quality assurance in nursing practice learning resource · journal of nursing education, 46(11),...
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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.
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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
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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
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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
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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