Nursing Leadership, 23(3) September 2010: 21-29.doi:10.12927/cjnl.2010.21939

Innovation in Leadership

Canada's First Nurse Practitioner–Led Clinic: A Case Study in Healthcare Innovation     

Roberta Heale and Marilyn Butcher


Canada's first nurse practitioner–led clinic opened in 2007 after a period of intense lobbying. The development of this clinic has received a great deal of attention in the nursing world and among the general public, but the factors that enabled it have not been examined. The antecedents outlined in healthcare innovation concept analysis – including leadership, financial considerations, idea generation, teamwork, culture and demand – provide a framework for examination of the campaign for the nurse practitioner–led clinic. This review demonstrates the complex interplay of factors that drive healthcare innovation and expands understanding of the leadership and change competencies of the advanced practice nurse.


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    Jane Sanders wrote:

    Posted 2010/12/10 at 03:07 PM EST

    Congratulations to Marilyn and Roberta for sharing this important journey and their leadership in developing the nurse practitioner led clinic model. By the 2012, thousands of Ontarians will benefit from having access to comprehensive primary health care through the twenty-five clinics that have been approved by the Ministry of Health and Long Term Care in this province.


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