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The innovative eShift program has attracted national attention. It enables one nurse to provide overnight care to several palliative patients at a time, so that more people can choose to die at home. Thanks to additional funding, the program is now available across the South West.​

eShift was selected as an Accreditation Canada National Leading Practice, acknowledging it as a "sustainable, creative and innovative service" of national significance. 

The eShift model

The eShift model of nursing care was introduced to meet the needs of home care clients who wish to die at home with their families. It involves specially trained Personal Support Workers (PSWs) receiving support from an off-site nurse through a Smartphone application. The PSW carries out activities on behalf of the nurse while providing overnight care for palliative clients. Family members are then able to get much-needed rest at night, so they can be ready to care for their relatives throughout the day.

eShift goals

  • ​Support more palliative clients, who wish to die at home by increasing PSWs specialty expertise and access to specialty trained nurses, particularly in rural areas

  • Reduce caregiver burnout by leveraging access to specialty PSWs and nurses in real time through the use of technology (one nurse connected by a Smartphone aplication to a trained PSW at the patient bedside
  • Decrease palliative clients visits to the emergency department in the last weeks of life through the provision of virtual specialized nursing support services.


The following represents results for the eShift model of practice with palliateive, non-paediatric home care patients throughout the South West region as of April 1, 2012:

  • Improved quality of end-of-life for palliative home care clients: 92.3 per cent of e-Shift program palliative clients did not visit an ER in the last weeks of their life
  • Greater support for palliative patients: 32.6 per cent more patients died at home as per their wish
  • Reduced caregiver burden: 92.3 per cent of caregivers indicated they did not experience caregiver burnout with the eShift model


To learn more about eShift, please watch our eShift video.