The Bridge Program for Internationally Educated Nurses (BIEN) Practical 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 RPN 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 RPN practice. The curriculum uses human science perspective with a focus on the metaconcepts of caring and health promotion.
Level 1 Expected Availability Credits Fall Winter Summer Language Fluency 1 IEN PNNRSG-5025 0 Yes Yes Yes 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. Clinical Pre-Readiness IEN PNNRSG-5033 3 No Yes Yes This simulated clinical practice course is designed to assess the holistic health assessment and nursing skills of Practical Nursing students. 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. Lab Practice 1 Nursing Skills IEN PNNRSG-5031 3 Yes No No This lab course provides Practical Nurse 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. Relational Practice IEN PNCOMM-5027 3 No Yes No The course helps Practical Nursing students strengthen their relational practice in the context of Canadian nursing and health care. Through nursing knowledge, this course will focus on understanding the relationships of practicing nurses with clients, other healthcare providers, and the self. Students will explore how personal beliefs and experiences impact their practice and interactions with clients. In contrast, students will also explore how nursing impacts the self through the concepts of self-care, reflection, and conflict management. To gain an appreciation for Canadian culture, students will also be introduced to nursing ethics, seminal Canadian health policy, safety standards for the clinical setting, and the values embedded in Canadian society. Nursing in Ontario IEN PNNRSG-5027 3 Yes Yes Yes This course introduces Practical Nurse 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 Practical Nurse (RPN) roles/responsibilities], current issues/trends in health care, and health care delivery reform in Ontario and Canada. The roles and influences of the RPN with regard to health care policy, political process, leadership, and creating change in order to foster client and societal health are addressed. Lab Practice 2 Hlth Assessment IEN PNNRSG-5032 3 No Yes No This lab course provides Practical Nursing students with opportunities to learn and apply 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 thinking, problem solving and relevant health teaching will be emphasized. Pharmacology IEN PNPHRM-5003 3 No Yes No This course focuses on essential assessment, nursing interventions, specific age-related considerations and client education for each drug classification. An emphasis is placed on the study of drugs and their action in the human body related to the nursing practice with a focus on Registered Practical Nurse (RPN) roles/responsibilities and safe medication administration. Key drugs or prototypes within each drug classification are identified. Students have opportunities to develop critical thinking and critical thinking skills in relation to drug therapy in certain health conditions. Health & Transitions IEN PNNRSG-5029 5 No Yes No This course is designed to help Practical 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, and communities. The impact of health transitions, non-complex predictable chronic illnesses, disabilities, and/or death/dying throughout the life span will be discussed. The ways in which nursing practice can support individuals and families during those health transitions will be explored. Students 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. Nursing Informatics IEN PNNRSG-5028 3 No No Yes In this course, Practical Nursing students are introduced to the knowledge, skills, and abilities necessary for information and health literacies. Students explore the professional application of information technology in professional practice, nursing administration, nursing education and research to become aware of the professional legal, and ethical issues 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. Healing & Episodic Health IEN PNNRSG-5030 5 Yes No No This course provides opportunities for the Practical Nursing student learners to focus and explore various episodic and complex health challenges that individuals and families experience during illness while utilizing evidence-informed practice. Through incorporation of principles introduced in previous and concurrent courses, the learners continue to develop knowledge and a repertoire of skills to promote health and healing for individuals and families experiencing illness and advocate for them in a variety of settings. Collaboration, critical thinking, problem solving, health teaching and health promotion will be emphasized as students learn about caring modalities through the lifespan. Preceptorship-IEN PNNRSG-5035 9.75 No Yes Yes 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. The Practical Nursing students have opportunities to enhance their professional responsibility and develop their individual style of 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 developing leadership skills. Clinical Experience-IEN PNNRSG-5034 9.75 No Yes Yes This clinical practice course is designed to enable Practical Nursing students to synthesize concepts from theory courses and high-fidelity simulated laboratory experiences into praxis across community, agency, and hospital settings to support individuals and families at various stages of health and illness. While caring for the client/family, relational practice with a focus on health promotion will be enacted. Students further develop their nursing practice knowledge, interprofessional client-centred practice, organizational, and interpersonal skills in an Ontario health care context. Clinical judgement, standards of practice, and application of nursing knowledge are emphasized.
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