How Do Regulators Contribute
to Quality of Care?
Government and public trust
health professionals with the
privilege of self-regulation
We collaborate with partners,
conduct external consultations
and adopt best practices
Self-regulation includes all activities to
protect the public through establishing
standards, safeguarding standards and
enhancing nursing practice.
CRNBC regulates over 37,000 nurses
and nurse practitioners in B.C.
Nursing is the largest regulated health
profession in the province.
Registered Nurses 36,333
Certified Practice RNs
• CRNBC monitors local, provincial,
national and international trends
in regulation to maintain effective
governance as a modern regulator,
inclusive of best practice programming.
37,000+
in BC
• Public
• Nurses
• Health Profession Regulators of BC
• Nursing unions
• Professional nursing associations
• Nursing Education Council of British
Columbia
• We follow a rigorous policy process to
incorporate registrant, stakeholder and
partner consultation when developing
regulatory methods.
1,053
Nurse Practitioners 276
• Federal & provincial governments
• Canadian Council of Registered Nurse
Regulators
• National Council of State
Boards of Nursing
“
When nurses value and participate in self-regulation and quality assurance, the result is safe, competent and ethical care.
• International nursing
regulatory bodies
• BC Patient Safety & Quality Council
2. Just Culture:
We develop and deliver programs to
help nurses make safe choices and
learn from mistakes
5. Continuing Professional
Development:
Promotes the enhancement of
professional practice to benefit both
the public and the nurse
“
”
Quality Assurance Program
Feedback
The quality assurance program provides a
structure and resources to guide reflective
practice and the process of continuous
professional development, helping to ensure
nurses meet standards and provide safe,
competent and ethical care.
In the NP onsite peer review, a peer
assessor conducts a structured review of
an NP’s charting. By providing professional
“
development focused and collegial
feedback, the review demonstrates a
principle-based and collaborative
approach to self-regulation.
There are currently 276 practising NPs in
B.C. Since 2005 the College has conducted
223 onsite reviews. NPs tell us that the
onsite review provides affirmation that
expectations related to Standards of
Practice are being met and identifies
strengths and areas for professional
development.
The onsite peer review demonstrates a principle-based and collaborative approach to self-regulation.
”
Program considerations:
• Involves nurses and nurse practitioners
• Applicable to varying contexts and
domains of practice
• Adapts to health system change
• Incorporates best practice and evidence
for regulation
• Has meaning, relevance and applicability
in everyday practice
• Has a tangible effect on care delivery
rds
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and
Public protection
and safety is our utmost concern
”
Professional Development
Feedback is a way for nurses to get
additional insight about their practice.
It can help validate self-assessment and
provide a point of view that assists nurses
to be more objective. A peer can assist
in identifying professional development
needs that aren’t always obvious to the
individual.
CRNBC develops and oversees the Standards
for Practice, while individual nurses
maintain professional competence and
ensure that their practice is consistent with
standards. When registered nurses meet the
Professional Standards of responsibility and
accountability, knowledge-based practice,
client centred provision of service and ethical
care it preserves the public’s trust.
Nurses are lifelong learners who
continually assess and improve their
practice. By participating in CRNBC’s
Quality Assurance Program throughout
the year, nurses indicate to the public that
they are maintaining their competence
to practise and that they take their
professional development obligation
seriously. Meeting this obligation is an
important way to maintain the public’s
trust in registered nurses.
4. Principles-based Approach:
Supports excellence in practice by
encouraging nurses to use their
professional judgement.
We believe it’s possible to build
genuine relationships with nurses and
other stakeholders, while at the same
time, regulate effectively in the public
interest. This philosophy of relational
regulation is based on the following
principles:
1. Right Touch Regulation:
Is the minimum regulatory force
required to achieve a desired result
Our relational approach
supports safe, competent
and ethical care
3. Collaborative Self-regulation:
It enhances the individual professional
and strengthens their contribution to the
inter-professional team
Public protection and safety is our
utmost concern, and we believe we can
best achieve this through collaborative
approaches with nurses and the
health care community. We call this
relational regulation.
Collaborations
2855 Arbutus Street
Vancouver, British Columbia
V6J 3Y8 Canada
Telephone: 604.736.7331
Toll-free in Canada: 1.800.565.6505
Facsimile: 604.738.2272
We take a relational approach
to regulation
• Employers
• Reports such as the Cochrane Inquiry
into Medical Imaging, Credentialing
and Quality Assurance and the Mid
Staffordshire NHS Foundation Trust
Public Inquiry help us be aware of the
issues facing health regulators.
For more information email
[email protected]
Self-Assessment
nurses to maintain competence in this
evolving environment and indicate to
the public that they are committed to
delivering safe, competent and ethical care.
The varied contexts of practice in which
nurses work are dynamic and change
rapidly. Continuous professional
development is an important way for
NP Professional
Development Activities
CME
12%
Conferences
32%
Published 1%
Review Literature 10%
Preceptor 5%
Teach
10%
In 2013, CRNBC introduced a selfassessment questionnaire for registered
nurses. This questionnaire helps nurses
think about how effectively they are
meeting the Professional Standards
in practice, and identify areas for
improvement.
Self-assessment is a key component
in the cycle of continuous professional
development for nurses. Over 37,000
nurses participate annually in this quality
assurance activity.
Courses
30%
February 2014