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ARNBC Perspective:
Engaging the policy voice
     of BC Nurses

      Work Centre for Dialogue
        September 8, 2011
Welcome




 on behalf of the


 ARNBC
                    2
Our purpose in meeting today is:

• To hear from you
• To identify policy gaps and two policy problems that we
  can move forward on in the next year with solutions!
• To identify workable strategies for engaging BC nurses
  in policy and discussions about organization


                                                        3
Commitments

Transparency
Informed discussion
Inclusive consultation
Openness to possibility



                             4
Foundational Assumptions

1) That the College and the Union both fulfill vital
  functions for our profession
   • BC nurses need to remain self-regulating, which implies a
     strong regulatory framework, and
   • BC nurses need a strong union that can advocate on
     matters of remuneration, working conditions and benefits




                                                             5
and…

2) That the BC nursing profession requires a strong,
   dedicated provincial policy voice

3) That BC nurses deserve to have full engagement
   with a national and international nursing policy
   voice.

                                                   6
Tensions and Questions
 • Lack of policy and voice and presence: Who has
   been speaking for nurses on professional practice
   issues? How have the experiences and views of
   BC nurses been represented on national and
   international policy tables?
    –   What about resources to sustain an association?
    –   Membership models?
    –   Connection to CNA?
                                                          7
Palpable Losses

–   CNA connections and representation
–   Communications and networking on professional
    nursing issues
–   Identification and support of nursing professional
    practice / affiliate groups
–   Health care and nursing policy activities
–   Working with government
                                                   8
Our accomplishments
•   ARNBC incorporated
•   MOU with CNA
•   ARNBC web-site and communications
•   RN Network communications
•   Meetings and negotiations – many volunteer hours
•   Organizational issues – analysis and platforms
•   Responding to requests for policy input
•   Attending CNA meetings as observers
•   Other
Julie’s Time-Line
Regulatory Colleges

                                                       Act on behalf of the public to ensure nurses
                                                              provide safe professional care




                                 Act on behalf of nursing to advance the       Act on behalf of nurses to secure salary,
                                             profession and                       benefits and working conditions
                                    influence health and social policy

Professional
                                                                                                                      Unions
Associations
 Adapted from: Benton, David C.; CEO, ICN; 2009 and Ontario Speech Language
       Association




                                                                                                                               11
Graduate Nurses Association of BC 1912
Registered Nurses Association
                  of British Columbia

• Registered Nurses Act in 1918 established the Graduate Nurses
  Association of BC as the body responsible for regulating registered
  nursing
• Name change in 1935 through amendment of Registered Nurses’
  Act
BC Nurses Union 1981
• Formerly Labour Relations Division of the RNABC
College of Registered Nurses
  of British Columbia 2005
                 Key elements of the
                 Nurses (Registered) and
                 Nurse Practitioners
                 Regulation include:

                  Duty to report
                  Section 6 (Restricted activities
                    without an order)
                  Sections 7 (Restricted activities
                    with an order; clinical order
                    sets)
                  Section 8 - Certified Practice
16
Policy through a nursing lens

• Complementary and distinct mission, mandate and
  policy process(s)
• Exemplars:
   – Primary Health Care
   – Care Delivery Models and Collaborative Practice
   – In-Site: voices in unison
Policy gaps
• African famine
• Presenting the face of the nursing shortage: faculty,
  mentors, new practice roles, practice leaders
• Succession planning
• Nurses at key decision-making tables
• The more invisible day to day policy issues ....
Leaving our legacy
Leaving a legacy
• Students and new graduate perspectives: we are
  educating them for active policy roles and political
  activism
• Celebrating and drawing on the first 100 years
• Connections to our national and international
  colleagues
• Onward to June 2012 -- what will be our resolutions
  and contributions to the CNA Biennial Conference?
ARNBC Board Members

Lynette Best, RN       Robert Calnan, RN

Susan Duncan, RN       Julie Fraser, RN

Suzanne Johnston, RN   Leanna Loy, RN

Patricia Rodney, RN    Maureen Shaw, RN

Sally Thorne, RN       Joan Wearing, RN

                                           21
Onward!




          22

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ARNBC Perspective

  • 1. ARNBC Perspective: Engaging the policy voice of BC Nurses Work Centre for Dialogue September 8, 2011
  • 2. Welcome on behalf of the ARNBC 2
  • 3. Our purpose in meeting today is: • To hear from you • To identify policy gaps and two policy problems that we can move forward on in the next year with solutions! • To identify workable strategies for engaging BC nurses in policy and discussions about organization 3
  • 5. Foundational Assumptions 1) That the College and the Union both fulfill vital functions for our profession • BC nurses need to remain self-regulating, which implies a strong regulatory framework, and • BC nurses need a strong union that can advocate on matters of remuneration, working conditions and benefits 5
  • 6. and… 2) That the BC nursing profession requires a strong, dedicated provincial policy voice 3) That BC nurses deserve to have full engagement with a national and international nursing policy voice. 6
  • 7. Tensions and Questions • Lack of policy and voice and presence: Who has been speaking for nurses on professional practice issues? How have the experiences and views of BC nurses been represented on national and international policy tables? – What about resources to sustain an association? – Membership models? – Connection to CNA? 7
  • 8. Palpable Losses – CNA connections and representation – Communications and networking on professional nursing issues – Identification and support of nursing professional practice / affiliate groups – Health care and nursing policy activities – Working with government 8
  • 9. Our accomplishments • ARNBC incorporated • MOU with CNA • ARNBC web-site and communications • RN Network communications • Meetings and negotiations – many volunteer hours • Organizational issues – analysis and platforms • Responding to requests for policy input • Attending CNA meetings as observers • Other
  • 11. Regulatory Colleges Act on behalf of the public to ensure nurses provide safe professional care Act on behalf of nursing to advance the Act on behalf of nurses to secure salary, profession and benefits and working conditions influence health and social policy Professional Unions Associations Adapted from: Benton, David C.; CEO, ICN; 2009 and Ontario Speech Language Association 11
  • 13. Registered Nurses Association of British Columbia • Registered Nurses Act in 1918 established the Graduate Nurses Association of BC as the body responsible for regulating registered nursing • Name change in 1935 through amendment of Registered Nurses’ Act
  • 14. BC Nurses Union 1981 • Formerly Labour Relations Division of the RNABC
  • 15. College of Registered Nurses of British Columbia 2005 Key elements of the Nurses (Registered) and Nurse Practitioners Regulation include: Duty to report Section 6 (Restricted activities without an order) Sections 7 (Restricted activities with an order; clinical order sets) Section 8 - Certified Practice
  • 16. 16
  • 17. Policy through a nursing lens • Complementary and distinct mission, mandate and policy process(s) • Exemplars: – Primary Health Care – Care Delivery Models and Collaborative Practice – In-Site: voices in unison
  • 18. Policy gaps • African famine • Presenting the face of the nursing shortage: faculty, mentors, new practice roles, practice leaders • Succession planning • Nurses at key decision-making tables • The more invisible day to day policy issues ....
  • 20. Leaving a legacy • Students and new graduate perspectives: we are educating them for active policy roles and political activism • Celebrating and drawing on the first 100 years • Connections to our national and international colleagues • Onward to June 2012 -- what will be our resolutions and contributions to the CNA Biennial Conference?
  • 21. ARNBC Board Members Lynette Best, RN Robert Calnan, RN Susan Duncan, RN Julie Fraser, RN Suzanne Johnston, RN Leanna Loy, RN Patricia Rodney, RN Maureen Shaw, RN Sally Thorne, RN Joan Wearing, RN 21
  • 22. Onward! 22