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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 Nurse applicants.

The BIEN program is a minimum of 18 months in length, depending on the courses/components required as per the applicants letter of direction/assessment from the CNO.  Students become work ready through clinical placement experience with community partners.

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 Nursing practice.  The curriculum uses human science perspective with a focus on the metaconcepts of caring and health promotion.


Program Requirements

Level 1
Take all of the following Mandatory Courses:
Expected Availability
CreditsFall Winter Summer
Lab Practice Nursing Skills IENNRSG-70873NoYes
This lab course provides Nursing stream 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, including health teaching that is client centered and trauma informed in a culturally safe environment. Collaboration, clinical judgment, critical inquiry, problem solving and responsibility for one's own practice will be emphasized.
Relational Practice IENCOMM-70193NoYes
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.
Nursing in Ontario IENNRSG-70833YesYesYes
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.
Lab Practice Hlth Assessment IENNRSG-70883YesNo
This course provides nursing stream students with opportunities to integrate and apply their health assessment clinical skills in a lab setting in preparation for professional nursing practice in Ontario. While planning and performing nursing skills and techniques, students are expected engage in active listening and to articulate the principles and knowledge underlying their nursing skills/practice in order to develop care that is client centred, evidence and trauma-informed. Collaboration, critical inquiry, cultural humility, problem solving, best practice guidelines, and relevant health teaching will be emphasized.
Pharmacology IENPHRM-70063YesNo
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.
Pre-Clinical Readiness IENNRSG-70953NoNo
This simulated clinical practice course facilitates nursing stream students to continue developing their holistic health assessment and nursing skills/techniques. Through simulated clinical practice, students demonstrate application and integration of previous learning and knowledge development regarding nursing competencies, standards, and guidelines. Students have opportunities to develop their relational practice abilities, interprofessional collaborative client-centred practice, clinical judgment, time management, and organizational skills. Successful completion of this course can assist students to meet the entry to practice competencies for Registered Nurse (RN) practice on Ontario and facilitate their successful transition to practicing nursing in Ontario healthcare settings in the RN role.
Health & Transition IENNRSG-70855NoYes
This course enables Nursing stream students to explore the concepts of health, health promotion, transitions, and the social determinants of health in Canadian health care contexts. The impact of health transitions, complex chronic health challenges, and end-of-life care throughout the life span are explored through health promotion, equity, and strength-based lenses. The ways in which nurses can support and advocate for individuals, families, groups, and communities during health transitions are discussed. The basic concepts of research in nursing, including critical appraisal of research-based evidence are introduced.
Nursing Informatics IENNRSG-70843NoNo
In this course, Nursing steam students explore the knowledge, skills, and abilities necessary for information and health literacies to strengthen their competence in nursing informatics. Students examine applications of information communication technologies (ICTs) in professional nursing practice at points of care, nursing administration, nursing education and research. Students develop an understanding of the professional judgment and accountability required by nurses to maintain public trust when using social media and ICTs. Through active learning, students determine the appropriate knowledge sources for evidence-informed nursing practice and the establishment of professional boundaries.
Healing & Episodic Health IENNRSG-70865YesNo
This course provides opportunities for nursing stream students to focus on individuals' and families' experiences with health and healing during illness. Various episodic and complex health challenges are explored using evidence-informed knowledge and health equity, client-centred, strengths-based, and trauma-informed lenses. This exploration enables learners to develop understandings of people's meanings and experience of illness, and support client's involvement in their care while exploring barriers and facilitators to people's health, capacity-building, and empowerment. Nursing stream students continue developing competence related to evidence-informed nursing knowledge, professional judgment, critical inquiry, collaborative practice, cultural humility, health teaching, and health promotion in accordance with the College of Nurses of Ontario practice standards and Entry-to-Practice competencies for Registered Nurses.
Research in Nursing IENMETH-70263NoNo
This course is an introduction to nursing research to prepare nursing stream students to become knowledgeable consumers and users of research. Students are introduced to ways of knowing and questioning related to nursing research with the goals of the advancement of client-centred care, clinical decision making, nursing practice, and informing health policy. Students explore basic strategies for identifying knowledge gaps through literature review and appraisal to develop critical appraisal skills necessary for translating research evidence into professional practice. Types of quantitative and qualitative research, roles and methods pertinent to nursing are emphasized.
Nursing Preceptorship IENNRSG-70919.75NoNo
In this course, nursing stream students work with a preceptor in a point-of-care context to synthesize knowledge to gain proficiency in evidence-informed nursing practice, relational practice, leadership, and clinical judgement. Guided by a Registered Nurse (RN) preceptor, the student is a contributing member of intraprofessional and interprofessional health care teams, developing leadership skills and independence while developing an individual philosophy of nursing practice in Ontario. Students use strengths-based approaches to focus on deepening their assessment, clinical judgement, and advocacy skills and abilities to provide client care that is ethical, respectful, safe, competent, and compassionate. At the completion of the course, the student will meet the College of Nurses of Ontario Entry-to-Practice Competencies for Registered Nurses.
Nursing Clinical Experience IENNRSG-70909.75NoNo
This professional practice course enables nursing stream students to apply concepts from previous courses in clinical practice settings across the health-illness continuum to provide care that is client-centred, safe, ethical, and compassionate. When planning, implementing, evaluating, and documenting client care, students use evidence informed and strengths-based approaches to develop therapeutic relationships with clients and families to optimize client health outcomes. Students have opportunities to integrate their nursing knowledge and further develop their clinical skill performance, time management, and leadership abilities. Students incorporate the principles and processes of critical inquiry, relational practice, risk management, priority setting, and quality improvement in the clinical practice setting. The Registered Nurse's roles and responsibilities as a member of the client's interprofessional circle of care team 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.

More Information

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Learning outcomes

The graduate has reliably demonstrated the ability to:

  1. Demonstrate understanding of how Canadian culture affects relationships with colleagues, clients and their families. 
  2. Demonstrate effective and appropriate therapeutic relationship with clients and their families for entry into professional practice.
  3. Develop, and apply the principles of effective and appropriate communication and collaboration within nursing and the interprofessional team/community.
  4. Practice in a self-regulated, professional and ethical manner, complying with relevant legislation and with the standards of both the regulatory body and the practice setting to provide safe and competent client care. 
  5. Practice nursing in various levels of health care (promotive, preventive, curative, restorative, and supportive care) from a health promotion and caring perspective in a variety of settings and contexts with diverse client populations across the life span.
  6. Use the principles/skills of critical inquiry, clinical judgment, critical thinking, nursing process, decision-making, professional accountability, adult education and lifelong teaching/learning into own learning and nursing practice.
  7. Demonstrate effective leadership within own and the collaborative practice in variety of settings to maximize client experience and outcomes.
  8. Demonstrate the awareness of the role of nurses in promoting optimal health and wellbeing for all within the global society.
  9. Demonstrate the awareness of professional, social, and political opportunities, challenges and resources to influence the future of nursing within the health care system to optimize the health and wellbeing of the community.

Program Details

Program Code
Topic Area
Health and Nursing
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