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Nursing Health Services Research Unit
Better Data and Innovative
Research Methodologies: Tools for
Better Global Health
Mary Crea-Arsenio, MSc.
Andrea Baumann, RN PhD
Mabel Hunsberger, RN PhD
Presented at 10th Conference of the Global Network of WHO Collaborating
Centres for Nursing and Midwifery
Coimbra, Portugal
July 23-25, 2014
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Nursing Health Services Research Unit
Outline
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Types of databases
Why databases are important
Innovative methods in Canada
How to develop a database
Conclusions
Questions
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Nursing Health Services Research Unit
What is a database?
• A collection of data
• A method to store and manage large sets of data
• A tool to transform information to knowledge
• Two types: primary and secondary
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Primary Databases
• Result from individual research projects
• Include many variables and/or themes
• Can be used by other investigators to ask
different questions
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Secondary Databases
• Housed at the provincial,national and
international level
• Include data from a variety of databases
• Agreement on general indicators*
*standardized measures by which to compare health status and health system performance and characteristics among
different jurisdictions in Canada…through quality comparative information.
Source: Canadian Institute for Health Information (CIHI). (2012). Health Indicators Interactive
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Why are databases important?
• Support government decision-making
• Provide evidence of workforce trends
• Used to develop and evaluate policy
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Innovative Methods in Canada
• Large databases:
– Population based databases
– Health Professions databases
• Accessible and available
• Open data:
– exchange of information across jurisdictions
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Provincial Databases
• Ministry of Health and Long-Term Care
– Health Professions Database (HPDB)
• College of Nurses of Ontario (CNO)
– Provincial nursing regulatory database
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CNO Registration Database
• Annual mandatory census (total population of
nurses in Ontario).
• New graduates included as new members.
• Uploaded to provincial and national databases
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Nursing Health Services Research Unit
National Databases
• Canadian Institute for Health Information
– Health Personnel Database (HPD) 27 health professional groups
– Registered Nurses Database (RNDB)
• Statistics Canada (Census)
• Canadian Association of Schools of Nursing and
Canadian Nurses Association
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Developing a Primary Database
Objective: Develop a longitudinal database of
new graduate nurse employment in the province
of Ontario.
Methods: Longitudinal design. New graduate
nurses surveyed annually over seven years.
Data Validation: Survey data validated against
CNO new members data.
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Nursing Health Services Research Unit
Type of Data Collected
• Demographic data:
– Age, sex, employment status, type of employer,
position in nursing, primary area of practice, and
practice location (geographic region).
• Preferences data:
– employment status
– sector of employment
– geographical location (urban/rural)
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Nursing Health Services Research Unit
Features of Database
• Data is collected over time to enhance
health human resource (HHR) planning
• Data can be analyzed independently or
linked to larger databases (CNO)
• Database used to provide information to
governments for development of policy
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Conclusions
• Different types of data exist
• Need for data is increasing
• Linking of databases valuable for decisionmakers
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Nursing Health Services Research Unit
Contact Information
Andrea Baumann, PhD
Scientific Director
Nursing Health Services Research Unit
McMaster University
Michael DeGroote Centre for Learning
MDCL 3500
(905) 525-9140 ext. 22581
[email protected]
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