is designed to prepare nurses for formal leadership roles in healthcare systems in Canada and internationally. Graduates are prepared for careers in health care administration, health policy, professional practice leadership, and other related roles.

The MN (HSLA Field of Study) program requires 5.0 full-course equivalents (FCEs) including:

· NUR 1016H, NUR 1027H, NUR 1127H, NUR 1151H, NUR 1152H, NUR 1156H, NUR 1157H, and NUR 1161H;

· a 1.0 FCE practicum-based course (NUR 1169Y), which should be taken alone in the final session and only after completion of all other coursework and program requirements.

· Five foundational courses: (NUR1016H, NUR1017H, NUR1027H, NUR 1127H, NUR1034H);

· Three field of study courses (NUR1151H, NUR1152H and NUR1161H); and

· A 1.0 FCE practicum-based course (NUR1072Y), which should be taken alone in the final session and only after completion of all other coursework and program requirements.

Note: Y denotes 1.0 FCE and H denotes 0.5 FCE

The MN – HSLA courses are offered online using both synchronous and asynchronous instruction. There are three required on-campus learning periods: one at the start of the program for orientation, one embedded in NUR1151H in Year 1 and one embedded in NUR1169Y in Year 2. The Summer courses: NUR1152 and NUR1169Y include a required supervised practicum component. Courses are prescribed and normally students progress through the program within a defined student cohort. Normally, successful completion of Year 1 courses is required for students to enter Year 2 of their program.

Placement Practicum Requirements

See the Graduate Placements section of the website.

Health Systems Leadership and Administration Program Chart

Courses are prescribed and normally students progress through the program within a defined student cohort. Normally, successful completion of Year 1 courses is required for students to enter Year 2 of their program.

The HSLA program course sequence and practicum requirements are as follows:

Fall Semester (Sept-Dec)

Winter Semester (Jan-Apr)

Summer Semester (Apr-Jun)

Year 1

NUR1156H

and

NUR1027H

NUR1127H

and

NUR1151H

NUR1152H

(30 clinical hours)

Year 2

NUR1016H

and

NUR1161H

NUR1157H

NUR 1169Y

(160 clinical hours)

Students take NUR1169Y alone in the final term of the program and only after completion of all other coursework and program requirements.

Courses

Course
NUR1016H Health Systems, Policy and the Profession Identify and critically examine health policy in Canada with specific attention to Ontario. The structure of the Canadian health care system, policy initiatives and relevant legislation are examined along with the role of the nurse, the nursing profession and other stakeholders in influencing the system.

NUR1027H Integrated Approaches to Research Appraisal and Utilization Part 1 A major responsibility for masters-prepared advanced practiced nurses in leadership roles (formal or informal) is promoting evidence-informed practice and policy decisions within nursing. In order to be successful in this endeavour, nurses must be knowledgeable consumers of nursing and related (e.g. health services and social sciences) research. This course and the subsequent course NUR 1127 specifically further development of your knowledge, skill, and judgment related to research competencies for advanced practice nurses as outlined in the Canadian Nursesâ Association document âAdvanced Nursing Practice: A National Framework (2008)â. The focus of NUR 1027 is on critical examination and reflection on research and evidence-based practice, with an emphasis on integration of theory and research to guide practice. You will develop an understanding of the philosophical foundations of contemporary approaches to knowledge production in nursing in the health sciences, and essential competencies in locating, interpreting, critiquing, and using research evidence in practice. Critical analysis of both qualitative and quantitative approaches and their underlying theoretical frameworks will enable you to understand and appropriately integrate research into practice.

NUR1127H Integrated Approaches to Research Appraisal and Utilization Part 2 NUR1127H builds on and extends the content introduced in Part 1 NUR 1027H and focuses on specific research designs and approaches that explain phenomena and relationships, or involve interventions/actions. You will develop competence in critically appraising, interpreting and synthesizing results from individual research studies and research syntheses. Critical appraisal and interpretation of qualitative and quantitative approaches and mixed methods studies will be addressed.

NUR1151H Theories and Concepts in Nursing Leadership and Administration NUR1151H introduces students to fundamental concepts necessary to engage in evidence-informed leadership and administrative practice in health services through the exploration of relevant theoretical and empirical literature. Our hope is to engage future nurse leaders in a sampling of the full range of administration and leadership roles and skills, from the conceptual to hands-on practice in skills such as managing scheduling and budgets. The course utilizes asynchronous and synchronous education delivery approaches, including facilitated online learning activities and a one-week, in-class residency on campus.

NUR1152H Leading and Managing Effective Health Care Teams NUR1152H introduces students to fundamental concepts necessary to engage in evidence-informed leadership and administrative practice in health services. Students develop skills in administrative analysis and decision-making, human resources management, and leadership of interprofessional teams and organizations, through exploration of relevant theoretical and empirical literature and guided application in practice settings. The course utilizes multiple asynchronous and synchronous education delivery approaches, including facilitated online learning activities and 30 hours of supervised practicum with an advanced practice nurse leader.

NUR1156H History of Ideas in Nursing Practice: Health Systems Leadership and Administration This course will critically explore some aspects of the discourse of nursing through the examination and interpretation of both historical and contemporary accounts of nursing practice in light of shifting and prevailing intellectual ideas, socio-cultural, and/or historical circumstances. An emphasis will be placed on both the continuities and discontinuities in nursing leadership, the organization and administration of practice, and institutional/organizational dynamics through time. In this course, the course will help students to articulate the practice of nursing leadership and administration, its philosophical ontologies, and its relationship to or place within the contemporary historical world dominated by globalization, neoliberalism, managerialism, and proliferating technologies. At the same time, we will explore the distinctive contributions of nurses to the care of the sick and the organization, administration, and running of the health care system.

NUR1157H Program Planning and Evaluation in Nursing: Health Systems Leadership and Administration In this course, you will use existing evidence and theory to: 1) develop and implement solutions for problems or issues in your practice, and 2) evaluate programs / interventions in nursing and health care. As an advanced practice nurse in Health Systems Leadership and Administration, you will have many opportunities to design, implement, and evaluate new programs or interventions as well as leading changes in what and how nursing care is provided and arranged. This course will prepare you to thoroughly assess the nature and scope of a problem, as well as to design, implement, and evaluate the effects of a solution or program to address a problem. You will draw heavily from and build on what you learned in your research courses regarding evidence and interpretation of data collected using different types of research designs. This course contributes to your development as an advanced practice nurse. The Canadian Nurses Association (CNA) has identified competencies required of advanced practice nurses in the document 'Advanced Nursing Practice: A Pan-Canadian Framework' (2019). Specifically, this course is intended to develop your knowledge, skills, and judgment related to the CNA advanced practice competencies of optimizing health systems, education, research, leadership, and consultation/collaboration.

NUR1161H Advanced Topics in Management and Leadership NUR1161H builds on the content introduced in NUR1151H and NUR1152H and assists students to expand their insights and repertoire of theoretical and instrumental approaches to leadership and administration. Through engagement in on-line communities of learning, students extend their expertise in core healthcare leadership and administration abilities including leadership in complex contexts, advancement of quality and patient safety, and advanced human resource management issues. Students also explore novel and emerging topics and approaches to leadership in contemporary environments. (Prerequisite: NUR1151H and NUR 1152H)

NUR1169Y Advanced Nursing Practice Scholarship: Health Systems Leadership and Administration The goal of NUR1169Yis to provide students in the final term of the MN program with opportunities to integrate previous learning and continue the analysis, synthesis and integration of advanced theoretical principles and concepts related to advanced nursing leadership practice. NUR1169Y utilizes the Canadian Nurses Association's Advanced Practice Nursing: A Pan-Canadian Framework'(CNA, 2019) and the Canadian College of Health Leaders LEADS Framework (2010). This course specifically provides students with opportunities to further develop and establish their knowledge, skills, and judgment related to the CNA (2019) competencies with a particular emphasis on leadership and research. Students must be very familiar with the entire CNA framework, as in this course, students activate, build, and refine the knowledge and skills that are consistent with the core competencies as outlined in the framework. In addition, the Canadian College of Health Leaders LEADS in a Caring Environment Framework (2010) denotes the skills, behaviours, abilities and knowledge for effective leadership in the health system-and is used to frame one of the objectives for the practicum. Students are also expected to integrate knowledge from previous MN HSLA course work as well as current readings and other course activities. Nursing takes place in a variety of settings. Scholarship in advanced nursing practice is not confined to any one role or setting, rather is an attribute of the advanced practice of senior nurse leaders/managers/administrators, nurse clinicians, educators, and researchers. Thus, the NUR1169Yleadership practicum is completed virtually or in-person in a setting that allows students to focus on applied leadership in practice and builds on the foundation of completed MN HSLA course work and professional experiences. This focus includes leadership/management/administration and knowledge translation. Students have options to pursue leadership practicum placements in a variety of settings including acute care hospitals, community hospitals, home care/community settings, long-term care organizations, complex continuing care settings, public health, and government/professional and/or policy organizations. The leadership practicum placement should align with the individual students learning leadership goals, completed course work, and future career goals. Course participation consolidates development as an advanced practice nurse with students engaging in:-a formal guiding relationship with an advanced practice Masters-prepared nurse leader/director/management preceptor;-demonstration of advanced nursing leadership practice competencies through engagement in advanced nursing leadership practice(CNA, 2019; LEADS, 2010); -active participation within a community of student learners to understand and integrate advanced practice nurse leadership competencies; -completion of assessment/evaluation requirements for the course

The University of Toronto’s Lawrence S. Bloomberg Faculty of Nursing’s collaboration with the Canadian College of Health Leaders (CCHL) allows students to earn credit towards the Certified Health Executive (CHE) designation, Canada’s only professional credential available to health leaders, while completing the Master of Nursing Health Systems Leadership and Administration degree.

CCHL is a national, not-for-profit, professional association dedicated to developing, promoting, advancing, and recognizing excellence in health leadership.
On-campus requirements for the Health Systems Leadership and Administration Program

All of the courses in the MN – HSLA program are online using both synchronous and asynchronous instruction. This means that, orientation and residences aside, you do not have to come to campus weekly for classes. Please note, you may be required to be available at certain times during the week for synchronous course activities. The schedule will be announced no later than the first day of class. The MN-HSLA program includes three mandatory on-campus sessions where students must be on campus in Toronto:

1. Two-day Orientation session during the first week in September

2. Year 1 Residency (embedded in the NUR 1151H course) is typically for three to four days in mid-March

3. Year 2 Residency (embedded in the NUR 1169Y course) is typically for two to three days during the last week of June