Registration in a program is done on a course-by-course basis each term. The expected availability of courses is displayed below but may change throughout the year. Click on the arrows below to confirm upcoming course offerings and to add a course to your online shopping cart. For assistance, please use the inquiry form on this page or call 519-452-4277.

  • Overview

    Program Description

    The Bridge Program for Internationally Educated Nurses (BIEN) - Nursing Stream is designed to enable internationally educated nurses (IENs) to meet their safe practice, language fluency requirements, and/or the identified competency gaps required by the College of Nurses of Ontario (CNO) for RN applicants.

    The BIEN program is up to 16 months in length, depending on the courses/components required as per the applicant's letter of direction/assessment from the CNO. Students become work-ready through clinical placement experience with community partners like St. Joseph's Health Care London.

    Upon successful completion of the program, IENs may be eligible to write the registration examination to become registered to practice nursing in Ontario and obtain employment commensurate with their nursing skills and experience.

    The program curriculum is developed based on the CNO's professional standards and competencies for RN practice. The curriculum uses human science perspective with a focus on the metaconcepts of caring and health promotion.

    Eligibility for the program:

    • Copy of CNO Letter of Direction/Assessment;
    • Resume/CV outlining previous nursing education and practice;
    • Proof of language proficiency (CELBAN, IELTS, CNO Language Proficiency Clearance);
    • Eligibility to study in Canada (i.e. Canadian citizenship, permanent residents, protected persons, study permit).

    Note: IENs who are in the process of registration with the CNO or the National Nursing Assessment Service (NNAS) might be eligible to take some theory and laboratory courses in the BIEN program while waiting to receive their letter of direction. To inquire further information, please contact us at

    To become a nurse in Ontario:

    All internationally educated nurses (IENs) who are interested in obtaining their nursing license to practice in Ontario/Canada, must first apply (online) to the NNAS at The NNAS will review the IEN's application and transcripts within 6 to 12 months and will provide the applicants with their evaluation results of assessing their educational background. The NNAS will also send the evaluation results to the requested (by IEN) regulatory bodies, for example, the CNO in Ontario.

    The next step for the IEN, after receiving their NNAS assessment results, is to apply to the College of Nurses of Ontario (CNO) at for registration as a Nurse in Ontario (either as an RN or RPN, see the CNO website for more info). The CNO process of reviewing the application could take 8 to 16 months. After this process, the CNO will provide the applicant with a Letter of Direction in which the CNO will identify if there are any nursing educational competency gaps, safe practice, and/or language proficiency requirements that the applicants should work on before writing the national nursing exams. At that time, when the IEN receives the CNO Letter of Direction, they can then apply to our BIEN program at Fanshawe.

  • Courses

    Program Requirements

    Level 1 Credits
    Take all of the following Mandatory Courses:
    NRSG-7081 Language Fluency 1-IEN
    This 2-week compressed course is designed to assess IEN students' language learning and the use of English in everyday relational practice (as a nurse) including in reading, writing, listening, and speaking. The outcome of this course will assist students to create their pathway to success in relational practice in nursing.
    NRSG-7087 Lab Practice 1-Nursing Skills-IEN
    This lab course provides Nursing students with opportunities to review and apply the fundamentals of nursing from a Canadian healthcare perspective. Students are expected to articulate the principles and knowledge underlying their nursing techniques/practice in order to develop safe and effective practice when planning and providing care. Collaboration, clinical judgment, critical inquiry, problem solving and relevant health teaching will be emphasized.
    COMM-7019 Relational Practice-IEN
    The course helps Nursing students strengthen their relational practice in the context of Canadian nursing and health care. Through nursing theory, this course will focus on understanding the intrapersonal and interpersonal experiences of practicing nurses. Students will explore how personal beliefs, values, experiences, and perceptions influence their image of the self and others. The course will also enhance the interpersonal communication skills of students by providing them with strategies to understand Canadas unique culture, the process of critical reflection, and how to advocate for nursing care issues among other healthcare providers and members of the public. Through adequate communication and understanding of others, students in this course will be able to recognize and internalize subtle signs of complex change, lead other healthcare professionals to manage diverse client outcomes, and make proactive decisions with the analysis of actively sought information/resources/frameworks/theory.
    NRSG-7083 Nursing in Ontario-IEN
    This course introduces Nursing students to professional nursing practice in Ontario and Canada by providing opportunities for students to explore the legal and ethical foundations of the nursing profession [with a focus on Registered Nurse (RN) roles/responsibilities], current issues/trends in health care, and health care delivery reform in Ontario and Canada. The roles and influences of the RN with regard to health care policy, political process, leadership, and creating change in order to foster client and societal health are addressed.
    NRSG-7088 Lab Practice 2-Hlth Assessment-IEN
    This lab course provides Nursing students with opportunities to integrate and apply their health assessment and clinical skills in a simulated (low- and high-fidelity) setting in preparation for clinical practice and/or preceptorship. Students are expected to articulate the principles and knowledge underlying their nursing skills/practice in order to develop safe and effective practice styles when planning and carrying out care. Collaboration, critical inquiry, problem solving and relevant health teaching will be emphasized.
    PHRM-7006 Pharmacology-IEN
    This course provides opportunities for Nursing students to learn the basic principles of pharmacology to understand how drugs enter and act in tissues. Pharmacokinetics, pharmacodynamics, adverse drug reactions, and drug interactions are discussed using exemplars of key drugs or prototypes within each drug classification, emphasizing therapeutic actions in the human body used to treat a variety of conditions. Registered Nurse's (RN) roles/ responsibilities and safe medication administration are focused upon enabling students to develop their critical thinking and critical inquiry skills in relation to drug therapy in certain health conditions.
    NRSG-7089 Clinical Pre-Readiness-IEN
    This simulated clinical practice course is designed to assess the holistic health assessment and nursing skills of the nursing student. Through simulated clinical practice, students demonstrate their clinical skills, nursing competencies, and integration of previous knowledge, including nursing best practices. Students have opportunities to develop their therapeutic relationship abilities, interprofessional collaborative client-centred practice, decision making and clinical judgment, time management, and organizational skills. Successful completion of this course can assist students to develop a pathway to success in their transition to practicing nursing in Canadian healthcare settings.
    NRSG-7085 Health & Transitions-IEN
    This course is designed to help Nursing students explore the profession of nursing in the context of Canadian healthcare. Learning will focus around the concept of health and the determinants of health at the level of individuals, families, groups, communities, and populations. The impact of health transitions, complex chronic illnesses, disabilities and/or death/dying throughout the life span will be discussed. The ways in which nursing practice can support individuals, families and communities during those health transitions will be explored. Students will also will also be introduced to the basic concepts of research in nursing, and how to participate as a professional in the collection of nursing research data and how to critically appraise research-based evidence.
    NRSG-7084 Nursing Informatics-IEN
    In this course, Nursing students explore the knowledge, skills, and abilities necessary for information and health literacies. Students examine the professional application of information technology in professional practice, nursing administration, nursing education and research. In doing so, the students become aware of, and competent in utilizing the professional legal and ethical considerations associated with the use of informatics, including social media and electronic health records. Through active learning students determine the appropriate knowledge sources for nursing practice.
    NRSG-7086 Healing & Episodic Health-IEN
    This course provides opportunities for Nursing students to focus on individuals' and families' experiences with health and healing during illness through exploring various episodic and complex health challenges while utilizing strength-based nursing and evidence-informed practice. This exploration enables the learners to a) develop understandings of people's meanings and experience of illness by supporting their involvements in own care, b) explore barriers and facilitators to determining people's strengths, capacity-building and empowerment, and c) continue developing clinical judgment, critical inquiry, competency, collaboration, problem solving, health teaching and health promotion.
    METH-7026 Research in Nursing-IEN
    This course is designed to help prepare Nursing students to become knowledgeable users of research. Students will be introduced to different types of research studies and methodologies related to nursing with the ultimate goal to advance the client-centred care and nursing practice. Students will also explore basic strategies for identifying knowledge gaps in nursing practice through literature review and appraisal.
    NRSG-7091 Preceptorship-IEN
    Preceptorship is an opportunity for the student to synthesize areas of professional knowledge and practice with the guidance of a clinical mentor/preceptor in a selected area of practice. Nursing students have opportunities to enhance their professional responsibility, and develop their individual style of nursing practice in accordance with professional standards and guidelines. During this final experience, students focus on strengthening assessment skills, clinical competency, interprofessional collaboration, and decision making skills, increasing independence, and enhancing leadership skills. At the completion of the course, the student will meet the College of Nurses of Ontario entry to practice competencies (CNO, 2014).
    NRSG-7090 Clinical Experience-IEN 9.75
    This professional practice course is designed to enable Nursing students to synthesize concepts from theory courses and high-fidelity simulation into praxis across community and hospital settings to provide care to individuals and families at various stages of health and illness. While caring for clients, students focus on health promotion and caring using a strengths-based approach, further developing their nursing knowledge, clinical skill performance, interprofessional client-centred practice, organizational, and leadership abilities in an Ontario health care context. Clinical judgement, standards of practice, relational practice, and application of evidence-informed nursing knowledge are emphasized.
    Program Residency
    Students Must Complete a Minimum of 14 credits in the
    Program at Fanshawe to meet the Program Residency
    requirement and Graduate from this Program.