A Professional Continuing Competence Program: The Experience of The College of Nurses of Ontario

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A Professional Continuing Competence Program
The Experience of The College of Nurses of
Ontario

• Gayle Mackay, RN, BScN, MHSc
• Director, Practice and Policy
• College of Nurses of Ontario

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College of Nurses of Ontario

• Regulatory body
• RN and RPN
• Regulated Health Professions Act

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Driving Forces

• legislation
• consumerism
• quality outcomes
• accountability
• partnerships

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QA PROGRAM Components

• Reflective Practice
• Practice Review
• Content of practice
• Practice Setting Consultation Program
• Context of practice

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Practice Setting Consultation Program

• Attributes Model
• Quality Practice Setting SurveyTM instrument
• Brochure Information Guide
• Workbook
• Survey Results Report template
• Action Planning Workshops

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Quality Practice Setting Attributes Model
SERVICE DELIVERY PROCESSES
PROFESSIONAL DEVELOPMENT SYSTEM
COMMUNICATION SYSTEM
LEADERSHIP
FACILITIES EQUIPMENT
ORGANIZATIONAL SUPPORTS
RESPONSE SYSTEMS TO EXTERNAL DEMANDS
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ImplementationPrinciples

• facilitative and proactive
• life long learning
• Kaizen
• professional accountability
• adult learning principles
• offer choices
• start small - go slow

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• Insanity is continuing to do things the same way
  and expecting to get different results.
• (Gerald Nadler)

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Lessons Learned

• Listen carefully to your members
• Provide a menu of options
• Self directed approaches - consistent with self
  regulation
• Broad based program requirements - promotes
  learning specific to area of practice

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Lessons Learned

• Build stakeholder partnerships - get buy in
• Create a solid program framework
• Create infrastructure - organize for quality
• Communicate too much
• Develop key messages - stump speech
• Passion is contagious - allies and champions

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Lessons Learned

• Reality checks
• Borrow rather than re-invent
• Team work - internal and external
• It will take twice as long as you plan

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New Ways of Thinking...

• Its not so much that were afraid of change, or
  so in love with the old ways, but its that place
  in between we fearits like being between
  trapezes. Its Linus when his blanket is in the
  dryer - theres nothing to hang on to.
• M. Ferguson