MID- YEAR REPORT 2021-2022 - Nurses Specialized in Wound, Ostomy and Continence Canada - NSWOCC

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MID- YEAR REPORT 2021-2022 - Nurses Specialized in Wound, Ostomy and Continence Canada - NSWOCC
2021-2022
MID-
YEAR
REPORT

Nurses Specialized in Wound,
Ostomy and Continence Canada
66 Leopolds Drive
Ottawa, Ontario K1V 7E3
1-888-739-5072
office@nswoc.ca
www.nswoc.ca
MID- YEAR REPORT 2021-2022 - Nurses Specialized in Wound, Ostomy and Continence Canada - NSWOCC
MID- YEAR REPORT 2021-2022 - Nurses Specialized in Wound, Ostomy and Continence Canada - NSWOCC
TABLE OF CONTENTS
       Our Mission, Vision, Values						1
       Message from the President						2
       Message from the Chief Executive Officer			 4
       NSWOCC: The People							7
       Membership & Communication					10
       NSWOCC Value Proposition						13
       2021-2023 Strategic Priorities					         14
       Regional Director Reports						15
        British Columbia & Yukon						16
        Prairies and Northwest Territories					16
        Ontario									17
        Quebec									17
        Atlantic									18
       Core Program Reports							19
        Professional Development						20
        Research and Practice							21
        Indigenous Wound, Ostomy and Continence				 22
        Community Engagement 							23
        French Community of Practice 						23
        Paediatric Community of Practice 					      24
        SWAN Community of Practice						25
       Wound, Ostomy and Continence Institute			        26
        National Conference Planning						26
        Publications									27
       WOC-Institute Report							30
       NSWOCC Offical Interest Groups					 48
        INTERNATIONAL SKIN TEAR ADVISORY PANEL			       49
        CANADIAN PRESSURE INJURY ADVISORY PANEL		       52
       Thank you!									                              54

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MID- YEAR REPORT 2021-2022 - Nurses Specialized in Wound, Ostomy and Continence Canada - NSWOCC
OUR MISSION                     OUR VISION
    Leading excellence is our       Every person deserves
    passion.                        specialized wound, ostomy and
    Enhancing lives is our          continence care.
    inspiration.
    Innovation is our commitment.
                                    OUR VALUES
                                    Nursing Specialty Excellence.
                                    Leadership.
                                    Collaborative partnerships.
                                    Compassion.

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                                         MESSAGE FROM
                                         THE PRESIDENT
                                         Nevart Hotakorzian,
                                         RN, BScN, NSWOC
                                         Nurses Specialized in Wound, Ostomy and Continence
                                         Canada (NSWOCC) works to bring results.

                                         We have continued to lead the way for greater
                                         recognition of Nurses Specialized in Wound,
                                         Ostomy and Continence (NSWOCs) nationally and
                                         provincially. Three important documents have been
                                         translated into French as part of our engagement
                                         to help all our members across the nation. The
                                         Preoperative Stoma Site Marking for Fecal Diversions:
                                         ileostomy and colostomy, the Clean Intermittent
                                         Urethral Catheterization in Adults – Canadian
                                         BPR and the Canadian Standards of Practice for
                                         NSWOCs. In May 2021, we added the French day to
                                         our national conference with international and local
                                         speakers. We continue to make plans to reach our
                                         French community; we will work very hard to engage
                                         all NSWOCC members.

                                        To date, the Debridement: Canadian Best Practice
                                        Recommendation for Nurses developed by NSWOCC
                                        is completed with a Quick Reference Guide. It will
                                        be published in the JWOCN and we will launch the
     first Advanced Debridement Program with the Wound, Ostomy and Continence Institute
     (WOC-Institute) on January 15, 2021. Registration is now open at wocinstitute.ca.

     NSWOCC believes in collaborating and respecting diversity and as part of our commitment,
     we have continued to support Bev Smith, our Core Program Leader and the Indigenous
     Wound Ostomy Continence Health Core Program. A webinar was also presented on
     Transgender Surgery to address cultural diversity needs thanks to Misty Stephens ,our
     British Columbia and Yukon Regional Director.

     The NSWOC Advance, our official publication, continues to produce three issues per year.

NSWOCC 2021-2022 Mid-Year Report                                                                 2
MID- YEAR REPORT 2021-2022 - Nurses Specialized in Wound, Ostomy and Continence Canada - NSWOCC
It now has peer reviewed articles with English and French content written by NSWOCs.
    It is available electronically or in hard copy. It can be accessed online at http://nswoc.ca/
    advance.

    It is with great pride and joy that we have succeeded to launch a Wound, Ostomy, and
    Continence Education Program (WOC-EP) in Argentina. The NSWOCC WOC-EP was
    translated into Spanish with the help of Dr Arman Lira, MD, PhD and Shareigh Reza, PhD.
    The first Spanish WOC-EP is being piloted in Argentina and started October 2, 2021. This
    initiative was needed and has been tremendously welcomed and supported by Argentina
    and its Health Ministry.

    As we continue to grow, our organization structure has changed. I want to congratulate
    Troy Curtis, BHum (Hons) who is now the Director of Operations. He has played an
    important role in communications and membership and we recognize all his hard work.
    Nicole Kocajda, MBA, IIWCC, ISWA has also joined us as Program Manager for the WOC-
    Institute. We welcome Nicole with enthusiasm and are looking forward to working with
    her.

    We continue to strive to improve provincially, nationally and internationally. We are
    privileged to have active members who are passionately involved. You are the future of
    NSWOCC and with your joint efforts, we move forward.

    Nevart Hotakorzian
    NSWOCC President

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                                  MESSAGE FROM THE
                                  CHIEF EXECUTIVE
                                  OFFICER
                                  Catherine Harley,
                                  RN, IIWCC, eMBA
                                  In the forty plus years since Nurses Specialized in Wound,
                                  Ostomy and Continence Canada (NSWOCC) modest entry into
                                  advancing the tri-specialty of wound, ostomy and continence
                                  specialized nursing practice, the world has faced a multitude
                                  of threats and challenges. This past year, though, has been
                                  uniquely difficult. The confluence of the COVID-19 pandemic,
                                  multiple instances of racial injustice, financial uncertainty, and
                                  record-shattering extreme climate events have exposed the
                                  deepest cracks in society’s foundations and compelled us to
                                  draw from our strength and resilience.

                                    NSWOCC didn’t just survive past crises, we emerged stronger.
                                    Over and over, together with our Members, volunteers and
                                    contractors, we demonstrated the ability to persevere, adapt
    and flourish. With our Members’ safety at the forefront, while we had to make the difficult
    decision to stay with a virtual national conference in May 2022, we know that Canada will
    rally again; that we have a chance do more than return to normal. We can and should pursue
    a better normal.

    We needed to examine where we might need to listen more keenly, adapt our thinking and
    change our actions. On October 2, 2021, the NSWOCC Board of Directors and Core program
    leaders met virtually in order to review where the association strategy fared vis-à-vis the
    2021-2023 strategic plan, and to discuss where we need to focus and also support and
    implement in order to better meet the needs of our Members. We discussed how our people
    and processes adapted, and how our commitment to our members and patients will continue
    to thrive under the strain of extraordinary circumstances. An Operational Plan for the next
    twelve months is being developed to take us through to the end of 2022.

    During times of great uncertainty, we look to the mission, vision, and values of NSWOCC as
    our guiding principles. We remain committed to taking care of each other and leading the
    way for our Members and patients in order to achieve results no matter the circumstance.

NSWOCC 2021-2022 Mid-Year Report                                                                       4
MID- YEAR REPORT 2021-2022 - Nurses Specialized in Wound, Ostomy and Continence Canada - NSWOCC
In order to strengthen collaboration with our Industry Members, we are pleased to
     announce the launch of the NSWOCC Industry Advisory Council (NIAC).

     The NSWOCC Industry Advisory Council (NIAC) was launched on June 9, 2021 and have
     had a total of three meetings in 2021. Representatives from nineteen companies who
     have technologies in wound, ostomy or continence or who distribute wound, ostomy and
     continence products participated. The first two co-chairs were appointed by the NSWOCC
     Board due to their recent completion of the Industry Skin Wellness Associate Program
     (ISWA) – Nicole Kocajda, Marketing Manager for Mölnlycke and Rodney Blair, National
     Sales Manager, Hollister Limited.

     The first action items for NIAC were to develop the mission, vision and competitive
     compliance statement and the “NIAC Terms of Reference”. During the meeting on
     September 8, 2021, NIAC worked on finalizing the mission, vision and competitive
     compliance statement as follows:

     Mission
     As a special interest group, NSWOCC Industry Advisory Council (NIAC) strives to bring
     Nurses Specialized in Wound, Ostomy, and Continence and companies with applicable
     products and services together to set a standard for positive, beneficial, and open
     collaboration to improve care for Canadian patients.

     Vision
     Collaborate to support improved clinical and health economic outcomes for wound,
     ostomy, and continence patients.

     Competition Compliance Statement
     NIAC Members will at no time engage in discussion or activities that might serve to
     lessen competition among its industry members, such as price adjustments, customer
     segmentation, or the sharing of confidential, proprietary information.

     NIAC Membership
     Industry members including manufacturers and distributors of products relating to wound,
     ostomy and continence

     NIAC Roles and Responsibilities
    1. NIAC will provide informed advice to the NSWOCC Board of Directors regarding:
          • input into 2022 NSWOCC Annual Conference and future conferences
             Exhibit Hall set up
          • input into conference networking event
    2. NIAC will represent the voice of wound, ostomy and continence industry to the

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       NSWOCC Board of Directors in order to support their strategic plan and decision
       making.
    3. NIAC will receive updates from the NSWOCC Board in order to stay current and
       relevant in connecting clinical developments with industry trends to positively
       impact patient care.
      NIAC Governance
    • Co-chair model
    • Two co-chairs for two-year term of office starting June 9, 2021
    • During second year – call for nominations to onboard “co-chairs elect” and
      mentorship for with current co-chairs to support a democratic process
    • Accountable to the NSWOCC Board of Directors
    • Each co-chair responsible for minutes (alternate)
    • Minutes to be submitted to NIAC members and NSWOCC BOD within 2 weeks
      post meeting
    • No budget required at this time
    • Annual Report to NSWOCC Board of Directors by March 25 of each year
     Meeting Frequency
     •   June (for post-conference review)
     •   September
     •   November
     •   January
     •   March
     •   May (on-site or virtually at the conference)
     •   Ad hoc as required

     The NIAC Members have given input into an “Industry and Science“ Day at the 2022
     NSWOCC National conference which will be held virtually in 2022. We look forward to
     working with NIAC as we work towards a strong collaboration between NSWOCC and
     industry Partners.

     Sincerely,

     Catherine Harley

NSWOCC 2021-2022 Mid-Year Report                                                           6
MID- YEAR REPORT 2021-2022 - Nurses Specialized in Wound, Ostomy and Continence Canada - NSWOCC
NSWOCC:
    THE PEOPLE
    Board of Directors
    Executive
    President: Nevart Hotakorzian
    President-Elect: Marcia Leard
    Secretary: Tracy Fournier
    Treasurer: Erin Rajathy
    Chief Executive Officer: Catherine Harley

    Regional Directors
    BC/Yukon: Misty Stephens
    Prairies/NT/NU: Jodi Quinlan
    Ontario: Stephanie Furtado
    Quebec: Valerie Chaplain
    Atlantic: Karla Lohnes

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 Core Program Leaders
  Research & Practice             Community Engagement            Paediatric Community of
  Nancy Parslow                   Erin Rajhathy                   Practice
  Dr. Kevin Woo                   French Community of Practice    Stephanie Furtado
  Professional Development        Valerie Chaplain
  Debra Johnston                  Swan Community of Practice
  Indigenous WOC Health           Britney Butt
  Bev Smith

 Wound, Ostomy and Continence Institute
  Academic Chair: Dr. Kimberly LeBlanc
  Program Manager: Nicole Kocadja
  Program Development: Corey Heerschap & Britney Butt
  Program Coordinator: Suzanne Sarda
  IT Coordinator: Marianne Cardinal
  National Conference Planning: Mary Hill
  Publications: Lina Martins

 Academic Advisors                                                Editorial Board
 Preceptorship Program            WOC-EP Program                   Features Editor
                                                                   Lina Martins
                                  Cathy Downs
  Preceptor Manager
                                  Nicole Pitcher                   BC/Yukon
  Nicole Denis
                                  Susan Peckford                   Dr Karen Campbell
  Student Placement Coordinator   Melanie Fauteaux                 Prairies/NT/NU
  Victoria McCallum,              Svea Menard                      Dr. Kevin Woo
  Christie Cowan,                 Eleanore Howard
  Angela McGuire                  Teri Schroeder                   Ontario
                                  Louise Samuel                    Lina Martins
  Preceptor Markers
  Liette St Cyr,                  Mary Engel                       Quebec/Atlantic
  Cecilia Yeung                   Gail Creelman                    Louise Forest-Lalande
  Barb Plumstead                  Nicholas Joachimides
                                  Najwa Shbat
 SWAN Program                     Laura Robbs
  Vida Johnston                   Carly Lindsay
  Heather Wright                  Marie-Andrée Mason

 Indigenous Cultural Safety
  Heather Wright

NSWOCC 2021-2022 Mid-Year Report                                                            8
Interest Groups                                         NSWOCC Staff                                                          Committees
    International Skin Tear                                      Chief Executive Officer                                             Nominating Committee Chair
    Advisory Panel (ISTAP):                                      Catherine Harley                                                    Laureen Sommerey
    Dimitri Beeckman
                                                                 Director of Operations                                              Bylaws Chair
    Canadian Pressure Injury                                     Troy Curtis                                                         Vivian Wass
    Advisory Panel (CPIAP):                                      Bookkeeper                                                          NSWOCC Industry Advisory
    Kimberly LeBlanc                                             Andre Lavigne                                                       Council Co-Chairs
    Kevin Woo                                                                                                                        Rodney Blair
                                                                 Professional Accountant
                                                                                                                                     Co-Chair to be
                                                                 Bruce Deep
                                                                                                                                     announced Nov 10/21
                                                                 Lawyer
                                                                 Karen Cooper

                                                                            ORGANIZATIONAL
                                                                            STRUCTURE
                                                                      Board of Directors

                                                                    Chief Executive Officer
                                                                                                                             WOC Institute Chair
                                                                      Director of Operations                                      Program Manager
                                   Members
                                                                                                 Professional Assistant
                                   Patients

                                               Core Programs                                             Interest Groups
                              Research & Practice           French Community of Practice               International Skin Tear
                              Professional Development      SWAN Community of Practice                 Advisory Panel (ISTAP)
                              Indigenous WOC Health         Paediatric Community of Practice          Canadian Pressure Injury
                              Community Engagement          Membership                                 Advisory Panel (CPIAP)

                  Preceptor        Academic Advisor   Academic Advisor     Academic Advisor       Program        SWAN Program           National      Publications Lead
                  Manager           Lead - Ostomy       Lead - Wound       Lead - Continence   Redevelopment                           Conference
                                                                                                    Lead                             Planning Chair

                  Preceptor           Academic             Academic          Academic          Cultural Safety     Academic            Planning       NSWOC Advance
                Coordinators x3     Advisor (AA) 1       Advisor (AA) 1    Advisor (AA) 1                        Advisor (AA) 1       Committee
                                                                                                                                         x10

               Preceptor Marker         AA 2                 AA 2               AA 2                                  AA 2                                JWOCN -
                   - Quebec                                                                                                                               Regional
                                                                                                                                                         Committee
                                        AA 3                 AA 3               AA 3                                  AA 3
               Preceptor Marker
                   - Ontario
                                                             AA 4

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 MEMBERSHIP &
 COMMUNICATION
   Troy Curtis,
   Director of Operations
     Membership Demographics - Key points
    • Going into mid-year, NSWOCC sits at 725 members across
      all regions. Ontario members make up just over 50% of our
      membership at 51%, representing our most populous region, while
      the Atlantic region makes up the smallest percentage of members
      at just over 7%.
    • 92.69% of our membership chooses English as their preferred
      language, while 7.31% prefer French.
    • The median and average age of our                 Total Membership Makeup by Province
      members is 42 years old, with members
      being on average 19 years away from
      retirement.
     New registrations & renewals - Key
     points:
    • Between January 1st, 2021 to
      September, 2021, we have had 205 new
      registrations.
    • People usually renew their memberships
      during the 1st Quarter (34% of
      membership renewals each year), and
      right around our National Conference
      (11.5% of membership renewals each
      year happen in May).
    • Inversely, the fewest renewals happen
      after our conference at the start of the
      summer, and in October-November.
     Membership Committee
     In 2022, we will be creating a membership committee made up of 3-5 members to:
    • Review membership benefits.
    • Assess the current tools we use to communicate with, and provide value to, members
    • Determine key member priorities & needs.
    • Visualize, and improve, the membership journey to encourage retention & renewals.

NSWOCC 2021-2022 Mid-Year Report                                                              10
Membership Communication
     • E-newsletters and e-blasts remain our strongest and most successful communication
       channel to share information with our members; our open rates and click rates is nearly
       double the industry average. This indicates that we truly have an engaged, loyal subscriber
       list.
     • As we near 2022, we are going to be developing a new Communications Plan to accomplish
       the following:
            • Create the capacity to schedule promotions in advance
            • Prepare promotional graphics earlier
            • Engage with our online community more
            • Measure performance better to make more informed decisions about our
               communication efforts
      This includes plans to:
     • Create a content schedule of important, recurring types of promotions.
     • Make it a habit to monitor and review social media, email, and website analytics.
     • Increase capacity to share more messages & better engage our networks online to:
             • Acknowledge more of the good work by members & partners
             • Interact with partners on social media
             • Be more aware of industry, competitor and partner updates
     • Increase capacity to translate key messages into both languages.

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              PRESS RELEASE
              Nurses Specialized in Wound, Ostomy & Continence Canada (NSWOCC)
              66 Leopolds Drive, Ottawa, Ontario K1V 7E3
              P: 613-762-5788
              E: office@nswoc.ca
                                              FOR IMMEDIATE RELEASE
                       NSWOCC Announces the Promotion of Troy Curtis to Director of Operations
                                             Ottawa, October 1, 2021 – We are pleased to announce that Mr. Troy
                                             Curtis of Ottawa, Ontario has been promoted to the position of NSWOCC
                                             Director of Operations.
                                             Troy joined NSWOCC in July 2019 as the Manager of Membership and
                                             Communications where he provided exceptional membership support and
                                             value though supporting member benefits. He also developed and provided
                                             communications to make sure that the Membership was informed. In 2020,
                                             when NSWOCC had to pivot to a virtual national conference on short notice,
                                             Troy was instrumental in building virtual conference platform to ensure
                                             that members could access continuing education. He has also provided
                                             outstanding support for the NSWOCC webinar series, the Wound, Ostomy
                                             and Continence Institute and the International Skin Tear Advisory Panel.
              A 2019 Bachelor of Humanities graduate from Carleton University, Troy previously held several
              operational and leadership roles for not-for-profit organizations, including serving as Co-Director for
              Hatch Entrepreneurship Centre, Communications Assistant for Wheelchair Basketball Canada, and Office
              Administrator for the Orléans Chamber of Commerce (now amalgamated with the Ottawa Board of Trade).
              Troy developed a strong marketing and business acumen while supporting and advising two cohorts of
              student start-ups through an 8-week pre-incubator program as Co-Director and Marketing Lead for Hatch,
              and helped instruct multiple first-year Entrepreneurship classes on the Business Model Canvas.
              As the main point of contact for the Chamber of Commerce, Troy helped manage all member events,
              supported recruitment & marketing efforts, and ensured strong communication between members and the
              organization.
              We look forward to having Troy as a part of the strategic business team where he will apply his knowledge
              and skills set to advancing the NSWOCC and the specialized nurses that we serve.
              About NSWOCC
              Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) is a registered charity for over
              600 nurses specializing in the nursing care of patients with challenges in wound, ostomy and continence.
              The Wound, Ostomy and Continence Institute is wholly owned and operated by the NSWOCC. NSWOCC’s
              official interest groups are the International Skin Tear Advisory Panel (ISTAP) and the Canadian Pressure
              Injury Advisory Panel (CPIAP).
              For more information, please contact Catherine Harley, NSWOCC Chief Executive Officer at office@
              nswoc.ca or by visiting our website at www.nswoc.ca.

                             Nurses Specialized in Wound, Ostomy & Continence Canada (NSWOCC)
                 66 Leopolds Drive, Ottawa, Ontario K1V 7E3 | P: 613-762-5788 | E: office@nswoc.ca | www.nswoc.ca

NSWOCC 2021-2022 Mid-Year Report                                                                                          12
NSWOCC VALUE
     PROPOSITION

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  2021-2023
  STRATEGIC
  PRIORITIES
   1                                                7
       Strengthen member value through new              Increase French language material to
       programs and initiatives that advance            members to better meet the needs.
       the profession of Nurses Specialized in

                                                    8
       Wound, Ostomy and Continence.                    Lead the way for virtual Wound,
                                                        Ostomy & Continence Care.

  2
       Establish an NSWOC voice in shaping

                                                    9
       Canadian Health Policy—put wound,                Advance leaders in specialized wound,
       ostomy & continence on the political             ostomy and continence nursing.
       agenda—nationally and provincially.

                                                   10
                                                        Strengthen wound, ostomy and

  3
       Develop a National “Wellness” Program            continence patient interaction through
       to support Nurses Specialized in Wound,          a Patient Engagement Framework.
       Ostomy and Continence.

                                                   11
                                                        Develop a national pressure injury

  4
       Create a collaborative and respectful            strategy to address the prevention &
       NSWOCC professional culture through              management in Canada.
       establishing a policy on diversity,

                                                   12
       equity and inclusion and identify                Form national and international
       ways to support Indigenous People of             partnerships to increase reach in
       Canada through a focus on “Truth and             wound, ostomy and continence
       Reconciliation”.                                 prevention and management.

  5                                                13
       Connect NSWOCs across Canada:                    Develop a technology infrastructure to
       both provincially & nationally creating a        support core programs, marketing and
       national community of practice including         communication.
       a Paediatric Community of Practice.

  6
       National & International recognition
       of academic excellence of the WOC
       Institute academic programs while
       meeting the need of nurses and allied
       healthcare professionals.

NSWOCC 2021-2022 Mid-Year Report                                                                 14
REGIONAL
     DIRECTOR
     REPORTS
     Engagement and collaboration to drive
     meaningful change
      To create improvements in wound, ostomy and
      continence care, NSWOCC continues to engage
      members to discuss issues and create solutions
      not only at scheduled events but also year-round
      through ongoing reflection and dialogue during
      Regional Meetings.

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   British Columbia & Yukon
     Regional Director
     Misty Stephens, RN, BScN, NSWOC, WOCC(C)
   Key Regional Highlights
    • Welcome to all the new Graduates from the WOC Institute. We
       look forward to having you as a part of the NSWOCC British
       Columbia & Yukon Region
    • We have completed the rollout of the new redesign of the
       connecting learners with knowledge website – this information can
       be found at Www.Clwk.ca
    • The new basic foot and nail care guidelines and procedures are now
       available on the connecting learners with knowledge website www.
       Clwk.ca
    • Approved off-loading devices for diabetic feet are now available
       through B.C. provincial funding. The documents will be shared when
       they become available through Pharmacare.
    • The revision of the CSWD e-learning module for all new NSWOC’s
       will be available soon at www.clwk.ca. If you have questions or
       need preceptorship, please contact our Provincial Skin and Wound Committee or misty.
       stephens@fraserhealth.ca, and I can help set you up with your preceptor in your authority
       or area.

   Prairies and Northwest Territories
     Regional Director
     Jodi Quinlan, RN BN, NSWOC, WOCC(C), IIWCC
   Key Regional Highlights
    • No Regional meetings held due to COVID-19 redeployments
       throughout the Province of Alberta
    • Ongoing e-mail communication/updates to encourage NSWOC
       membership, CNA certification writing and need for preceptors.
    • E-mails have included temperature checks to see how Members
       are doing
    • We look forward to getting through this COVId-19 pandemic
       period and on the other side when we will be able to meet once
       again
    • We are thinking of all our Regional Members and wishing you and
       your families’ safety and good health

NSWOCC 2021-2022 Mid-Year Report                                                                   16
Ontario
       Regional Director
       Stephanie Furtado, RN, BScN, MClinSc-(WH), NSWOC,
       WOCC(C)
     Key Regional Highlights
      • We have been holding Town Hall style meetings to inform members on
         NSWOC programs and opportunities to volunteer. The next Town Hall
         meeting for Ontario Members is October 26, 2021 at 7PM ET
      • We have been connecting Members with NSWOC Core Program groups
         and committees to work on best practice recommendations and position
         statements
      • It has been a pleasure to assist NSWOC WOC- EP students with pediatric
         speciality placements
      • I have been chairing the Paediatric Core program and we have been working on developing
         a National Best Practice Recommendation for Paediatric Incontinent Associated Dermatitis.
         Please see the Core program section for further information.
      • Looking for a NSWOC position? Check out the job postings for Ontario at nswoc.ca

     Quebec
       Regional Director
       Valerie Chaplain, RN, BScN, NSWOC, WOCC(C)
     Key Regional Highlights
      • Two regional meetings are held annually. The last one was on Sept
         24th, and was done virtually; 38 Members attended.
      • These regional meetings are led by the AIISQ Board, for which the
         Québec NSWOCC Regional Director is a part of.
      • In March 2021, each of the two organisations, AIISQ (Pascale
         Bellemare, Audray Lafortune and Valérie Chaplain) and NSWOCC
         (Cathy Harley, Erin Rahjathy and Nevart Hortakozian), prepared a
         15-page document on the subject of the tri-specialty / ET Nurse
         specialization in Quebec. This document was sent to the OIIQ,
         who asked members for such documents in preparation of the
         États généraux held in May 2021.
      • Kim LeBlanc, Audray Lafortune and Luce Martineau were
         part of a virtual discussion panel on the expertise of nurses,
         they were there to make sure NSWOCs were represented as
         experts.

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    • The report from the États généraux was published early September, 2021 and it mentioned
      that new categories of specialized nursing clinicians should be officially created, Wound and
      Ostomy were listed in the priority list.
    • The Bureau de l’Innovation from the Ministry of Health, contacted the Québec Regional
      Director to get Québec NSWOC’s together to implement a telemedicine project to
      help justify the need for a broader availability of wound care product; eight Members
      volunteered for this exciting project.

   Atlantic
     Regional Director
     Karla Lohnes, RN, BScN, NSWOC, WOCC(C)
   Key Regional Highlights
    • The first “in- person” Atlantic Regional meeting since 2019 was held
       on September 25th in Halifax.
           • Pressure injury prevention strategies from NB, NS and PE were
              discussed.
           • Electrical Stimulation was presented as an option for advanced
              wound care therapy.
           • Discussion among colleagues provided some potential solutions for
              difficult to manage patient cases.
           • Attendees were also provided with an introduction to 3M’s new
              Kerra dressings.
    • We continue to advocate for the tri-specialty role and encourage
       you to reach out to office@nswoc.ca if you need any support to
       advocate in your area.
    • There are a series of NSWOCC webinars available on the nswoc.ca
       website for your viewing and continuing education. Please take the
       time to check them out.

NSWOCC 2021-2022 Mid-Year Report                                                                      18
CORE
     PROGRAM
     REPORTS

19      NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year
                                                                 22 Report

   Professional Development
     Core Program Lead
     Debra Johnston, RN, BScN, MN, NSWOC, WOCC(C)

 Canadian Urinary Diversion Position Statement
    • Five Urinary Diversions include: Ileal Conduit; Neobladder;
      Indiana Pouch; Mitrofanoff; Cutaneous Ureterostomy
    • Each section has been organized into these subheadings:
         • Definition (High level-> easy enough for the reader to
             understand, yet appreciated the differences among the
             types of diversions. Remember: Surgical technique is out
             of scope of this project)
         • Patient selection
         • Pre-op counseling including risks, benefits, stoma marking
             and complication prevention
         • Early post-op care; description management of
             complications
         • Long term post-op care; description and management of complications
         • HRQoL
         • Paediatric
         • Conclusion/ Clinical Pearls
         • Images and enablers

    • Each respective working group has completed their initial draft based on the literature
      review and expert opinion/ experience.
    • John Gregory, our medical writer, has synthesized the sections into the first initial draft and
      sent out for task force member review. Preliminary artwork underway.
    • Peer Review will start October 18th (currently have ~40-50 names of reviewers- both
      Canadian and international).
    • Will have agreement of all three partnering organizations prior to the release o this
      document (NSWOCC, CUA, UNC).
    • Goal to have ready for NSWOC review by Dec 1st, 2021; and presentation to the
      NSWOCC Board on Dec 14th, 2021. Publication thereafter. Journal TBD-> will need
      consensus of NSWOC, CUA and UNC.

 Canadian Standards of Practice for NSWOC
     • French translation has been completed and posted at nswoc.ca
     • Submitted for NSWOC Advance Publication in Dec 2021
     • Submitted for JWOCN Feature Article in Jan/ Feb 2022

NSWOCC 2021-2022 Mid-Year Report                                                                        20
Research and Practice
      Core Program Co-Chairs
      Dr Kevin Woo, PhD, RN, FAPWCA,
      NSWOC, WOCC(C)
      Nancy Parslow, MClSc(WH), RN,
      NSWOC, WOCC(C)

      Debridement: Canadian Best Practice Recommendations for Nurses
      Status of activities
      Quick Reference Guide (QRG) completed and posted on the NSWOCC site
      Publications:
      JWOCN Nov/Dec 2021:
      Debridement Canadian Best Practice Recommendations for Nurses Developed by Nurses
      Specialized in Wound, Ostomy and Continence Canada (NSWOCC)
      NSWOCC Feature
      Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) Announce Their Latest
      Guidelines: “Debridement: Canadian Best Practice Recommendations for Nurses
      Presentations
      NSWOCC Conference May 2021
     • Oral presentation: “Debridement: Canadian Best Practice Recommendations for Nurses”
     • International Panel Discussion: “Debridement: Who should be doing it?”
      Wounds Canada Conference October 2021
     • Poster Presentation submitted
     • Oral Presentation to be presented
      Acknowledgements
     • Thank you to Dr. Kevin Woo for his support in the literature search process for the
       Canadian Urinary Diversions Position Statement Project and for the Paediatric IAD Best
       Practice Recommendations Project.
     • Thank you to Nancy Parslow for leading the Debridement: Canadian Best Practice
       Recommendations for Nurses abstract submission to Wounds Canada and the publication
       to JWOCN.
     • Thank you to Mary Hill, Nancy Parslow, Erin Rajhathy & Kevin Woo for their development
       of the Debridement: Canadian Best Practice Recommendations for Nurses Quick Reference
       Guide.

21                                                              NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year
                                                              22 Report

   Indigenous Wound, Ostomy and
   Continence
     Core Program Leader
     Bev Smith, BScN, RN, NSWOC
            Supporting Truth and Reconciliation
     Key Highlights
    • We have had seven meetings since January 2021.
    • We have been working with the University of Toronto’s KITE
       Research Center on creating culturally appropriate footwear for
       Indigenous peoples with diabetes.
    • We are working to have disposable negative pressure wound therapy
       covered by NIHB.
    • Our group is working on a webinar to increase the knowledge of
       wound, ostomy and continence health in Indigenous people for January
       2022 and presentation for the NSWOCC conference in May 2022.
    • There is a plan to set up a website for our Core Program to provide
       a variety of resources related to Indigenous Wound, Ostomy and
       Continence health.
    • Our Core Program awarded a full scholarship to an Indigenous
       Nurse who completed the Wound Ostomy and Continence Institute
       WOC-EP Program. This scholarship was generously funded by
       7Generations Medical. Michelle Buffalo, RN, BScN, NSWOC, WOCC
       (C) of Alberta was the recipient. Congratulations to Michelle who is
       a strong advocate for Indigenous wound, ostomy and continence
       health.

     Committee Members:
     • Anna Tumchewics                •   Jeremy Caul                  •   Nicole Corbiere
     • Audray Lafortune               •   Karen Bruton                 •   Rachel Radyk
     • Bev Smith                      •   Kaylee Ann Irving            •   Robin Cano
     • Brenda Moodie                  •   Maria Jones                  •   Seona Furlong
     • Cathy Harley                   •   Marian Abdelsayed
     • Christina Seguin               •   Marilee Nowgesic
     • Cynthia Magiskan               •   Meaghan Wilton
     • Denise Lalonde-Niccoli         •   Melanie Jeffrey
     • Denise Taylor                  •   Melissa Berube
     • Dr Rachel Asinwasis            •   Michelle Buffalo
     • Heather Wright                 •   Morgan Austin

NSWOCC 2021-2022 Mid-Year Report                                                             22
Community Engagement
      Core Program Leader
      Erin Rajhathy RN, BScN, MClSc-WH, NSWOC, WOCC(C)
        Advocating for Improved Wound, Ostomy and
                      Continence Care
      Key Highlights
     • Completed writing a two-page letter which will be submitted
        to the Ontario Ministry of Health advocating for better ostomy
        reimbursement through the Assistive Devices Program (ADP)
     • In conjunction with the VP of Western Region Health, was successful
        in advocting for a full-time NSWOC position in Yarmouth
     • Attended the Ostomy Canada and NSWOCC joint Advocacy
        Meetings monthly and the Ontario ADP Reimbursement meeting

     French Community of Practice
      Core Program Leader
      Valerie Chaplain, RN, BSc, NSWOC, WOCC(C)
        Strengthening the French Language in Wound,
                  Ostomy and Continence
      Key Highlights
     • The Fall will be dedicated to ensuring all all the NSWOC Advance
        publication guidelines are available in French .
     • One French manuscript was submitted to be published in the
        NSWOC Advance.
     • We are working on the French translation of the NSWOCC and
        WOC Institute websites.
     • The Canadian Standards of Practice for NSWOC are available in
        the French language on the nswoc.ca website under education.

23                                                            NSWOCC 2021-2022 Mid-Year Report
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                                                               22 Report

   Paediatric Community of Practice
     Core Program Leader
     Stephanie Furtado, BScN, RN, NSWOC, WOCC(C)
     Key Points
    • In Jan 2021, we connected with NSWOC’s across Canada who are
       working in or have an interest in infants and children with wound,
       ostomy, and continence needs, and the Paediatric Community of
       Practice was officially launched
    • In our initial meetings we set terms of reference, and priorities for
       projects that we would like to work on to improve care for our youngest
       patients.
    • As our first priority, we have started to create Canadian Best Practice
       Recommendations for Paediatric Incontinent Associated Dermatitis. We have completed
       a scoping review of the literature and are beginning to set out the draft best practice
       recommendations. Our completion target date is for presentation at the May 2022
       conference.

     Committee Members
                                                     •   Nicholas Joachimides
    • Ashley Hudson
                                                     •   Paulo DaRosa
    • Bridget Pinaud
                                                     •   Shelley Masyoluk
    • Christina Yadav
                                                     •   Tina Rutledge
    • Cathy Harley
                                                     •   Tracy Dowds
    • Emily Woodgate
                                                     •   Louise Forest-Lalande
    • Gail Creelman
                                                     •   Veronika Anissimova
    • John Gregory
                                                     •   Caroline Daoust
    • Kevin Woo
                                                     •   Chantal LeDuc
    • Carolyn Morin
                                                     •   Audrey-Anne Lalande
    • Jordan Goertz
    • Marcia Leard

NSWOCC 2021-2022 Mid-Year Report                                                                 24
SWAN Community of Practice
      Core Program Leaders
      Britney Butt, RN, BScN, MCLinSC-WH, NSWOC, WOCC(C)
      Kim LeBlanc PhD, RN, NSWOC, WOCC (C), FCAN

      The SWAN is a 5-month, competency based, paced online program which
      cumulates with a self-directed, mentored, clinical preceptorship which
      prepares practical nurses (LPN/RPN’s) for the role of a nurse with enhanced
      skills in the areas of wound, ostomy, and continence. In 2021, the SWAN
      program received accreditation from the Canadian Nurses Association.

      The goal of the SWAN community of practice is to provide SWANs a platform
      for mentorship and networking. The SWAN community of practice allows SWANs the
      ability to participate in discussions with NSWOCs and appreciate the important role all
      allied healthcare team members can bring to an interdisciplinary Wound, Ostomy and
      Continence -care team.

      In June 2021, the SWAN community of practice met to discuss the role of the SWAN and
      to conduct a SWOT analysis to better understand how the NSWOCC and SWAN graduates
      can promote the needs for SWANs on wound, ostomy, and continence care teams.

      From the SWAN analysis several themes emerged:

      Strengths                                Weaknesses
     • Advanced knowledge                     • New role
     • Competency based education             • Lack of awareness among employers, other
     • Advanced assessment skills               healthcare professionals and patients
     • Enhanced critical thinking skills      • The need for SWANs to constantly explain
     • Mentorship opportunities                 their role and what they can bring to the team

      Top Priorities
                                             The results of the SWOT analysis have been
     • Widespread promotion of the
                                             included into the WOC-Institute’s strategic plan.
        SWANs advanced knowledge
                                             The WOC-Institute will work with the SWAN
        and skills to employers, other
                                             community of practice and the NSWOCC to
        healthcare professionals and
                                             promote the SWAN role and to ensure ongoing
        patients
                                             mentorship. The ultimate goal is to increase
     • Promotion of the program
                                             enrollment and thus SWAN graduates to sufficient
        attributes
                                             numbers to sustain certification.
     • Ongoing mentoring opportunities

25                                                              NSWOCC 2021-2022 Mid-Year Report
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                                                             22 Report

   Wound, Ostomy and Continence
   Institute
   National Conference Planning: “Optimizing
   Continuing Education”
     Core Program Leader
     Mary Hill, RN, BScN, MN, NSWOC, WOCC(C)
     Key Highlights: Update on May 26-28, 2022 Virtual Conference
    • Due to the unpredictable environment because of COVID-19
       Wave 4, NSWOCC will be hosting the 41st Annual conference
       virtually for the 3rd year. A survey was sent in early Sept
       2021 to members for feedback on a face-to-face conference.
       Several factors including travel, non-standardized process
       for vaccination passports across the country, challenges with
       health care institutions with staffing and travelling across
       Canada in the pandemic has members hesitant to attend a
       face-to-face conference. Industry feedback was attained as
       well. NSWOCC Board voted to preserve the National Conference and have it virtual again
       to provide a safe educational environment for all attendees.
    • The NCPC is working at providing members and health care professionals with a fresh and
       innovative conference virtually in 2022.
    • Our goal is to get back face to face by May 2023.

     Committee Members
    • Mary Hill - Program Lead and Chair           • Lina Martins ONT (Education
    • Cathy Harley- Corporate Program/               Committee)
       Finance                                     • Folashade Alalade ONT (Educational
    • Kim LeBlanc- Education Program                 Committee)
    • Troy Curtis - Virtual Booths/ All IT         • Kim Mayenberg BC Poster/Oral Abstract
       Support                                     • Eileen Emmott AB (Local Rep and
    • Monica Frecea ONT(Syllabus and Printed         Industry Liaison)
       Materials)                                  • Samantha Timleck BC (SWAN
    • Julie Tjan Thomas ONT (Syllabus and            Representative)
       Printed Materials)
    • Kim Meeker ONT (Education Committee)
    • Louise Samuel Quebec (Poster/Oral
       abstracts)

NSWOCC 2021-2022 Mid-Year Report                                                                26
Wound, Ostomy and Continence
     Institute
     Publications: “Providing Opportunities to Publish”
      Core Program Leader
      Lina Martins, RN, BScN, MScN, WOCC(C)
         Editor-in-Chief, NSWOC Advance
         NSWOCC Canadian Features Editor, JWOCN
      NSWOC Advance Key Highlights
     • Ongoing review of submissions and publications of peer-reviewed
        manuscripts
     • Standing reports/updates from the NSWOCC President,
        NSWOCC CEO, WOC Institute Chair, NSWOC Advance
        Editor-in-Chief
     • Ongoing Industry support with communication of company
        messages, products and services
     • Board approved 3-year contract renewal with publisher –
        Clockwork Communications
     • Investigating options for streamlining online submissions and
        review process
     • In response to member requests and the vision of advancing
        our publication rigor, we have:
           • Updated our manuscript submission guidelines and
             accompanying consents
           • Established a peer review panel/process which we are
             continuing to develop
           • As of the December 2021 issue, increased our
             number of peer-reviewed manuscripts in our NSWOC
             Advance publication from 2 to 3 peer manuscripts
           • A listing of our 2021 peer reviewed submissions include:
                    •   Radical prostatectomy for prostate cancer: Nursing interventions for post-operative sexual
                        dysfunction (March 2021)
                    •   Developing diabetic foot resources: An educational resource for clinicians (March 2021)
                    •   Addressing sexual health pre- and post-cancer treatment: Suggestions for NSWOCs
                        (September 2021)
                    •   Research and continuing education: Reflections on an NSWOCs experience (September
                        2021)

27                                                                      NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year
                                                                        22 Report

                    •   Functional constipation in children: Assessment (December 2021)
                    •   Review of the Canadian Standards of Practice for Nurses Specialized in Wound, Ostomy
                        and Continence 3rd Edition (December 2021)
                    •   Nursing care of the person with a continent ileostomy (Kock pouch) (December 2021)
                    •   Transitioned our Regional Directors’ Reports and Core Program Leaders’ Reports to a
                        focused Newsletter format, to keep our membership abreast of projects and news in these
                        important portfolios that make up our Association

    •   Plans to introduce a “case study/solutions on the spot” section, in 2022
    •   Discussed the introduction of a yearly Manuscript Award (pending Board approval)
    •   Ongoing website updates
    •   Ongoing member of NSWOCC Conference Planning Committee and Education
        Subcommittee, having completed responsibilities for our 2021 virtual conference as well
        as moving into the planning phase for our 2022 virtual
        conference
     JWOCN Key Highlights
    • Met our contractual commitment of 3 Canadian Feature
       Section submissions per year. A listing of our 2021
       submissions include:
          • The Canadian Nurses Specialized in Wound,
              Ostomy and Continence Canada are “Plugged in
              and Charged Up”- and want YOU to be a part of
              it! (Mar/Apr issue)
          • Innovative New Programming to Expand the
              Reach of Wound, Ostomy and Continence
              Education (Sept/Oct issue)
          • Nurses Specialized in Wound, Ostomy and
              Continence Canada (NSWOCC) Announce Their
              Latest Guidelines: “Debridement: Canadian Best
              Practice Recommendations for Nurses” (Nov/Dec
              issue)
          • “Canadian Standards of Practice for Nurses
              Specialized in Wound, Ostomy and Continence:
              A 2021 Update” (has been submitted, pending
              approval for Jan/Feb 2022 issue)
    • Continue to support and promote NSWOC manuscript submissions. The most recent
       Executive Summary manuscript submission entitled “Debridement – Canadian Best Practice
       Recommendations for Nurses” Developed by Nurses Specialized in Wound, Ostomy and
       Continence Canada, has been accepted for publication in the Nov/Dec. 2021 issue
    • Participated in mid-year editorial board virtual meeting; a follow-up virtual meeting took
       place with JWOCN, WOCN Society and NSWOCC to review updated guidelines for
       submission of Feature Section content and association content

NSWOCC 2021-2022 Mid-Year Report                                                                                  28
WOUND,
     OSTOMY AND
     CONTINENCE
     INSTITUTE
     WOC Institute Chair
     Kimberly LeBlanc,
     PhD, RN, NSWOC, WOCC(C), FCAN

29                    NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year
                                                                                    22 Report

   WOC-Institute Programs at a Glance

  Program           Wound, Ostomy and Continence                     Skin Wellness Associate                    Industry Skin Wellness
  Descriptions      Education Program (WOC-EP)                       Nurse Program (SWAN)                       Associate Program
                                                                                                                (ISWA)

  Entry             BN, BScN, or equivalent
                                                                     Diploma RN, LPN/RPN                        Proof of Industry Employment
  Requirements      Offered in English and French

                    Online application, applicants are accepted
  Application                                                        Online application, applicants are         Online application, applicants are
                    2 times per year (Fall and Winter) for the
                                                                     accepted 2 times per year (Fall and        accepted 2 times per year (Fall
  Process           English cohorts and 1 time per year (Fall) for
                                                                     Winter)                                    and Winter)
                    the French cohort

                    12 months Paced online, includes 225 hours       5 months Paced online, includes
                                                                                                                4 months paced online, includes a
                    of clinical preceptorship with an experienced    75 hours of self-directed clinical
  Program Format    NSWOC mentor. Final exam is the CAN              preceptorship under the mentorship of
                                                                                                                cumulative assignment under the
                                                                                                                mentorship of an NSWOC
                    WOCC(C) certification exam                       an experienced NSWOC

  Competency
                    Yes                                              Yes                                        No
  Based
  Standards of
                    Yes                                              Yes                                        No
  Practice

  Ongoing
  Mentorship        Yes                                              Yes                                        Yes
  Opportunities

  Certification
                  Yes                                                Certificate of completion                  Certificate of completion
  upon completion

  Designation       NSWOC, WOCC (C)                                  SWAN                                       ISWA

                                                                     Graduates demonstrate advanced
                                                                                                                Graduates have the enhanced
                    Graduates practice as Advanced Practice          clinical knowledge, above the
                                                                                                                ability to provide optimal support
                    Nurses, Clinical Nurses Specialist or Nurse      foundational level. Practice at the full
                                                                                                                for nurses caring for those with
                    leaders. Practice at the full scope in the       scope of the practical nurse or diploma
  Graduate                                                                                                      WOC issues. Industry partners
                    areas of wound, ostomy and continence            nurse in the areas of wound, ostomy and
                                                                                                                will have the advanced ability
  knowledge level   nursing. Collaborate with other healthcare       continence nursing. Are collaborative
                                                                                                                to work collaboratively with
                    professionals, direct patient care, manage       partners with NSWOCs, and other
                                                                                                                healthcare professionals and
                    complex patients, are educators, patient         healthcare professionals, manage
                                                                                                                to be ambassadors for ethical
                    advocates, researchers and policy drivers        stable and non-complex patients, are
                                                                                                                partnerships
                                                                     educators and patient advocates

                    $5250 (+ NSWOCC membership and                   $3000 (+ NSWOCC membership and
  Tuition           textbooks)                                       textbooks)
                                                                                                                $3000 (+ NSWOCC membership)

NSWOCC 2021-2022 Mid-Year Report                                                                                                            30
Paramedic Wound         Foundations in Skin                                 Advanced Wound                         WOC Skills Labs
Associate Program (PWA) Health Programs                                     Debridement

                                                                            Graduates of the WOC-EP,
                                                                            recognized ETN/WOCN program,
Graduated from a recognized           Any healthcare professional or                                               Any healthcare professional or
                                                                            SWAN program, or another
paramedic program                     industry partner                                                             industry partner
                                                                            advanced clinical program (e.g.
                                                                            IIWCC, MClSc-WH etc)
Online application. Applications      Online application. Applications
                                                                            Coming soon, first cohort January      Coming soon, first cohort January
are accepted throughout the year      are accepted throughout the year
                                                                            2022. Online application, applicants   2022. Online application, applicants
and the program has a rolling start   and the program has a rolling start
                                                                            are accepted 2 times per year (Fall    are accepted 2 times per year (Fall
(students can start the program       (students can start the program
                                                                            and Winter)                            and Winter)
anytime during the year)              anytime during the year)
Self-directed online, with            Self-directed online, with
mentorship from an NSWOC,             mentorship from an NSWOC,             6 weeks paced online with
                                                                                                                   Self-directed online, with
students have 6 weeks to complete     students have 6 weeks to complete     mentorship from an NSWOC with
                                                                                                                   mentorship from an NSWOC
the program but can apply for an      the program but can apply for an      advanced debridement skills
extension if required                 extension if required

Yes                                   Yes                                   Yes                                    Yes

Yes                                   Yes                                   Yes                                    Yes

Yearly refresher courses are          Yearly refresher courses are                                              Yearly refresher courses are
recommended either online or          recommended either online or                                              recommended either online or
                                                                            Advanced debridement workshops
in person. NSWOCC conference          in person. NSWOCC conference                                              in person. NSWOCC conference
                                                                            will be offered annually during the
attendance encouraged. Ongoing        attendance encouraged. Ongoing                                            attendance encouraged. Ongoing
                                                                            NSWOCC conference
mentorship available through          mentorship available through                                              mentorship available through
membership with the NSWOCC            membership with the NSWOCC                                                membership with the NSWOCC

Certificate of completion             Certificate of completion             Certificate of completion              Certificate of completion

PWA                                   No                                    No                                     No

                                      Graduates will obtain foundational
                                                                            Graduates will have increased
Graduates of the PWA program          knowledge in the areas of wound,
                                                                            theoretical knowledge pertaining to
will have enhanced knowledge and      ostomy or continence depending
                                                                            wound debridement. Students are        Graduates will have increased
skill related to wound care. The      on the course(s) taken. Graduates
                                                                            encouraged seek out mentorship         knowledge and skill pertaining to
program is designed to provide        will have an enhanced ability to
                                                                            opportunities and to perform           a specific WOC skill (e.g. Hernia
community care paramedics the         collaborate with NSWOCs, SWANs
                                                                            debridement within their own           belt measurements, ABPIs, NPWT
ability to provide optimal wound      and other healthcare professionals
                                                                            knowledge, skill and judgement as      application etc)
care in collaboration with the        and will have increased knowledge
                                                                            well as provincial legislation and
interprofessional team                to advocate for patients with WOC
                                                                            place of employment policies
                                      related issues

                                                                                                                   $50 - $100 per skills lab depending
$600 (+ textbook)                     $600 (+ textbook)                     $800 (+ textbook)
                                                                                                                   on the individual lab

      31                                                                                                NSWOCC 2021-2022 Mid-Year Report
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                                                                   22 Report

                              Wound, Ostomy and Continence
                              Education Program
                              The WOC-Institute’s online WOC educational program (WOC-EP)
                              is delivered by a team of highly knowledgeable and dedicated
                              nurse leaders who are Canadian Association of Nurses (CNA)
                              certified Nurses Specialized in Wound, Ostomy and Continence
                              (NSWOC). The WOC-EP has the endorsement and full support
                              of the NSWOCC and has accreditation by both the CNA and the
                              World Council of Enterostomal Therapists (WCET).

     The WOC-EP is a state of the art, competency based, and standards driven, paced, 12-
     month, online program which prepares university prepared nurses (BN/BScN’s) for the
     role of a Nurse Specialized in Wound, Ostomy and Continence (NSWOC). The program
     consists of three (3) courses, Ostomy, Continence and Wound. Each course consists of 160
     hours of education, 75 hours of which are spent in the clinical setting, for a total of 480
     hours in total of WOC education, with 225 hours spent in the clinical setting.

     The final exam for the program is the Canadian Nurses Associate (CNA) certification exam,
     which, upon achievement, enables the NSWOC to use the credential WOCC(C). This
     rigorous exam ensures that our graduates possess the knowledge and critical thinking skills
     to work as certified NSWOCs. The online program is designed to address the education
     challenges Canadians face secondary to our extensive landscape and numerous remote
     communities.

     Through the competency-based preceptorship component of the program, the WOC-EP
     strives to mentor and grow tomorrow’s nurse leaders. NSWOCs graduates are among
     the nursing elite. They demonstrate an advanced level of critical thinking, clinical skill and
     leadership qualities. The advantage of NSWOCs’ tri-specialization is especially clear when
     patients have needs that require more than one area of specialty.

     Employing NSWOCs is an effective strategy for controlling costs through high-quality,
     evidence-based care that leads to better outcomes for patients. NSWOCs bring about
     these benefits as deliverers of care but also as sources of specialized knowledge for
     interdisciplinary health care teams, best practice and protocol development, research,
     and other avenues. The NSWOC graduate leads Wound, Ostomy and Continence teams,
     including Skin Wellness Associate Nurses (SWANs) and Foundations in Skin Health
     graduates and has the knowledge, skills, and judgement to manage complex patient issues
     in the areas of Wounds, Ostomy and Continence.

    • Our September 2021 Ostomy cohort consist of 46 students, and we have plans to admit
      another 45 into the January 2022 program intake. The French WOC-EP enrollment is at 15

NSWOCC 2021-2022 Mid-Year Report                                                                      32
students. With the growth of the WOC-EP came the need for more faculty.
           • Gail Creelman retired and Najwa Shabat and Svea Menard joined our WOC-Institute
              family
           • Christie Cowan and Angela McGuire joint the clinical placement team
      Program Goals
      The goals of the program are to assist the learner to build:

     • New knowledge, skills and attitudes and integrate them with prior knowledge, skills and
       attitudes to prepare the learner to become a competent NSWOC
     • Familiarity with the literature in the field of Specialized Wound, Ostomy and Continence
       Nursing
     • The skills to critically analyze practice in the field, differentiate it from best practice and
       disseminate standards of NSWOC practice
     • Problem solving skills through case-based learning and participation in a strong learning
       community
      Program Objectives
      The WOC-EP will:

     1. Graduate NWOCs who can critically appraise and incorporate research and best-practice
        guidelines into evidence-based clinical practice
     2. Support graduates to complete the CNA certification exam
     3. Provide ongoing mentorship opportunities for graduates
     4. Participate in discussions with NSWOCs and appreciate the important role all allied
        healthcare team members can bring to an interdisciplinary Wound, Ostomy and Continence
        -care team
     5. Assist learners in preparing to take leadership roles related to Wound, Ostomy and
        Continence -care teams
     6. Facilitate the transfer of knowledge and skills to clinical practice through clinical placements
        with experienced NSWOC mentors and the application of the NSWOC core competencies
        and standards of practice
     7. Foster professional growth and leadership
     8. Articulate and exercise the professional responsibilities associated with the NSWOC role
     9. Establish an environment to allow learners to acquire the skills necessary to meet the needs
        of the person with an ostomy, continent diversion, acute or chronic wound, percutaneous
        tube and incontinence.
      Learner Objectives
      At the end of this program the learner (WOC-EP student) will be able to:

     1. Critically appraise and incorporate research and best-practice guidelines into evidence-
        based clinical practice
     2. Develop and practice knowledge, skills, and behaviors needed to support and foster best

33                                                                   NSWOCC 2021-2022 Mid-Year Report
21 Mid-Year
                                                                  22 Report

        practices in Wound, Ostomy and Continence care based on the Nurse Specialized in
        Wound, Ostomy and Continence (NSWOC) core competencies and standards of practice
    3. Participate in discussions with NSWOCs and appreciate the important role all allied
        healthcare team members can bring to an interdisciplinary Wound, Ostomy and Continence
        -care team
    4. Be prepared to take a leadership role on Wound, Ostomy and Continence -care teams
    5. Facilitate the transfer of knowledge and skills to clinical practice through clinical placements
        with experienced NSWOC mentors and the application of the NSWOC core competencies
        and standards of practice
    6. Improve communication skills (verbal and written)
    7. Foster professional growth and leadership
    8. Articulate and exercise the professional responsibilities associated with the NSWOC role
    9. Meet the psychosocial needs of the person with a Wound, Ostomy and Continence
    10. Manage care for the person with a Wound, Ostomy and Continence related issue
    11. Possess the skills necessary to meet the biopsychosocial needs of the person with an
        ostomy, continent diversion, acute or chronic wound, percutaneous tube and incontinence.

NSWOCC 2021-2022 Mid-Year Report                                                                          34
Skin Wellness Associate Nurse
                              Program
                              The SWAN is a 5-month, competency-based, paced online
                              program which cumulates with a self-directed, mentored, clinical
                              preceptorship which prepares practical nurses (LPN/RPN’s) for the
                              role of a nurse with enhanced skills in the areas of wound, ostomy
                              and continence. The online program is designed to address the
                              education challenges Canadians face secondary to our extensive
                              landscape and numerous remote communities. The program
      consists of three (3) modules, Ostomy, Continence and Wound. Each module consists of
      60 hours of education, 30 hours of which are spent in the clinical setting, for a total of 210
      hours total of WOC education.

      The self-directed clinical preceptorships are the heart of the program’s success. Learners are
      afforded the opportunity to apply new skills and knowledge in real time with mentorship.
      Graduates are connected with mentors and a peer support network in order to foster
      continuing education and professional growth.

      A key advantage of the SWAN approach is that students can complete the theory portion
      of the program in their own time and according to their own schedules as long as they
      adhere to assignment due dates, quiz dates and contribution to discussion forum guidelines.
      Recorded lessons, written content, webinars and collaborative online learning software
      make it easy for anyone with an internet connection to access everything they need.

      An often-negative attribute of online learning is the real or perceived lack of student –
      teacher interaction and feedback from teachers. In order to overcome these issues, the
      SWAN Academic Advisors (teachers) hold regular “touch base” virtual calls with students
      prior to assignments and quizzes and on an as needed basis. Students are provided rubrics
      for each assignment and extensive feedback. During clinical placements, the SWAN
      Academic Advisors ensure that students meet the core competencies and mentor students
      in the transfer of knowledge into clinical care.

      Defining a SWAN
     • A Skin Wellness Associate Nurse (SWAN) is a registered/licensed practical nurse or a
       registered nurse at the diploma level, with enhanced specialized knowledge and clinical
       skills in wound, ostomy and continence care.
     • Recognized by the Nurses Specialized in Wound, Ostomy and Continence Canada
       (NSWOCC), SWANs provide optimal wound, ostomy and continence care in consultation
       with NSWOCs, Clinical Nurse Specialists (Wound, Ostomy or Continence) or Physicians.
       The goal of the SWAN Program is to educate and prepare skilled wound, ostomy and

35                                                                 NSWOCC 2021-2022 Mid-Year Report
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