Registered Psychiatric Nurses in CanadaEducation and Practice
October 1, 2019Nursing Association of New Brunswick (NANB)
Invitational Forum
OUR OBJECTIVES2
1. Regulation of Registered Psychiatric Nurses (RPNs) in Canada
2. Psychiatric Nursing Education in Canada
3. Entry-level Competencies
4. Psychiatric Nursing Practice- Where we work, what we do
5. RPNRC Mobility & Assessment Project
4
RPN supply, by jurisdiction, Western provinces, 2006 to 2017
Source: Health Workforce Database, Canadian Institute for Health Information
HISTORY OF PSYCHIATRIC NURSING EDUCATION
5
1920 – 1921 First psychiatric nursing program in
Canada – (Brandon, Manitoba)
1920 – 1968 Three year diploma
1969 – 1995 Two year diploma
Since 1995 Bachelor of Science in Psychiatric Nursing
2011 Masters Psychiatric Nursing
6
Supply of new RPN graduates* by initial education and jurisdiction, 2006, 2012 and 2017
Source: Health Workforce Database, Canadian Institute for Health Information
*new RPN graduates are those who graduated 0-10 years before year of registration
7
Supply of new RPN graduates* by initial education Western Canada, 2006, 2012 and 2017
Source: Health Workforce Database, Canadian Institute for Health Information
*new RPN graduates are those who graduated 0-10 years before year of registration
PURPOSE OF ENTRY-LEVEL COMPETENCIES 9
• Framework for Psychiatric Nursing program approval
• Facilitate reciprocity of qualifications from within and outside Canada
• Increase movement, flexibility, adaptability and knowledge of RPNs
• Increased public and employer awareness
• Increase National collaboration and communication
CURRICULUM SAMPLE
• Required Arts/Sciences• Psychology, Sociology, Human Anatomy & Physiology,
Research Methods, Intro Statistics
• Required Psychiatric Nursing• Growth & Development, Interpersonal Communication,
Nursing/Psychiatric Nursing Theory, Fundamental Nursing Skills, Health Assessment, Psychopharmacology, Medical Nursing, Individual Counselling, Therapeutic Groups, Family Counselling, Community Health, Psychopathology, Acute Mental Health Challenges, Psychiatric Rehabilitation & Recovery, Addictions, Child & Adolescent Psychiatry, Elderly, Palliative Care, Developmental Challenges, Interpersonal Abuse, Leadership
10
CLINICAL & PRACTICUM
• Clinical and practicum experiences provide opportunities for experiential learning of curriculum concepts and content linked to attaining the entry‐level competencies
• Clinical practice hours must include:
i. A minimum of 775 clinical hours in psychiatric nursing
ii. A minimum of 225 clinical hour’s in general medical/surgical nursing
• Must include a clinical in acute psychiatry & senior practicum at a minimum
11
PSYCHIATRIC NURSING PRACTICE
• Practices in variety of settings: psychiatric facilities, hospitals (including medicine & the emergency departments), crisis services, community mental health programs for children, adolescents, adults & seniors, correctional facilities and programs, long term care facilities
• Work as: staff nurse, manager, counsellor, clinical specialist, team leader, supervisor, CEO, executive directors, faculty, researcher, case manager and consultant
13
14
RPNs employed in hospital setting by top 5 areas of responsibility (direct care only), Western provinces, 2017
Source: Health Workforce Database, Canadian Institute for Health Information
15Source: Health Workforce Database, Canadian Institute for Health Information
RPNs employed in community setting by top 5 areas of responsibility (direct care only), Western provinces, 2017
16
Source: Health Workforce Database, Canadian Institute for Health Information
RPNs employed in nursing home/long term care setting by top 5 areas of responsibility Western provinces, 2017
17
Source: Health Workforce Database, Canadian Institute for Health Information
RPNs employed in all other settings, Western provinces, 2017
RPNRC MOBILITY & ASSESSMENT PROJECT18
By:
1) Documenting the enablers and barriers to the mobility of RPNs
2) Raising the awareness and understanding of the psychiatric nursing profession and competencies
3) Establishing options to move forward in the labour market for RPNs
GOAL: Improve the mobility, assessment and integration of psychiatric nursing in Canada
STAKEHOLDER RELATIONS19
Objectives:
• raise awareness of the initiative
• engage the stakeholder groups
• facilitate roundtable discussions and confirm options to address the recognition of RPNs
• continue the dialogue with the stakeholder groups
GOAL: engage, inform and educate to recognize and understand the RPN competencies and qualifications and identify steps to improve mobility .
Thank you!
Laura Panteluk, ChairRegistered Psychiatric Nurse Regulators of Canada