College of Licensed Practical Nurses of BC PN Program Recognition

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					College of Licensed Practical Nurses of BC PN Program Recognition Process (Effective 2006) Introduction
The PN Program Recognition Process (PNPRP) is the method by which the CLPNBC ensures the public that standards of educational achievement for admission to the health profession have been achieved in accordance with the Health Professions Act (HPA). The requirements for program recognition are set by the CLPNBC to make certain that Practicum Nurse Graduates have achieved the entry-level competencies in their educational program, enabling them to provide safe and competent care to the public. The Practicum Nurse (PN) education program reflects a clearly-stated conceptual framework with a program purpose and/or program goals, course goals, behavioural objectives, and/or learning outcomes. The curriculum is designed and developed in a manner that facilitates incremental learning based on critical thinking, reflection, and sound clinical judgment to facilitate consolidation of professional practice. The curriculum provides the opportunity for students to acquire the nursing competencies required to practice safely in accordance with the Health Professions Act (HPA): Amendment 2440, Article 16 (2) (c) & Article 19 (1) (m), (See Reference ‘HPA’). The standards of academic and/or technical achievement and qualifications are based on the HPA and Regulations, Scope of Practice, and range of competencies as established by the CLPNBC. The purpose, goals, and behavioural objectives and/or learning outcomes of the curriculum reflect legislative requirements, CLPNBC Standards of Practice and Competencies, and Code of Ethics. The content of the program is consistent with Licensed Practical nursing knowledge, skills, attitudes, and judgments, allowing entrylevel graduates to meet the registration requirements of the CLPNBC.

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Stages of the PN Program Recognition Process
Name 1. Notice of Intent (NOI) Definition/Description The application submitted by an educational institution for CLPNBC program review and recognition. Submission of the completed NOI form to the Executive Director informs the CLPNBC of an institution’s decision to: design, develop, implement, and evaluate a new PN education program; or to establish an existing program in a different location from that previously reviewed; introduce substantial change to a program (new curriculum or new mode of delivery). The Program Plan is a comprehensive description of the specific PN education program developed and written by the educational institution including the design, implementation, and evaluation of the curriculum, as well as a detailed content outline. A program that is undergoing substantial change is required to undertake the same process as a new program. This would include a change in location, curriculum, or mode of delivery. Timeline Recommendations The educational institution must have institution accreditation through the Ministry of Advanced Education (MAED) or the Private Career Training Institutions Agency (PCTIA) prior to submission of the NOI.

2A. Program Plan

The Program Plan and curriculum, developed by the educational institution are reviewed by a CLPNBC-approved curriculum consultant. The consultant submits a report, based on the Program Plan template, with a letter of recommendation for recognition to the CLPNBC for Board Recognition. The Letter of Recommendation is then sent to the B.C. Ministry of Health (Order in Council) for final Ministerial approval. The entire CLPNBC Program Recognition Process must be completed prior to students’ writing the CPNRE. Students graduating from an educational program which has not successfully completed the PNPRP, including approval through an Order in Council, will require individual assessment prior to being eligible to write the CPNRE.

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Name 2B. Site Visit

Definition/Description A site visit is an objective assessment that may be conducted by a curriculum consultant to verify that the Curriculum and Program Plan, prepared by the educational institution, meet the CLPNBC Program Recognition requirements for new or continued program recognition, or for a substantially-changed Generic, Access, or Refresher program. A site visit may also be conducted by a CLPNBC-designated consultant/staff member at the request of the CLPNBC Board, when the Board deems a visit necessary in order to assure the institution’s compliance with the Program Recognition Process.

Timeline Recommendations A site visit may be conducted as part of the PN Program Recognition process for new and substantially changed programs. The site visit usually follows the consultant’s review of the Program Plan and curriculum, in collaboration with the educational institution. A site visit is at the discretion of the CLPNBC Board of Directors, in response to concerns addressed to the College regarding a program, and is determined by the CLPNBC Staff. A date is set in collaboration with the educational institution. The Annual Recognition Report is due by April 1 annually and must be submitted by each educational institution. ( Effective April 1, 2007) The Annual Recognition Report is required by the CLPNBC for all PN education programs, including those previously reviewed by the College.

3. Annual Recognition Report

The Annual Recognition Report (ARR) is a summative account which describes all current CLPNBC-recognized PN programs offered by an educational institution. The report summarizes theory, practicum and preceptorship experience, and recommendations for changes. This includes any changes that have been implemented since the new Program Plan, or since the last Annual Recognition Report, whichever is most recent. The ARR also includes changes anticipated to improve the curriculum in subsequent offerings. As well, the ARR incorporates graduate outcome competencies and Canadian Practical Nurses Registration Examination (CPNRE) results, including the rationale for student attrition and/or failure.

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Glossary
1. Annual Recognition Report: The Annual Recognition Report (ARR) is a summative account describing all current CLPNBCrecognized PN programs offered by the educational institution. The report summarizes theory, practicum and preceptorship experience, and recommendations for change This includes changes that have been implemented since the initial review, or since the last ARR (whichever is the most recent). The ARR also includes those changes anticipated to improve the curriculum in subsequent offerings. As well, the ARR incorporates graduate outcome competencies and the Canadian Practical Nurses Registration Examination (CPNRE) results, including the rationale for student attrition and/or failure. 2. Clarify: To make clear the information submitted in the Program Plan. 3. Clinical Practicum: Student-driven learning experiences under the direction of a PN educator. They promote integration and consolidation of knowledge, skills, attitudes, and judgments through client-centred experiences in which comprehensive nursing care is provided to individuals, families, and groups with a range of health challenges in a variety of practice settings. 4. Criteria: Standards or guidelines by which a correct judgment can be formed. 5. CLPNBC Practical Nurse Program Recognition: The designation awarded by the CLPNBC to an educational program as a result of evidence provided by the institution during the Practical Nurse Program Recognition Process. 6. CLPNBC Practical Nurse Program Recognition Process (PNPRP): A process, bound by confidentiality, in which the CLPNBC ensures the public that graduates have achieved the necessary standards of education for admission to the health profession (Health Professions Act Amendment 2003). The purpose of the PNPRP is to: a. determine the recognition status of practical nurse education programs b. guide educational institutions in the self-evaluation of practical nurse education programs c. guide the development of new practical nurse education programs The Program Plan, which is the initial step in the PNPRP, , includes a review by a Curriculum Consultant approved by the CLPNBC. The consultant must demonstrate expertise in PN curriculum content as well as in the structures and processes by which a curriculum is developed, delivered, and evaluated. The ongoing PNPRP includes the submission of an Annual Recognition Report to the Executive Director, CLPNBC. 7. Competencies: Statements that reflect the combined knowledge, skills, attitude, and judgment exercised by a practical nurse working within the Standards of Practice and Competencies, and the Code of Ethics established by the CLPNBC, under the Health Professions Act and Regulations.

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8. Curriculum: The design, development, implementation, and evaluation of a prescribed plan for learning activities and the intended learning outcomes of an educational program. 9. Education Program (PN): A prospectus which consists of the curriculum content, structures (faculty, physical facilities, library, and other resources, policies and procedures and clinical placements), and processes of teaching and learning, and administration and governance. a. Generic (Basic) Program: Basic PN education programs taught in post-secondary educational institutions throughout B.C. The programs, consisting of a post-secondary education level of study, are regulated for recognition by the CLPNBC. The generic program prepares students for initial registration and licensure to become entry-level practitioners as Licensed Practical Nurses. b. Access Program: Basic PN education programs taught in post-secondary educational institutions throughout B.C. The programs, consisting of a post-secondary education level of study, are regulated for recognition by the CLPNBC. The generic program prepares Resident Care Attendants/Home Support Attendants to meet the initial registration and licensure requirements to become entry-level Licensed Practical Nurses. c. Refresher Program: Programs designed to renew practice competencies of practical nurses who have allowed their competencies to lapse for five or more years and wish to renew their registration in British Columbia (B.C.). Refresher programs in B.C. are taught in post-secondary education institutions and are regulated and recognized through the CLPNBC. 10. Entry-level Competencies: The practical nursing abilities required by a graduate of a recognized PN education program on the first day in the role as a Licensed Practical Nurse. 11. Evidence: Testimony or proof demonstrating verification of a specific standard, guideline, or criterion. 12. Formative Evaluation: Formal or informal “systematic and continuous assessment of success of the teaching process made during the implementation of materials, methods, and activities to control, ensure, or improve the quality of performance in delivery of an educational program”. (Bastable, 2003, p.496)

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13. Health Professions Act (HPA): Amendment, Article 16: Duty and objects of a college. (2) A College has the following objects: (c) to establish standards of academic or technical achievement and the qualifications required for registration as a member of the college. Article 19: Bylaws for college. (1) A board may, by bylaw for its college, do the following: (m) establish standards of academic or technical achievement and the qualifications required for registration as a member of the college. 14. Instructional hours: Timelines that reflect learning activities which include, but are not limited to, classroom instruction, laboratory and nursing practice, seminars, conferences, and examinations. 15. Lab Practice: The acquisition of knowledge, skills, attitudes, and judgment in a simulated setting. 16. Notice of Intent: The initial application by an educational institution for CLPNBC program recognition. Submission of the completed NOI form advises the CLPNBC of the institution’s intent to design, develop, implement, and evaluate a PN education program, in application for CLPNBC Recognition. A completed NOI form is required: for every new program planned (generic, access, or refresher); in a different location from that previously reviewed; and for each program that has had a substantial change such as a new curriculum or new mode of delivery. 17. PN Education Program: A formal education program provided by a post-secondary educational institution to prepare Practicum nurses with the knowledge, skills, attitudes, and judgment required to become eligible for licensure with the CLPNBC and to assume the basic entry-level competencies outlined under the Health Profession Act, CLPNBC Standards of Practice and Competencies, and Code of Ethics. The types of PN programs reviewed and recognized by the CLPNBC are generic, access, and refresher programs. All PN programs, including new programs, programs in a new location/campus, programs using a new or substantially changed curriculum, and/or new/altered mode of delivery, follow the PN Program Recognition Process. 18. Program Length: The number of months/weeks/days/hours of instructional time from program commencement to program completion, exclusive of vacations and/or other breaks in the academic schedule. 19. Program Plan: A description of the design and development of the PN curriculum, prepared by the educational institution. The program may be the first program proposed by an institution or a subsequent offering of the same program in a different location, or a program of a different type in the same or another location. The Program Plan includes the Curriculum Review conducted by a curriculum consultant, which may or may not include data from a site visit. (See also PN Education Recognition Process: Site Visit.)

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20. Site Visit: An on-site visit to the educational institution. It may be conducted to verify and validate the content and process of the Program Plan as part of the PNPRP, or as required by the CLPNBC 21. Standard: An established measure that serves as a model by which the accuracy of others can be determined. It sets the benchmark or criteria for achievement. 22. Substantial Change: A modification by a practical nurse program that has led to major change in curriculum design, location, and/or mode of delivery since the previous submission to CLPNBC 23. Summative Evaluation: A formal, “systematic assessment of the degree to which individuals have learned, or objectives have been met, as a result of education intervention.” (Bastable, 2003, p. 498). This process occurs following the completion of a program of study. 24. Verify: To establish the truth, accuracy, or reality of the information presented in the Program Plan.

References

1. Bastable, S.B. (2003) Nurse as Educator: Principles of Teaching and Learning. 2nd edition. Sudbury MA: Jones and Bartlett Publishers. 2. CLPNA. Education Standards Advisory Committee (ESAC) Terms of References and Process documents, Standards of Education. www.clpna.ab.ca 3. CLPNBC By-laws 4. CLPNBC Standards of Practice and Competencies and Code of Ethics, 2004. 5. Health Professions Act 6. Private Career Training Institutions Agency (PCTIA) documents www.pctia.bc.ca

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