The Health Professions Act (HPA) requires CARNA to provide a continuing competence program for registrants. Nurses who hold a practice permit must meet the Continuing Competence Program (CCP) requirements as part of their annual registration renewal.
The CCP ensures that registrants engage in continual professional development, to maintain their competence and provide safe and competent care to the public.CARNA has designed the CCP to:
- Support registrants in practising according to standards and competencies.
- Help nurses identify registrants’ learning needs.
- Document how registrants enhance, or address opportunities for growth, in their practice.
- Increase the public’s confidence in the nursing profession.
Registrants must meet CCP requirements as part of the annual process for renewing their registration.
To meet CCP requirements, registrants must document the following and submit it to CARNA:
- A self-assessment of their nursing practice against the Practice Standards for Regulated Members.
- Constructive feedback that informs their learning goal for the year.
- A Practice Standards indicator that relates to their learning goal and feedback.
- For nurse practitioners, an additional Entry-level Competency
- A learning activity that met the learning goal identified by their feedback and chosen indicator.
- An evaluation of the impact their entire learning plan had on their nursing practice.
- Submit their plan in the online system and keep separate copies for their records. Registrants must keep their records from the past five years.
For nurse practitioners
In addition to the above, nurse practitioners must document the following and submit it to CARNA:
- An Entry-level Competencies for Nurse Practitioners that relates to an additional learning goal that addresses an opportunity for growth in their practice.
- A learning activity that met the learning goal identified by their chosen competency.
- An evaluation of the impact of the competency and associated learning activity on their nursing practice.
When to submit
Registrants can access their learning plan on the first day of the practice year (Oct. 1) and submit it at any time throughout the practice year. To renew a practice permit, registrants only need to complete their learning plan for the current practice year and submit it before renewal.
Registrants who do not meet the CCP requirement at renewal may have their permit approved temporarily or conditional to meeting additional requirements, or may have their permit suspended.
Learning plan checklist
For a step by step walk-through of the MyCCP Learning Plan, My Learning Plan Instructional Guide in My Learning Space.
Components of the learning plan
Step one: Document current nursing role and practice setting
Registrants provide the following information:
- Nursing role
- Currently employed
- Position title
- Practice setting
- Secondary practice setting (optional)
The current role information that registrants provide will allow CARNA to assess the relevance of the learning plan.
Step two: Describe learning needs (self-assessment and feedback)
This section allows registrants to reflect on their nursing practice. The Practice Standards for Regulated Members are foundational to safe, competent and ethical nursing practice. These standards reflect the values of the profession and clarify what CARNA expects of its members.
CARNA has five practice standards:
- Responsibility and accountability
- Knowledge-based practice
- Ethical practice
- Service to the public
Practice standards indicators articulate the expectations for each of these standards — expectations that apply to all registrants, in all practice settings, at all times. Registrants must consider how each indicator is relevant to their practice
and reflect to determine practice successes and growth opportunities. This reflection can include analyzing a challenging client situation, considering implementing a new research strategy or applying a technique they learned at a session.
Registrants assess their practice against the Practice Standards for Regulated Members. Nurse practitioners must also evaluate their practice using the Entry-Level Competencies for Nurse Practitioners.
- Reflect on their unique professional learning needs to grow and improve their practice.
- Analyze their performance against each practice standards indicator.
- Ensure they apply the indicator to their specific role and practice setting.
- Prioritize their assessment.
- Determine the area(s) to focus on for the current practice year.
Collecting feedback helps registrants identify their learning needs. Peer feedback can help a registrant be more objective about opportunities for growth in their practice, as it reveals details that a self-assessment may not.
Registrants must collect and document one instance of constructive feedback that helped inform their learning goals. The feedback provider must be familiar with the registrant's current practice area and give honest feedback. Feedback must be dated within the current practice year.
- Ensure that it comes from another person who works in a comparable area of practice, performs a similar nursing practice role, or understands what they wish to accomplish with their learning goals.
- Collect feedback that helps identify areas their practice where they can improve.
- Link to the feedback they collect to the results of their self-assessment.
- Some settings for collecting feedback include: a formal setting, as in a performance review with a supervisor; informal, through casual conversation with colleagues; direct, through specific comments from others.
Step three: Document a learning plan
Choose practice standards indicator
To address a growth opportunity in their nursing practice, registrants choose an indicator that relates to the feedback they’ve collected. The indicator should provide the focus for the learning activity a registrant chooses to meet their current practice year's learning goal.
Registered nurses select one practice standards indicator, which relates most to their learning goals and the feedback they collected. Nurse practitioners document two learning plans; one based on the practice standards indicators, the other on the entry-level competencies.
Registrants should consider the following when choosing a practice standards indicator:
- Will this help me to focus on an achievable learning need?
- What aspects of their learning need are the most important to focus on?
- What education or training opportunities are available to support their learning need?
- How do they learn best?
- How will they know their learning goal has been meet? What difference do they see in their practice?
Document learning activity
Based on their learning needs and the indicator they chose, registrants select a learning activity to complete. This activity should support then in their learning plan needs.
To determine whether a learning activity supports the learning plan, registrants should consider:
- Is this activity something outside what they must do as a regular part of their current nursing position?
- Did the activity help them address the learning need(s) they identified from their self-assessment and the feedback they collected?
- Did the activity help them improve their knowledge or support them in their practice?
- Did they complete the activity during the current practice year?
If the answer to these questions is yes, the learning activity meets CCP requirements.
Evaluate the learning plan's impact
To increase the public’s confidence in the nursing profession, registrants offer evidence of having engaged in continued professional development and reflect on how this has enhanced their nursing practice and the service they provide to their clients.
Registrants rate and describe the impact of their self-assessment, feedback, chosen indicator, learning need and learning activity had on their practice. This includes their observations regarding what exact effect their learning plan had on their nursing practice.
Registrants should consider the following:
- What new knowledge did they gain from completing their learning activity?
- How did that knowledge change their nursing practice?
- How did meeting their learning objective help they implement something new in their practice?
- How did it help them improve something in their practice?
- How did it help them provide better, more competent, ethical or safer patient care?
Keep a record
Registrants must keep a record of completing their annual CCP requirements for five years, including the current practice year.
- Document their self-assessment against the Practice Standards for Regulated Members with results.
- Record the feedback or performance evaluation they collected, who they collected it from, and when.
- Course completion certificates and make a note of any additional learning activities they completed.
- Make copies of their last five years’ CCP to keep in their records.
Start next plan on October 1
To renew a practice permit, registrants only need to complete their learning plan for the current practice year. Each learning plan will become available on the first day of the practice year (Oct 1). Registrants can access and work on their learning plan throughout the practice year. They can complete and submit their learning plan to CARNA at any time throughout the practice year. Their learning plan must be complete and submitted by the time they need to apply and pay to renew their practice permit.
CARNA’s annual Check-In Questionnaire verifies that registrants are meeting the program requirements. CARNA randomly selects a percentage of registrants applying to renew their practice permit to complete a short, automated questionnaire as part of their learning plan on an annual basis.
Registrants selected to participate will receive an email directing them to a binary-choice questionnaire in their learning plan. The correct responses to the questionnaire are determined based on the best possible answer. The Check-In Questionnaire is a part of the selected registrants’ annual CCP requirements.
Selected registrants, when selected, must complete the questionnaire for their annual CCP requirement to be considered complete. Results of the questionnaire are sent to registrants via email.
On a case-by-case basis, the Competence Committee may consider a registrant's CCP requirements exemption request. Request review time is variable, and registrants should allow additional time for Committee review. If an exemption request is submitted outside a reasonable time frame, a registrant may see a delay in permit approval or their permit may expire.
To request an exemption, contact firstname.lastname@example.org and include the circumstances or reasons for requesting an exemption. Registrants may be required to provide evidence or further details related to their request.
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