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Development and validation of a Canadian measurement instrument for nursing practice in family medicine

Principal investigators

Marie-Eve Poitras &

Cynthia Gagnon


$ 39,000

Study setting

All Quebec provinces


Nursing training, professional practice, family medicine, FMG, measurement tools, psychometrics


In recent years, the College of Physicians of Canada (CFPC) and the Canadian Association of Family Physicians Nurses (CAFPN) have developed tools to guide the practice of family medicine professionals. Among other things, these tools make it possible to better respond to the population's needs and support the development of the nursing role.

However, despite the support of these tools, the nursing practice of family medicine varies from clinic to clinic and is not optimal. A lack of specialized primary care training in nurse education partly explains this variation in family medicine nursing practice. Integrating the CFPC and FMNAC guidelines into nurse training is one solution to practice variability. It is necessary to have a good understanding of nursing practice to gain insight into the elements that influence the integration or non-integration of Canadian guidelines, to target training needs in these environments, and to evaluate the effects of training, different programs, and health policies on nursing practice. To achieve this, it is possible to document their activities, roles and functions within the family medicine clinic using an evaluation tool. However, few such tools exist, preventing those in management positions and research teams from evaluating the effect of their contributions (research projects, management plans, programs) in improving nursing practice.

What are our goals?

The project aims to :

1) Develop a measurement tool describing nursing practice in family medicine clinics and

2) Measure the psychometric properties of this tool. This step aims to verify that the tool measures the right things correctly and it is an essential step for demonstrating the tool's reliability.



A mixed design, including qualitative and quantitative research, will be used to build the tool in the following stages: conceptualization (scoping review and semi-structured interviews with nurses, managers, and patients), draft development (identification of relevant items), content validity (cognitive interviews) and test-retest fidelity (stability and consistency of data). Patients, nurses, managers, and decision-makers will be involved in the various stages of tool design.

What results we aim for?

The tool will be available free of charge online and will be accompanied by a guide so that it can be used easily and correctly. Several groups of people will be able to use this tool to measure nursing practice, including clinical teams, managers, and research teams.

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