IMPORTANT

As of Sept. 4, 2018, the following nursing colleges amalgamated to become

the British Columbia College of Nursing Professionals (BCCNP):

• College of Licensed Practical Nurses of British Columbia (CLPNBC)

• College of Registered Nurses of British Columbia (CRNBC)

• College of Registered Psychiatric Nurses of British Columbia (CRPNBC)

Although the information in the document you are about to access re�ects our

most current information about this topic, you’ll notice the content refers to

the previous nursing college that published this document prior to

Sept. 4, 2018.

We appreciate your patience while we work towards updating all of our

documents to re�ect our new name and brand.

Quality Assurance in Nursing Practice Learning Resource

2

Quality Assurance in Nursing Practice

Web Module Learning Resources

MODULE WORKBOOK LINK https://www.bccnp.ca/PracticeSupport/RN_NP/Documents/QAworkbook.pdf

Introduction to Quality Assurance in Nursing Practice

CRNBC offers several documents that provide information related to the CRNBC Quality

Assurance program. These can be located directly through the links below or from the CRNBC

website https://www.crnbc.ca

The CRNBC Bylaws: Part 5 provide direction for CRNBC Quality Assurance program. They

outline duties of the Quality Assurance Committee, methods of assessment, and continuing

competence requirements for nurses. https://www.bccnp.ca/bccnp/RegulationOfNurses/Pages/Default.aspx

Overview of Health Professions Act, CRNBC Standards for Practice, CRNBC Bylaws, and Quality

Assurance committee. This PDF summarises these regulatory foundations for nursing practice. http://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01

QUALITY ASSURANCE PROCESS: OVERVIEW

CRNBC website offers information regarding the Quality Assurance program, including the

following: These are all available at https://www.bccnp.ca/PracticeSupport/RN_NP/QA/Pages/Default.aspx

• An overview of CRNBC Quality Assurance program:

• A guide to Quality Assurance Activities (PDF)

• Quality Assurance checklist (PDF)

• QA Professional Development Portfolio Tool

• Quality Assurance requirements for Registered Nurses with Certified Practice designation

• Quality Assurance requirements for Registered Nurses who have not worked in the previous

year (zero practice hours)

QA ACTIVITIES: SELF-ASSESSMENT

CRNBC provides information related to the Quality Assurance activity: self-assessment, including

the following documents:

Self-assessment questionnaire related to CRNBC Professional Standards: This is available as a

PDF at: https://www.bccnp.ca/PracticeSupport/RN_NP/QA/RN/SelfAssess/Pages/Default.aspx

Quality assurance profile: Provides your responses to your most recent submission of the

Selfassessment questionnaire (required with registration renewal). You will need to log in to

access this information. https://www.bccnp.ca/PracticeSupport/RN_NP/QA/RN/SelfAssess/Pages/Default.aspx

Guide to Quality Assurance Activities: Includes information related to self-assessment as a quality

assurance activity: This PDF is located on the following page: https://www.bccnp.ca/PracticeSupport/RN_NP/QA/Pages/Default.aspx

3

Reflective questions poster: This PDF is located on the Professional Standards page – and offers a

series of questions that support reflection on nursing practice using the Professional Standards as

a guiding framework. https://www.bccnp.ca/PracticeSupport/RN_NP/Documents/RN_ReflectiveQuestions.pdf

REFLECTION AND REFLECTIVE INQUIRY

Johari Window http://www.mindtools.com/CommSkll/JohariWindow.htm

This web site relates the Johari Window to communication and trust with others.

http://www.usgs.gov/humancapital/documents/JohariWindow.pdf

This PDF offers more information related to the Johari Window, including a suggested activity for

increasing your self-knowledge (what is known to you and others) and decreasing your ‘blind areas’

(what is known to others but not to you)

Neilsen, A., Stragnell, S., & Jester, P. (2007). Guide for Reflection Using the Clinical Judgment

Model. Journal of Nursing Education, 46(11), 513 – 517. This article describes how Tanner’s Model

of Clinical Judgment can be used to guide selfassessment. http://search.ebscohost.com/login.aspx?direct=true&AuthType=cookie,cpid&custid=s5624058&db=ccm&AN=2009709671&site=ehost-live

Johns, C. (1995). Framing learning through reflection within Carper’s fundamental ways of

knowing in nursing. Journal of Advanced Nursing, 22, 236-234.

This article includes an excellent series of questions that can be used to guide an in-depth reflection

on aspects of nursing practice. http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2648.1995.22020226.x/full

Schon, D. (1987). Educating the Reflective Practitioner. San Francisco: Jossey-Bass, http://onlinelibrary.wiley.com/doi/10.1002/chp.4750090207/abstract

Somerville, D., & Keeling, J. (2004) A practical approach to promote reflective practice within

nursing. Nursing Times; 100: 12, 42–45.

This short article uses Schon’s ideas of reflection-in-action and reflection-on-action in discussion

of promoting reflective nursing practice. The author also includes a series of questions that will

prompt reflective practice. http://www.nursingtimes.net/Journals/2012/11/30/v/l/x/040323A-practical-approach-to-promote-reflective-practice-within-nursing.pdf

Appreciative inquiry

Appreciative inquiry commons: This website offers a wide range of academic resources and

practical tools on Appreciative Inquiry. It is hosted by Case Western University, Ohio,

USA. http://appreciativeinquiry.case.edu/

Article: “Core process: Appreciating who you are” (Nick Heap). This short article describes a

process in which individuals use an AI approach to discover more about themselves. This process

could be used to explore yourself in your nursing role. http://www.nickheap.co.uk/articles.asp?ART_ID=313

Strength-Based inquiry

Strength Finders inventory: This combination of a book and an on-line inventory allows you

to identify your top five strengths (access to the inventory is provided by a code in the book).

The inventory produces a personalized strengths report and an action-planning guide that

supports you in maximizing your strengths in your life and at work. http://www.strengthsfinder.com/home.aspx

4

QUALITY ASSURANCE ACTIVITIES: FEEDBACK

CRNBC provides information related to the Quality Assurance activity: feedback, including the

following:

CRNBC website: This page includes links to information related to selecting someone to provide

feedback, asking for feedback, receiving feedback, providing feedback, as well as several

examples of feedback. It also offers thoughts related to applying feedback received to your practice. https://www.bccnp.ca/PracticeSupport/RN_NP/QA/RN/PeerFeedback/Pages/Default.aspx

CRNBC on-line learning module: Communications. The mini-module, “Communication in nursing

practice,” includes information related to receiving and providing feedback. It also provides great

suggestions related to having difficult conversations and discussing difficult topics. Scroll down the

tabs on the left of the module to the feedback section- p. 30. https://www.bccnp.ca/PracticeSupport/RN_NP/CoursesWorkshops/WebModules/Pages/Default.aspx

CRNBC - Guide to Quality Assurance Activities: This PDF (situated on the following page) offers

information related to professional development component of Quality Assurance. https://www.bccnp.ca/PracticeSupport/RN_NP/QA/Pages/Default.aspx

Effective feedback Feedback: Holden Leadership Center: University of Oregon. This PDF provides a short, but

informative discussion of the characteristics of effective feedback. http://leadership.uoregon.edu/upload/files/tip_sheets/giving_effective_feedback.pdf

Canadian Nurses Association: Nurse One. Under the Peer Feedback section on this page there is a

link: NurseOne Peer Review template. This PDF provides six points to guide the process of peer

feedback. http://www.nurseone.ca/Default.aspx?portlet=StaticHtmlViewerPortlet&plang=1&ptnme=Continuing%20Competence

Taking action with unsafe practice

CRNBC website

Nurses have a responsibility to take action when they see unsafe practice or unprofessional conduct.

This may include choosing to provide the individual with feedback – or could be responded to the

appropriate health regulatory body. This webpage provides information about ‘Acting on concerns

about practice’. https://www.bccnp.ca/Complaints/Pages/Default.aspx

Having difficult conversations

CRNBC on-line learning module: Communications. The mini-module, “Communication in nursing

practice,” includes information related to having difficult conversations and discussing difficult

topics. Scroll down the tabs on the left of the module to the tab: “Communicating in challenging

situations” - p. 42. https://www.bccnp.ca/PracticeSupport/RN_NP/CoursesWorkshops/WebModules/Pages/Default.aspx

Vital Smarts: The resources section of this website lists several books and associated resources

related to communication, particularly in ‘highstakes situations’ (worksheets, tools to plan difficult

conversations, assessment tools and more). http://vitalsmarts.com

5

QUALITY ASSURANCE ACTIVITIES: PROFESSIONAL DEVELOPMENT

CRNBC provides information related to the Quality Assurance activity: professional development,

including the following:

CRNBC: This page includes links to information related to creating a professional development

including, getting started, creating your plan, setting SMART goals, examples of professional

development activities and samples of professional development plans. https://www.bccnp.ca/PracticeSupport/RN_NP/QA/RN/ProfDevPlan/Pages/Default.aspx

CRNBC - Guide to Quality Assurance Activities: This PDF (situated on the following page) offers

information related to professional development component of Quality Assurance. https://www.bccnp.ca/PracticeSupport/RN_NP/QA/Pages/Default.aspx

CRNBC QA Professional Development Portfolio Tool https://www.bccnp.ca/PracticeSupport/RN_NP/QA/Documents/387QAPortfolio.pdf

Funding

Several organizations offer educational bursaries that may offer a source of funding for

professional development activities. These include

BC Nurses Unionhttps://www.bcnu.org/member-services/bursaries

Registered Nurses Foundation of BChttp://www.rnfbc.ca/bursary-info-and-application/

Canadian Nurses’ Foundationhttp://cnf-fiic.ca/what-we-do/scholarships-and-bursaries/#.UuWXIfbTkzU

QA ACTIVITIES: LONGER TERM

Professional portfolios

CRNBC QA Professional Development Portfolio Tool https://www.bccnp.ca/PracticeSupport/RN_NP/QA/Documents/387QAPortfolio.pdf

Canadian Nurses Association: NurseOne. The portfolio development area provides an introduction

to portfolios, information about how to build paper-based and electronic portfolios; and

suggestions about how you might use your portfolio. http://www.nurseone.ca/Default.aspx?portlet=StaticHtmlViewerPortlet&stmd=False&plang=1&ptdi=367

Oermann, M.H. (2002). Developing a professional portfolio. Orthopedic Nursing, 21(2), 73-78. This

article describes types of professional portfolio, reasons for creating a portfolio, documents to

include in a portfolio and more. http://journals.lww.com/orthopaedicnursing/Abstract/2002/03000/Developing_a_Professional_Portfolio_in_Nursing.13.aspx

November 2017