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Documentation: Guidelines for Registered Nurses1
Nursing Education Program Approval Process
Administrative Document
for the Registered Nurse with Additional
Authorized Practice Courses
July 2013
Saskatchewan Registered Nurses Association2066 Retallack StreetRegina, SaskatchewanS4T 7X5
Phone: (306) 359-4200Toll Free: 1-800-667-9945Fax: (306) 359-0257
© 2013, Saskatchewan Registered Nurses’ Association7
2Nursing Education Program Approval Process
Table of ConTenTs
INTRODUCTION 4
ROLES IN THE NURSING EDUCATION PROGRAM APPROVAL PROCESS 5
Nursing Education Program Approval Committee 5
Role of the Nursing Education Program Approval Committee 5
Role of the Assessment Team 6
Role of the SRNA Staff Resource 6
APPROVAL STANDARDS 7
Nursing Education Standards 7
Standard 1: Curriculum 7
Standard 2: Resources 8
Standard 3: Students 9
Standard 4: Graduates 10
PROGRAM APPROVAL RATINGS 11
APPROVAL PROCESS FOR NEW COURSES(S) 11
APPROVAL PROCESS FOR ESTABLISHED COURSE(S) 12
APPROVAL PROCESS FOR A SUBSTANTIVE CHANGE TO EXTABLISHED COURSE(S) 13
APPROVAL PROCESS FOR COURSE(S) BEING DISCONTINUED 14
ANNUAL UPDATES 14
CONFLICT OF INTEREST & CONFIDENTIALITY 14
ALTERNATE DISPUTE RESOLUTION PROCESS 15
APPEAL PROCESS 15
REFERENCES 16
APPENDIX A GLOSSARY 17
APPENDIX B SELF-EVALUATION REPORT 18
APPENDIX C ASSESSMENT TEAM REPORT 19
Nursing Education Program Approval Process3
4Nursing Education Program Approval Process
InTroduCTIon
The nursing education program approval standards/criteria are approved by the association under the provisions of The Registered Nurses Act, 1988 and the current Bylaws.
Bylaw VI – Categories of Practice, Section 1(2)(a) “Additional authorized practice will be recognized for an RN in good standing in the general practice category who has successfully completed additional nursing education courses approved or recognized by the association or successfully completed a prior learning assessment.”
Bylaw XV – The association adopts its May, 2013 publication entitled Nursing Education Program Approval Standards and Criteria for the Registered Nurse with Additional Authorized Practice Courses.
END 3 “The nursing profession contributes to a proactive health system that meets the present and emerging health needs of the public” is accomplished in part by ensuring that graduates from RN with additional authorized practice education courses are competent to practice according to the standards of the association. Approval of basic, re-entry, additional authorized practice and RN(NP) education programs and/or courses are required by the Bylaws of the association.
Other documents which identify the standards for competent practice, also provide the foundation for the approval of the RN with additional authorized practice education courses:
• CurrentStandards and Foundation Competencies for the Practice of Registered Nurses
• Current Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice
• CurrentCNA Code of Ethics
Nursing Education Program Approval Process5
roles In THe nursInG eduCaTIon ProGraM aPProVal ProCess
Nursing Education Program Approval Committee
The Nursing Education Program Approval Committee shall consist of up to seven members appointed by the Membership Advisory Committee. Members shall have diverse expertise and perspectives.
1. Membership shall consist of:• Fourregisterednurses,oneofwhomisaregisterednurse(nursepractitioner),fromabroadrangeof
practice, preferably nurses who work with new graduates, are in leadership positions, and/or have expertise in evaluation
• Onepublicrepresentativewithexpertiseingeneraleducation• OnerepresentativefromthegovernmentresponsibleforThe Registered Nurses Act, 1988• Onerepresentativefromanotherhealthprofession
2. Members of this committee shall be appointed for a three year term, renewable for one additional term. Terms of office shall be staggered to provide for continuity.
Role of the Nursing Education Program Approval Committee
The Nursing Education Program Approval Committee shall:
1. Review the process for approval of nursing education programs as delegated to the Nursing Education Program Approval Committee.
2. May consult, as necessary or appropriate, with individuals who have expertise related to a program or any other matter considered by the committee.
3. Followinganursingeducationprogramapprovalreview,reporttotheExecutiveDirectorrecommendingan approval rating of a basic or registered nurse (nurse practitioner) program based on association approved standards and/or criteria governing the approval of nursing education programs.
4. Maintain processes to ensure due process, procedural fairness and an open, transparent process for resolution of issues and/or concerns.
5. Submit an annual report to the Executive Director regarding updates from the nursing education programs.
6Nursing Education Program Approval Process
Role of the Assessment Team
The Assessment Team is responsible for verifying and clarifying the RN with additional authorized practice education provider’s self-evaluation report. The Assessment Team does not determine an approval rating for the education course(s), but rather provides information to the Nursing Education Program Approval Committee for the committee’s consideration. The Team is composed of one or two members who are contracted by the association. The Assessment Team is external to the education provider being evaluated. Members of the Assessment Team are recruited by the Nursing Education Program Approval Committee.
Members of the Assessment Team should possess the following qualifications:• Experienceinappropriateareasofclinicalpractice• CurrentregistrationingoodstandingwiththeSRNA• Experienceineducationprogramming
Role of the SRNA Staff Resource
The SRNA Staff Resource performs three roles in relation to the nursing education approval process:
1. The SRNA Staff Resource assists the education provider to understand the approval process and the requirements of the review. The SRNA Staff Resource is available to meet with the education provider prior to submission of the self-evaluation report. The SRNA Staff Resource will also provide follow-up with the education provider, following a review.
2. The SRNA Staff Resource serves as a staff support to the Nursing Education Program Approval Committee. This role includes providing a list of potential Assessment Team members. The SRNA Staff Resource supports the work done by the committee but does not participate in making decisions about approval status of the course(s) being reviewed.
3. The SRNA Staff Resource serves as an ex officio member of the Assessment Team.
Nursing Education Program Approval Process7
aPProVal sTandards
Nursing Education Standards
The following are standards set out for the Registered Nurse with additional authorized practice education course(s).
1. Curriculum – The curriculum provides learning experiences necessary for students to meet the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice.
2. Resources – There are sufficient human, financial, physical, technology, and clinical resources to enable students to meet the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice.
3. Students – Students demonstrate progress toward the achievement of the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice.
4. Graduates – Graduates successfully achieve the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice.
Standard 1: Curriculum
Curriculum – The curriculum provides learning experiences necessary for students to meet the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice.
Criteria:
1. The philosophy of the nursing education course(s) and the conceptual framework guide the development and implementation of the curriculum.a. Evidence that the philosophy and conceptual framework guide the development and implementation
of a PLAR process (if applicable).
2. Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice are addressed and measured throughout the course(s).
a. Evidence that the Standards, Competencies and Clinical Decision Tools are embedded throughout the curriculum to support the RN with additional authorized practice to provide safe, competent and ethical care.
b. Evidence that the Standards, Competencies and Clinical Decision Tools are embedded throughout the PLAR process (if applicable).
8Nursing Education Program Approval Process
3. In addition to the Standards, Competencies and Clinical Decision Tools, the curriculum includes:a. Measurable course objectives;b. Logical course sequencing;c. Responsiveness to current and emerging trends;d. Performance expectations of students that reflect the complexities of behaviors required for the
competent performance of additional authorized practice; e. An evaluation framework consisting of a formative and summative evaluation process to ensure
ongoing relevance and/or revision of the curriculum; andf. A focus on understanding and implementing competencies related to interdisciplinary collaboration
and collaborative practice.
4. The education course(s) has/have learning opportunities to enable the RN with additional authorized practice to meet the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice.a. Theory course(s) are consolidated with a practicum (as applicable).b. That involves inter-professional education and provision of collaborative care.
5. Qualified preceptors supervise clinical learning activities (as applicable).
6. There is systematic and continuous evaluation of the curriculum including opportunities for feedback from stakeholders, which is used to inform ongoing development, maintenance, and enhancement of the curriculum.
Standard 2: Resources
Resources – There are sufficient human, physical, financial, and technology resources to enable students to meet the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice.
Criteria:
1. Facultypossessesthetheoreticalknowledgeandclinicalexpertiseappropriatetotheirteachingresponsibilities.a. Nursing faculty must be involved as educators in nursing content in the course(s).b. Preference should be given to faculty who has nursing experience in the specialty.
2. Where there is a clinical component, preceptors possess the expertise appropriate to their clinical teaching and area of additional authorized practice.
3. There are sufficient faculty to ensure optimum student learning and safe client care.
4. There are sufficient physical and technology resources to support learning activities/modalities.
Nursing Education Program Approval Process9
Standard 3: Students
Students – Students demonstrate progress toward the achievement of the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice.
Criteria:
1. Students are currently registered and practicing as a RN in good standing with the association.
2. There are policies and procedures in place for student selection and admission.a. The minimum competencies expected of RNs prior to entering the education course(s) are identified.b. The minimum competencies expected of RNs wishing to apply for the PLAR process are identified (if
applicable).
3. There are policies and procedures related to academic progression. This includes:a. withdrawal;b. failure;c. appeals;d. student discipline;e. readmission; andf. successful course completion.
4. Where there is a clinical component, there are measures to ensure student and client safety. This includes:a. Ensuring that the student’s immunization status meets the requirements of the clinical facility;b. Ensuring that the student has basic life support certification as well as certification(s) as appropriate to
the clinical setting; andc. Ensuring that students have an appropriate security clearance completed.
5. Students receive well-timed, formative and summative feedback about their learning using evaluation methods to facilitate their achievement of the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice.
6. Student trends including enrolment, withdrawal, and successful course completion are tracked and inform admission criteria.
7. There are policies and procedures related to maintaining student records related to relevant legislation.
10Nursing Education Program Approval Process
Standard 4: Graduates
Graduates – Graduates successfully achieve the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice.
Criteria:
1. Prior to graduation, evaluations provide evidence that students have met the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice and are qualified and competent to practice as a RN with additional authorized practice.a. Evaluation tools are varied and provide evidence that students have achieved the competencies.b. Evaluation tools for PLAR (if applicable) include a process for evaluation of clinical competence.c. The course(s) is/are explicit in identifying the minimum requirements of graduates for meeting the
competencies for the RN with additional authorized practice.d. The course(s) is/are explicit in identifying the minimum requirements of graduates for meeting the
competencies for the RN with additional authorized practice within a PLAR process (if applicable).e. The overall design of the evaluation strategy makes explicit how graduates will demonstrate
interdisciplinary collaborative practice as well as independent decision-making in the additional authorized practice.
2. There is a post-graduate evaluation with stakeholder feedback which is used to inform curriculum development and revision.
Nursing Education Program Approval Process11
ProGraM aPProVal raTInGs
Each course(s) shall be rated in one of the following categories, with written rationale for the rating and the period of time for which the rating is granted.
Preliminary Approval: The rating given to a new courses(s) that shows evidence of the ability to meet the criteria for approval but that has not yet graduated students from the course(s) or an established course(s) seeking initial approval. Course(s) receiving preliminary approval must undergo an assessment for full approval in the academic year following the first class of graduates. Graduates from course(s) who have received this rating will be considered graduates of an approved nursing education course(s) for the purpose of being placed on the Register. The nursing education provider is responsible to ensure the graduates meet the current Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice at the time of graduation.
Approval Granted: The rating given to course(s) that meets the criteria for approval. Initial approval can begrantedforaperiodofoneyear.Followinginitialapproval,approvalmaybegranteduptothreeyears,depending upon the nature and significance of strengths and deficits identified in the review. Graduates from a nursing education course(s) that has received this rating will be considered graduates of an approved nursing education course(s) for the purposes of being placed on the Register.
Approval Denied: the rating given to course(s) that does not meet the approval criteria. Graduates from a nursing education course(s) that has received this rating will not be eligible to be placed on the Register.
aPProVal ProCess for neW Courses(s)
New nursing education course(s) are to receive preliminary approval before admitting students. The purpose of the preliminary approval process is to assess the ability of the education provider to deliver the proposed course(s) and that graduates are able to meet the Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice.
The steps in the approval process are as follows:
1. The education provider will provide written notification to the SRNA of its intent to offer new course(s) prior to the proposed commencement date. The required date for the written notification will be negotiated between the SRNA and the education provider.
2. The education provider will submit a self-evaluation report to the SRNA Staff Resource prior to the proposed commencement date of the new course(s). The required date for the self-evaluation report will be negotiated between the SRNA and the education provider. If the submission is paper-based, a minimum of 10 copies of the self-evaluation report will be required.
3. The Nursing Education Program Approval Committee and the Assessment Team will review the submitted self-evaluation report independently.
4. The Assessment Team will submit a confidential report of their findings to the Nursing Education Program Approval Committee.
12Nursing Education Program Approval Process
5. The Nursing Education Program Approval Committee will review the Assessment Team’s report and the education provider’s feedback to make a reasoned recommendation regarding the approval rating. They shall submit a Report of Recommendations to the Executive Director.
6. The Executive Director will provide written notification to the education provider regarding the approval rating.
7. The education provider has the right to appeal, in writing, a decision of the Executive Director to Council within 30 days of the decision.
aPProVal ProCess for esTablIsHed Course(s)
Eight months in advance of the program approval deadline, a mutually agreed upon date for the approval process will be established between the Nursing Education Program Approval Committee and the education provider.
The steps in the approval process are as follows:
1. At least four months in advance of the program approval deadline, the education provider will submit a self-evaluation report to the SRNA Staff Resource. If the submission is paper-based, a minimum of 10 copies of the self-evaluation report will be required.
2. The Nursing Education Program Approval Committee and the Assessment Team will review the submitted self-evaluation report independently.
3. The Assessment Team will submit a confidential report of their findings to the Nursing Education Program Approval Committee.
4. The Nursing Education Program Approval Committee will review the Assessment Team’s report and the education provider’s feedback to make a reasoned recommendation regarding the approval rating. They shall submit a Report of Recommendations to the Executive Director.
5. The Executive Director will provide written notification to the education provider regarding the approval rating.
6. The education provider has the right to appeal, in writing, a decision of the Executive Director to Council within 30 days of the decision.
Nursing Education Program Approval Process13
aPProVal ProCess for a subsTanTIVe CHanGe
To eXTablIsHed Course(s)
Substantive changes may include but are not limited to:• Significantchangesmadetothelengthofthecourse(s)• Significantchangesmadetothetargetstudentpopulation• Significantchangesmadetothecourseresources• Significantchangesmadetotheimplementationofthecourse(s)• Significantchangesmadetothecurriculum• Anyotherchangesdeemedtomakethecourse(s)significantlydifferentfromthecourse(s)thatwas
originally granted approval
Determination of a substantial change can occur in two ways:
1. The education provider is responsible to notify the Nursing Education Program Approval Committee of any proposed substantive changes to the established course(s). This notification must be provided in writing. It is the decision of the Nursing Education Program Approval Committee to determine if the change is substantive and therefore, requires a change in the approval rating/status. The education provider may be required to submit additional information, at the discretion of the Nursing Education Program Approval Committee.
2. The Nursing Education Program Approval Committee’s review of the annual update of the approved course(s) indicates substantial changes have been made.
Upon review of the information provided by the education provider and in consultation with the course(s) program head, the Nursing Education Program Approval Committee shall render a decision if the change is substantive and therefore requires a change in program approval status. If there is an unresolved dispute between the education provider and the Program Approval Committee as to whether the change is substantial, the matter shall be referred to the Executive Director for resolution.
A course(s) implementing a substantive change will be required to undergo the approval process of an established course(s) even if it has not yet reached its approval deadline.
If the education provider is dissatisfied with the decision of the Executive Director, they have the right to appeal, in writing, a decision of the Executive Director to the Council within 30 days of the decision.
14Nursing Education Program Approval Process
aPProVal ProCess for Course(s) beInG dIsConTInued
The education provider shall provide notification to the Nursing Education Program Approval Committee as to the expected date of discontinuation of the approved course(s) as soon as this date has been determined. The education provider must provide rationale for its discontinuation and any transitional or new programming that is being planned.
The education provider must provide a clear plan that will address how the transition from the old course(s) to the new course(s) will be accomplished.
annual uPdaTes
The purpose of annual updates is to provide supplementary information and to address particular gaps that were identified in the approval process. Information to be included in the annual update is as follows:
• Descriptionoftheprogressandongoingdevelopmentinmeetingidentifiedrecommendationsfromthe Approval Report.
ConflICT of InTeresT & ConfIdenTIalITY
The current Canadian Nurses Association Code of Ethics for Registered Nurses, and the SRNA Council policies Code of Conduct and Conflict of Interest direct the conduct of the members of the Nursing Education Program Approval Committee, the Assessment Team, and Council throughout the Approval Process.
Each member of the Nursing Education Program Approval Committee will sign and abide by the code of conduct approved by Council.
The Nursing Education Approval Committee in consultation with the education provider shall examine any perceived potential or actual conflict of interests at the outset of each program review. This shall include selection of members of the Assessment Team.
Each member of the Assessment Team will sign and abide by the code of conduct approved by Council. Members of the Assessment Team shall not request materials from the education provider for their personal use at any time during the assessment process nor use the opportunity of the approval process to sell personal consulting services.
Nursing Education Program Approval Process15
alTernaTe dIsPuTe resoluTIon ProCess
The SRNA supports a collaborative program approval process. The education provider will be provided with opportunities throughout the program approval process to provide input:
• SelectionoftheAssessmentTeam• ClarificationoffactualinformationdocumentedintheAssessmentTeam’sreport• NursingEducationProgramApprovalCommittee’stentativerecommendationreapprovalrating
At any point in the approval process if the education provider is not satisfied with a decision of the Nursing Education Program Approval Committee, the program head may request a meeting with the committee. At the discretion of the Nursing Education Program Approval Committee, the Registrar and/or Executive Director may be asked to attend any such meeting in an attempt to accomplish low level resolution.
The education provider has the right to enter into a consensual resolution process with the Executive Director and/or designate. Terms and undertakings may be agreed upon by consensus. A breach of this agreement will result in the reinstatement of the previous approval rating or decision in dispute given by the Executive Director.
If the nursing education provider is dissatisfied with the decision of the Executive Director, it may appeal, in writing, to Council within 30 days of the decision.
aPPeal ProCess
The education provider has the right to appeal the decision of the Executive Director regarding the approval rating granted. The notice of appeal, including rationale, must be filed in writing to Council within 30 days of the program head being notified of the approval rating.
Council shall hear the appeal in accordance with policy whereby they shall:• Reviewthenoticeofappeal.• DetermineiftheapprovalprocesswasconductedaccordingtotheSRNAApprovalProcessfor
Nursing Education Programs.• ReviewanydocumentsCouncildeemsnecessarythatrelatetotheapprovalsubmittedtotheNursing
Education Approval Committee.• HearrepresentationfromboththeeducationproviderandtheNursingEducationProgramApproval
Committee.• Solicitexpertadviceasrequired.• Makeareasoneddecisiontoupholdtheoriginalratingortorecommendanalternatedecisionstating
the rationale for the decision.• NotifytheeducationproviderandtheNursingEducationProgramApprovalCommitteeofits
decision, in writing.• TheappealdecisionofCouncilisfinal.
16Nursing Education Program Approval Process
referenCes
College of Registered Nurses of British Columbia. (2013). Certified practices: Course review policies. Vancouver, BC: Author.
College of Registered Nurses of British Columbia. (2013). CRNBC-Certified practice education programs: Guideline for provider. Vancouver, BC: Author.
EnhancingInterdisciplinaryCollaborationinPrimaryHealthCare(EICP)Initiative.(2005).Enhancing Interdisciplinary Collaboration in Primary Health Care in Canada. 12 Ottawa, ON: Author.
K. Chappell, Director of Accreditation American Nurses Credentialing Center. (October 2011) Verbal communication.
L. Paltry, Manager: Certification Programs Canadian Nurses Association. (October 2011) Verbal communication.
N.Hammell,DirectorofProfessionalPracticeandRegulation:AmericanNursesCredentialingCenter.(October 2011) Verbal communication.
Saskatchewan Registered Nurses’ Association. (2009). Nursing education program approval process administrative document for approval of nursing education program for registered nurses; Approval of nursing education re-entry programs for registered nurses. Regina, SK: Author.
Saskatchewan Registered Nurses’ Association. (2011). Nursing Education program approval process administrative document for approval of nursing education programs for registered nurse (nurse practitioners). Regina, SK: Author.
Nursing Education Program Approval Process17
aPPendIX a
Glossary
Approval: The term used to designate that an education program has met the prescribed standards set by the appropriate provincial body. It is a compulsory process and is based on standards and competencies required for nurse registration.
Client: A person with whom the registered nurse is engaged in a therapeutic relationship. In most circumstances, the client is an individual but may also include family members and/or substitute decision makers. The client can also be a group (e.g. therapy), a community (e.g. public health) or a population (e.g. children with diabetes).
Clinical Decision Tools: Specific documents developed by the SRNA Interprofessional advisory group, which support the assessment, diagnosis, and treatment of limited common medical disorders by the RN with additional authorized practice. They are evidence-informed resources based on published research, grey literature, clinical best practice guidelines, expert opinion, and other resources as required. Clinical decision tools are used by the RN with additional authorized practice in conjunction with his/her clinical judgment to ensure appropriate client care is provided.
Collaborative Practice: “…involves the continuous interaction of two or more professionals or disciplines, organized into a common effort to solve or explore common issues, with the best possible participation of the patient. Collaborative practice is designed to promote the active participation of each discipline in patient care. It enhances patient and family-centred goals and values, provides mechanisms for continuous communication among caregivers, optimizes staff participation in clinical decision-making within and across disciplines, and fosters respect for disciplinary contributions of all professionals.” (University of Toronto, as cited in EICP Initiative, 2005).
Competence: The integrated knowledge, skills, judgment and attributes required of a registered nurse to practice safely and ethically in a designated role and setting.
Competency: The overall display by a registered nurse, in the professional care of a client(s), the knowledge, skill and judgment required in the practice situation. The nurse functions with care and regard for the welfare of the client and in the best interests of the public, nurses and nursing profession.
Criterion: Standard or test by which something can be judged.
Curriculum: The planned process by which a nursing program achieves its intended outcomes. It includes philosophical foundations, intents, content, sequencing of learning experiences and evaluation.
Graduate: One who has successfully completed the requirements of an approved nursing education program.
Registration: A process whereby graduate nurses are declared by the SRNA to be currently eligible to practice in Saskatchewan and which includes a listing of qualified individuals as maintained on an official roster.
Standard: A desired and achievable level of performance against which actual performance can be compared. It provides a benchmark below which performance is unacceptable.
18Nursing Education Program Approval Process
aPPendIX b
Self-Evaluation Report
An essential part of the process for approval of course(s) for the RN with additional authorized practice is the self-evaluation report prepared by the education provider. The report is the result of a review carried out by the faculty/program head and is based on the criteria outlined in this document. Included with each standard are criteria that are used to provide evidence that the standard has been met. Additional indicators that reflect unique characteristics of the course(s) in meeting each criterion/standard may also be included.
The report should include the following sections:
1. Table of Contents
2. Purpose and goals of the program:• Contextualinformationthatmayinfluencethecourse(s)• Rationaleforcourse(s)development/change
3. Course(s) intents
4. Course description including:• Length• Plannedenrolmentnumbers• Collaborativepartnerships,ifapplicable• Adescriptionofcoursedeliverymethods• Thelocationsand/orcampuseswherethecourse(s)is/areoffered• Asummaryofchangestothecurriculumsincethelastreport,ifapplicable
5. Overview of the proposed course(s) curriculum and ability to meet the standards and criteria for approval:• Curriculum• Students• Resources• Graduates
6. Overview of the plan to address recommendations, as applicable, from previous approval processes.
If aspects of the course(s) are not completely developed at the time of submission, the plans for development must be included.
Documents providing evidence that standards/criteria are met should be referenced throughout the self-evaluation report, and may be included as appendices.
Nursing Education Program Approval Process19
aPPen
dIX C
Assessm
ent Team
R
eport
The
Asse
ssm
ent T
eam
repo
rt w
ill a
ddre
ss e
ach
appr
oval
stan
dard
usin
g th
e to
ol p
rovi
ded
belo
w.
standard 1: C
urriculum
Cur
ricul
um –
The
curr
icul
um p
rovi
des l
earn
ing
expe
rienc
es n
eces
sary
for s
tude
nts t
o m
eet t
he S
tand
ards
, Com
pete
ncies
and
Clin
ical D
ecisi
on
Tool
s for
the R
N w
ith A
dditi
onal
Aut
horiz
ed P
racti
ce.
1.
The
philo
soph
y of
the
nurs
ing
educ
atio
n co
urse
(s) a
nd th
e co
ncep
tual
fram
ewor
k gu
ide
the
deve
lopm
ent a
nd im
plem
enta
tion
of th
e cu
rricu
lum
.a.
Evid
ence
that
the
philo
soph
y an
d co
ncep
tual
fram
ewor
k gu
ide
the
deve
lopm
ent
and
impl
emen
tatio
n of
a P
LAR
proc
ess (
if ap
plica
ble)
.
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
2.
Stan
dard
s, Co
mpe
tenc
ies a
nd C
linica
l Dec
ision
Tool
s for
the
RN w
ith A
dditi
onal
Au
thor
ized
Prac
tice
are
addr
esse
d an
d m
easu
red
thro
ugho
ut th
e co
urse
(s).
a. E
viden
ce th
at th
e St
anda
rds,
Com
pete
ncie
s and
Clin
ical D
ecisi
on To
ols a
re
embe
dded
thro
ugho
ut th
e cu
rricu
lum
to su
ppor
t the
RN
with
add
ition
al au
thor
ized
prac
tice
to p
rovid
e sa
fe, c
ompe
tent
and
eth
ical c
are.
b. E
viden
ce th
at th
e St
anda
rds,
Com
pete
ncie
s and
Clin
ical D
ecisi
on To
ols a
re
embe
dded
thro
ugho
ut th
e PL
AR p
roce
ss (i
f app
licab
le).
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
20Nursing Education Program Approval Process
3. I
n ad
ditio
n to
the
Stan
dard
s, Co
mpe
tenc
ies a
nd C
linica
l Dec
ision
Tool
s, th
e cu
rricu
lum
in
clude
s:a.
Mea
sura
ble
cour
se o
bjec
tives
;b.
Log
ical c
ours
e se
quen
cing;
c. R
espo
nsive
ness
to cu
rrent
and
em
ergi
ng tr
ends
;d.
Per
form
ance
exp
ecta
tions
of s
tude
nts t
hat r
efle
ct th
e co
mpl
exiti
es o
f beh
avio
rs
requ
ired
for t
he co
mpe
tent
per
form
ance
of a
dditi
onal
auth
orize
d pr
actic
e;
e.
An e
valu
atio
n fra
mew
ork
cons
istin
g of
a fo
rmat
ive a
nd su
mm
ative
eva
luat
ion
proc
ess t
o en
sure
ong
oing
rele
vanc
e an
d/or
revis
ion
of th
e cu
rricu
lum
; and
f. A
focu
s on
unde
rsta
ndin
g an
d im
plem
entin
g co
mpe
tenc
ies r
elat
ed to
in
terd
iscip
linar
y co
llabo
ratio
n an
d co
llabo
rativ
e pr
actic
e.
Crite
ria:
Met
Pa
rtia
lly M
et
Not
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Disc
ussi
on:
Reco
mm
enda
tion:
4.
The
educ
atio
n co
urse
(s) h
as/h
ave
lear
ning
opp
ortu
nitie
s to
enab
le t
he R
N wi
th
addi
tiona
l aut
horiz
ed p
racti
ce to
mee
t the
Sta
ndar
ds, C
ompe
tenc
ies a
nd C
linica
l De
cisio
n To
ols f
or th
e RN
with
Add
ition
al A
utho
rized
Pra
ctice
.a.
The
ory
cour
se(s
) are
cons
olid
ated
with
a p
racti
cum
(as a
pplic
able
).b.
Tha
t inv
olve
s int
er-p
rofe
ssio
nal e
duca
tion
and
prov
ision
of c
ollab
orat
ive ca
re.
Crite
ria:
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rtia
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et
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ussi
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enda
tion:
Nursing Education Program Approval Process21
5.
Qua
lifie
d pr
ecep
tors
supe
rvise
clin
ical l
earn
ing
activ
ities
(as a
pplic
able
).
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
6.
Ther
e is
syste
mat
ic an
d co
ntin
uous
eva
luat
ion
of th
e cu
rricu
lum
inclu
ding
op
portu
nitie
s for
feed
back
from
stak
ehol
ders
, whi
ch is
use
d to
info
rm o
ngoi
ng
deve
lopm
ent,
main
tena
nce,
and
enh
ance
men
t of t
he cu
rricu
lum
.
Crite
ria:
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rtia
lly M
et
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Disc
ussi
on:
Reco
mm
enda
tion:
22Nursing Education Program Approval Process
standard 2: resources
Reso
urce
s – Th
ere
are
suffi
cien
t hum
an, p
hysic
al, fi
nanc
ial,
and
tech
nolo
gy re
sour
ces t
o en
able
stud
ents
to m
eet t
he S
tand
ards
, Com
pete
ncies
an
d C
linica
l Dec
ision
Too
ls fo
r the
RN
with
Add
ition
al A
utho
rized
Pra
ctice
.
1.
Facu
lty p
osse
sses
the
theo
retic
al kn
owle
dge
and
clini
cal e
xper
tise
app
ropr
iate
to th
eir
teac
hing
resp
onsib
ilitie
s.a.
Nur
sing
facu
lty m
ust b
e in
volve
d as
edu
cato
rs in
nur
sing
cont
ent i
n th
e co
urse
(s).
b. P
refe
renc
e sh
ould
be
give
n to
facu
lty w
ho h
as n
ursin
g ex
perie
nce
in th
e sp
ecial
ty.
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
2.
Whe
re th
ere
is a
clini
cal c
ompo
nent
, pre
cept
ors p
osse
ss th
e ex
perti
se a
ppro
priat
e to
thei
r clin
ical t
each
ing
and
area
of a
dditi
onal
auth
orize
d pr
actic
e.
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
3. T
here
are
suffi
cient
facu
lty to
ens
ure
optim
um st
uden
t lea
rnin
g an
d sa
fe cl
ient
care
.
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
4.
Ther
e ar
e su
fficie
nt p
hysic
al an
d te
chno
logy
reso
urce
s to
supp
ort
lear
ning
acti
vitie
s/m
odali
ties.
Crite
ria:
Met
Pa
rtia
lly M
et
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Disc
ussi
on:
Reco
mm
enda
tion:
Nursing Education Program Approval Process23
standard 3: students
Stud
ents
– St
uden
ts de
mon
strat
e pr
ogre
ss to
war
d th
e ac
hiev
emen
t of t
he S
tand
ards
, Com
pete
ncies
and
Clin
ical D
ecisi
on T
ools
for t
he R
N w
ith
Addi
tiona
l Aut
horiz
ed P
racti
ce.
1.
Stud
ents
are
curre
ntly
regi
stere
d an
d pr
actic
ing
as a
RN
in g
ood
stand
ing
with
the
asso
ciatio
n.
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
2.
Ther
e ar
e po
licie
s and
pro
cedu
res i
n pl
ace
for s
tude
nt se
lecti
on a
nd a
dmiss
ion.
a. T
he m
inim
um co
mpe
tenc
ies e
xpec
ted
of R
Ns p
rior t
o en
terin
g th
e ed
ucat
ion
cour
se(s
) are
iden
tifie
d.b.
The
min
imum
com
pete
ncie
s exp
ecte
d of
RNs
wish
ing
to a
pply
for t
he P
LAR
proc
ess a
re id
entif
ied
(if a
pplic
able
).
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
3.
here
are
pol
icies
and
pro
cedu
res r
elat
ed to
aca
dem
ic pr
ogre
ssio
n. T
his i
nclu
des:
a. W
ithdr
awal;
b. F
ailur
e;c.
App
eals;
d. S
tude
nt d
iscip
line;
e.
Read
miss
ion;
and
f. S
ucce
ssfu
l cou
rse
com
plet
ion
Crite
ria:
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rtia
lly M
et
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Disc
ussi
on:
Reco
mm
enda
tion:
24Nursing Education Program Approval Process
4.
Whe
re th
ere
is a
clini
cal c
ompo
nent
, the
re a
re m
easu
res t
o en
sure
stu
dent
and
cli
ent s
afet
y. T
his i
nclu
des:
a. E
nsur
ing
that
the
stude
nt’s
imm
uniza
tion
statu
s mee
ts th
e re
quire
men
ts of
the
clini
cal f
acilit
y;b.
Ens
urin
g th
at th
e stu
dent
has
bas
ic lif
e su
ppor
t cer
tifica
tion
as w
ell a
s ce
rtific
atio
n(s)
as a
ppro
priat
e to
the
clini
cal s
ettin
g; a
ndc.
Ens
urin
g th
at st
uden
ts ha
ve a
n ap
prop
riate
secu
rity
clear
ance
com
plet
ed.
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
5.
Stud
ents
rece
ive w
ell-t
imed
, for
mat
ive a
nd su
mm
ative
feed
back
abo
ut th
eir
lear
ning
usin
g ev
aluat
ion
met
hods
to fa
cilita
te th
eir a
chie
vem
ent o
f the
Sta
ndar
ds,
Com
pete
ncie
s and
Clin
ical D
ecisi
on To
ols f
or th
e RN
with
Add
ition
al A
utho
rized
Pr
actic
e.
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
6.
Stud
ent t
rend
s inc
ludi
ng e
nrol
men
t, wi
thdr
awal,
and
succ
essfu
l cou
rse
com
plet
ion
are
track
ed a
nd in
form
adm
issio
n cr
iteria
.
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
7.
Ther
e ar
e po
licie
s and
pro
cedu
res r
elat
ed to
main
tain
ing
stude
nt re
cord
s rel
ated
to
rele
vant
legi
slatio
n.
Crite
ria:
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rtia
lly M
et
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Disc
ussi
on:
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mm
enda
tion:
Nursing Education Program Approval Process25
standard 4: G
raduates
Gra
duat
es su
cces
sfully
ach
ieve
the
Stan
dard
s, C
ompe
tenc
ies a
nd C
linic
al D
ecisi
on T
ools
for t
he R
N w
ith A
dditi
onal
Aut
horiz
ed P
racti
ce.
1.
Prio
r to
grad
uatio
n, e
valu
atio
ns p
rovid
e ev
iden
ce th
at st
uden
ts ha
ve m
et th
e St
anda
rds,
Com
pete
ncie
s and
Clin
ical D
ecisi
on To
ols f
or th
e RN
with
Add
ition
al
Auth
orize
d Pr
actic
e an
d ar
e qu
alifie
d an
d co
mpe
tent
to p
racti
ce a
s a R
N wi
th
addi
tiona
l aut
horiz
ed p
racti
ce.
a. E
valu
atio
n to
ols a
re v
arie
d an
d pr
ovid
e ev
iden
ce th
at st
uden
ts ha
ve a
chie
ved
the
com
pete
ncie
s.b.
Eva
luat
ion
tool
s for
PLA
R (if
app
licab
le) i
nclu
de a
pro
cess
for e
valu
atio
n of
cli
nica
l com
pete
nce.
c. T
he co
urse
(s) i
s/ar
e ex
plici
t in
iden
tifyin
g th
e m
inim
um re
quire
men
ts of
gr
adua
tes f
or m
eetin
g th
e co
mpe
tenc
ies f
or th
e RN
with
add
ition
al au
thor
ized
prac
tice.
d. T
he co
urse
(s) i
s/ar
e ex
plici
t in
iden
tifyin
g th
e m
inim
um re
quire
men
ts of
gr
adua
tes f
or m
eetin
g th
e co
mpe
tenc
ies f
or th
e RN
with
add
ition
al au
thor
ized
prac
tice
with
in a
PLA
R pr
oces
s (if
appl
icabl
e).
e.
The
over
all d
esig
n of
the
evalu
atio
n str
ateg
y m
akes
exp
licit
how
grad
uate
s will
dem
onstr
ate
inte
rdisc
iplin
ary
colla
bora
tive
prac
tice
as w
ell a
s ind
epen
dent
de
cisio
n-m
akin
g in
the
addi
tiona
l aut
horiz
ed p
racti
ce.
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
2.
Ther
e is
a po
st-gr
adua
te e
valu
atio
n wi
th st
akeh
olde
r fee
dbac
k wh
ich is
use
d to
in
form
curri
culu
m d
evel
opm
ent a
nd re
visio
n.
Crite
ria:
Met
Pa
rtia
lly M
et
Not
Met
Disc
ussi
on:
Reco
mm
enda
tion:
26Nursing Education Program Approval ProcessDocumentation: Guidelines for Registered Nurses26
2013 Saskatchewan Registered Nurses’ Association2066 Retallack Street, Regina, SK S4T 7X5
Phone: (306) 359-4200 (Regina)TollFree:1-800-667-9945
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