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In 2002) Tj 111.84 0 TD -0.0754 Tc 0 Tw (-) Tj 4.32 0 TD -0.2225 Tc 0.0728 Tw (2003 over 300 nurses in 8 communities in ) Tj -393.6 -16.08 TD -0.2233 Tc 0.0495 Tw (the Fraser Health, Interior and Northern Health Authorities joined the ACGNN.) Tj 462.96 0 TD 0 Tc -0.0298 Tw ( ) Tj -462.96 -16.08 TD ( ) Tj 0 -16.08 TD -0.2012 Tc 0 Tw (Specifically) Tj 66.72 0 TD /F0 10.08 Tf -0.1622 Tc (, ) Tj 5.28 0 TD /F0 13.92 Tf -0.2253 Tc 0.0355 Tw (the objectives of the ACGNN are to:) Tj 213.6 0 TD 0 Tc -0.0298 Tw ( ) Tj -231.6 -16.08 TD ( ) Tj -36 -16.08 TD -0.2846 Tc 0 Tw (1.) Tj 11.28 0 TD 0 Tc -0.0298 Tw ( ) Tj 6.72 0 TD -0.2505 Tc 0 Tw (Prepare) Tj 47.76 0 TD -0.2217 Tc 0.0319 Tw ( local ACGNN mentors and front line nurses in gerontologi) Tj 345.84 0 TD -0.207 Tc -0.0627 Tw (cal nursing theory and practice ) Tj -393.6 -16.08 TD -0.2218 Tc -0.048 Tw (relevant to acute care.) Tj 132.48 0 TD 0 Tc -0.0298 Tw ( ) Tj -114.48 -16.32 TD ( ) Tj -36 -16.08 TD -0.2846 Tc 0 Tw (2.) Tj 11.28 0 TD 0 Tc -0.0298 Tw ( ) Tj 6.72 0 TD -0.2375 Tc 0 Tw (Enhance) Tj 53.28 0 TD -0.2201 Tc 0.0303 Tw ( the ACGNN mentors\222 ability to support unit staff in applying the knowledge.) Tj 447.84 0 TD 0 Tc -0.0298 Tw ( ) Tj -483.12 -16.08 TD ( ) Tj -36 -16.08 TD -0.2846 Tc 0 Tw (3.) Tj 11.28 0 TD 0 Tc -0.0298 Tw ( ) Tj 6.72 0 TD -0.0298 Tc 0 Tw (I) Tj 3.36 0 TD -0.2104 Tc -0.0157 Tw (mprove care to hospitalized older adults by supporting change in nursing practice.) 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(2.) Tj 11.28 0 TD 0 Tc -0.0298 Tw ( ) Tj 6.72 0 TD -0.2129 Tc -0.0226 Tw (Increased the number of health authorities \(and communities\) involved in the network. As we ) Tj 554.16 0 TD -0.1981 Tc -0.0716 Tw (increased ) Tj -554.16 -16.08 TD -0.2896 Tc 0 Tw (the) Tj 18.48 0 TD -0.2181 Tc 0.0284 Tw ( number of CNSs, we were able to provide Phas) Tj 287.76 0 TD -0.2995 Tc 0.0298 Tw (e ) Tj 11.04 0 TD -0.0595 Tc 0 Tw (1) Tj 7.44 0 TD -0.2063 Tc -0.0155 Tw ( workshops in the Vancouver Coastal) Tj 222.48 0 TD -0.2247 Tc -0.045 Tw (, Vancouver) Tj 71.76 0 TD 0 Tc -0.0298 Tw ( ) Tj -618.96 -16.32 TD -0.2183 Tc -0.0034 Tw (Island, Providence and Fraser Health Authorities.) Tj 292.56 0 TD 0 Tc -0.0298 Tw ( ) Tj -292.56 -16.08 TD ( ) Tj -18 -16.08 TD -0.2846 Tc 0 Tw (3.) Tj 11.28 0 TD 0 Tc -0.0298 Tw ( ) Tj 6.72 0 TD 0.0298 Tc 0 Tw (D) Tj 9.84 0 TD -0.2092 Tc -0.0606 Tw (eveloped and implemented Phase ) Tj 207.6 0 TD -0.0595 Tc 0 Tw (2) Tj 7.68 0 TD -0.221 Tc 0.0472 Tw ( workshops for those communities who had completed the Phase ) Tj 392.64 0 TD -0.2995 Tc 0.0298 Tw (1 ) Tj -617.76 -16.08 TD -0.2315 Tc 0.0818 Tw (workshops last year.) Tj 122.4 0 TD 0 Tc -0.0298 Tw ( ) Tj -140.4 -16.08 TD ( ) Tj 0 -16.08 TD -0.2238 Tc -0.046 Tw (Appendix A, Table 2) Tj 121.2 0 TD -0.2149 Tc -0.0549 Tw ( summarizes the co) Tj 116.88 0 TD -0.2196 Tc 0.0053 Tw (mmunities involved in the network, the phase\(s\) of the workshops ) Tj -238.08 -16.08 TD -0.2236 Tc 0.1139 Tw (and the CNSs who facilitated those workshops.) Tj 281.28 0 TD 0 Tc -0.0298 Tw ( ) Tj -281.28 -16.08 TD ( ) Tj 0 -16.08 TD ( ) Tj 0 -17.52 TD /F3 16.08 Tf -0.301 Tc 0.0308 Tw (Program Evaluation ) Tj 150.96 0 TD 0 Tc 0.0898 Tw ( ) Tj -150.96 -17.04 TD /F0 13.92 Tf -0.0298 Tw ( ) Tj 0 -16.08 TD -0.2189 Tc 0.0198 Tw (When we developed our network, we knew that our evaluation initially would be limited to Level One ) Tj T* -0.2339 Tc 0.0842 Tw (evaluation of partic) Tj 112.32 0 TD -0.2118 Tc 0.006 Tw (ipants\222 responses to the workshops. We believed that the evaluation as to whether or not ) Tj -112.32 -16.08 TD -0.2143 Tc -0.0273 Tw (there were changes in clinical practice that affected patient care could only be done by the participating ) Tj 0 -16.08 TD -0.2132 Tc -0.0565 Tw (health authorities through their local quality improvement s) Tj 346.8 0 TD -0.2275 Tc 0.0477 Tw (tructures. As CNSs we also know that education ) Tj -346.8 -16.08 TD -0.2125 Tc -0.0253 Tw (alone does not change practice. 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Tj 102 0 TD 0 Tc -0.0298 Tw ( ) Tj -336.48 -16.08 TD ( ) Tj 0 -16.08 TD -0.2321 Tc 0.0523 Tw (We very much focused on the positive, what ) Tj 266.64 0 TD /F4 13.92 Tf -0.1434 Tc -0.1264 Tw (we can do) Tj 65.52 0 TD /F0 13.92 Tf -0.2472 Tc 0.0574 Tw (, not what ) Tj 61.92 0 TD /F4 13.92 Tf -0.2339 Tc 0.2041 Tw (we can\222t do.) Tj 77.04 0 TD /F0 13.92 Tf 0 Tc -0.0298 Tw ( ) Tj 3.6 0 TD ( ) Tj ET endstream endobj 31 0 obj 5201 endobj 29 0 obj << /Type /Page /Parent 5 0 R /Resources << /Font << /F0 6 0 R /F2 12 0 R /F3 15 0 R /F4 20 0 R >> /ProcSet 2 0 R >> /Contents 30 0 R >> endobj 33 0 obj << /Length 34 0 R >> stream BT 72 556.08 TD 0 0 0 rg /F0 7.44 Tf -0.227 Tc 0.0787 Tw (ACGNN Report April 2004) Tj 81.6 0 TD 0 Tc 0.0917 Tw ( ) Tj 252.48 -504.72 TD /F2 9.12 Tf 0.083 Tc 0 Tw (-) Tj 2.64 0 TD -0.803 Tc 0.1661 Tw ( 6 ) Tj 10.56 0 TD 0.083 Tc 0 Tw (-) Tj 2.64 0 TD /F0 7.44 Tf 0 Tc 0.0917 Tw ( ) Tj ET q 716.4 48.48 3.84 12.48 re h W n BT 716.4 51.36 TD /F2 9.12 Tf 0.083 Tw ( ) Tj ET Q BT 72 509.28 TD /F0 13.92 Tf -0.0298 Tw ( ) Tj 0 -16.08 TD -0.2213 Tc 0.0315 Tw (Finally, we communicated with the RNABC Nursing Practice Consultants and Advisors, inviting them to our ) Tj 0 -16.32 TD -0.2091 Tc -0.0264 Tw (workshops and cafes and coordinating our various educa) Tj 340.32 0 TD -0.2114 Tc -0.0584 Tw (tional offerings in the health authorities.) Tj 232.8 0 TD 0 Tc -0.0298 Tw ( ) Tj -573.12 -16.08 TD ( ) Tj 0 -16.08 TD /F4 13.92 Tf -0.2245 Tc 0.0507 Tw (Themes Inherent in the Participants\222 Evaluations) Tj 311.28 0 TD 0 Tc -0.0298 Tw ( ) Tj -311.28 -16.08 TD ( ) Tj 0 -16.08 TD /F0 13.92 Tf -0.2132 Tc -0.0266 Tw (The following themes were evident in the evaluation regardless of the community or the CNS team involved.) Tj 641.76 0 TD 0 Tc -0.0298 Tw ( ) Tj -641.76 -16.08 TD ( ) Tj 0 -16.08 TD /F5 13.92 Tf -0.2084 Tc -0.0614 Tw (Renewal and Empowerment) Tj ET 72 378 169.92 0.96 re f BT 241.92 380.4 TD 0 Tc -0.0298 Tw ( ) Tj -169.92 -16.08 TD ( ) Tj 148.8 -16.08 TD -0.2378 Tc 0.1051 Tw (\223I know that I am worthy and ) Tj 172.32 0 TD -0.2464 Tc 0.0967 Tw (valued as a nurse in my field\224.) Tj 178.08 0 TD 0 Tc -0.0298 Tw ( ) Tj -175.2 -16.08 TD ( ) Tj -280.8 -16.08 TD -0.2926 Tc 0 Tw (\223I) Tj 7.92 0 TD -0.2289 Tc 0.058 Tw ( hope to try and make a difference on a medical floor as a casual. 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Tj 98.16 0 TD 0 Tc -0.0298 Tw ( ) Tj 225.84 -16.08 TD ( ) Tj -324 -16.08 TD /F5 13.92 Tf -0.2206 Tc -0.0491 Tw (The Power of Dialogue) Tj ET 72 184.8 136.8 0.96 re f BT 208.8 187.2 TD 0 Tc -0.0298 Tw ( ) Tj -136.8 -16.08 TD ( ) Tj 2.4 -16.08 TD /F0 13.92 Tf -0.2203 Tc 0.0172 Tw (\223You have renewed my heart\222s desire to give the best personalized care to each individual patient. You have ) Tj 66 -16.08 TD -0.2198 Tc -0.0157 Tw (the ability to reach inside a person\222s s) Tj 223.2 0 TD -0.2119 Tc -0.0098 Tw (oul, take the fears out and put the hope back in\224.) Tj 288 0 TD 0 Tc -0.0298 Tw ( ) Tj -255.6 -16.08 TD ( ) Tj -185.76 -16.08 TD -0.2789 Tc 0 Tw (\223Your) Tj 32.88 0 TD -0.2158 Tc 0.0181 Tw ( support as a team is incredibly needed and appreciated\224 ) Tj 342 0 TD 0 Tc -0.0298 Tw ( ) Tj -513.12 -16.08 TD /F5 13.92 Tf ( ) Tj ET endstream endobj 38 0 obj 4331 endobj 35 0 obj << /Type /Page /Parent 36 0 R /Resources << /Font << /F0 6 0 R /F2 12 0 R /F5 24 0 R >> /ProcSet 2 0 R >> /Contents 37 0 R >> endobj 40 0 obj << /Length 41 0 R >> stream BT 72 556.08 TD 0 0 0 rg /F0 7.44 Tf -0.227 Tc 0.0787 Tw (ACGNN Report April 2004) Tj 81.6 0 TD 0 Tc 0.0917 Tw ( ) Tj 252.48 -504.72 TD /F2 9.12 Tf 0.083 Tc 0 Tw (-) Tj 2.64 0 TD -0.803 Tc 0.1661 Tw ( 8 ) Tj 10.56 0 TD 0.083 Tc 0 Tw (-) Tj 2.64 0 TD /F0 7.44 Tf 0 Tc 0.0917 Tw ( ) Tj ET q 716.4 48.48 3.84 12.48 re h W n BT 716.4 51.36 TD /F2 9.12 Tf 0.083 Tw ( ) Tj ET Q BT 72 509.28 TD /F0 13.92 Tf -0.2125 Tc -0.0039 Tw (We used a problem and case based approach in presenting the workshops. We weaved stories of our own ) Tj 0 -16.08 TD -0.2055 Tc -0.0642 Tw (practice and more importantly the storie) Tj 235.68 0 TD -0.2045 Tc -0.0453 Tw (s of the nurses throughout the two days. We engaged in an ) Tj 355.92 0 TD -0.1795 Tc -0.0902 Tw (open ) Tj -591.6 -16.32 TD -0.2472 Tc 0 Tw (dialogue) Tj 50.64 0 TD -0.2169 Tc 0.0157 Tw ( about challenges they have experienced in specific clinical situations. The experience was almost ) Tj -50.64 -16.08 TD -0.2205 Tc 0.0246 Tw (overwhelming to us as presenters. The power of these stories, told with such compassio) Tj 523.92 0 TD -0.2169 Tc -0.0528 Tw (n and caring filled all ) Tj -523.92 -16.08 TD -0.2466 Tc 0.1368 Tw (of us who were listening with a sense of pride in our profession.) Tj 376.32 0 TD 0 Tc -0.0298 Tw ( ) Tj -376.32 -16.08 TD ( ) Tj 0 -16.08 TD /F5 13.92 Tf -0.2323 Tc -0.0374 Tw (I Can Do\205.) 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