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assessment
Under the Health Professionals Act (HPA) legislation in Alberta, the College and
Association of Registered Nurses of Alberta (CARNA) may require Internationally
Educated Nurses (IENs) to have a Substantially Equivalent Competency (SEC)
assessment completed. SEC assessment is a means of maintaining the standards of
practice between IENs and Canadian educated nurses through the professional
regulator (CARNA).
An SEC Assessment is an evaluation that uses a variety of strategies to assess the
IEN's professional knowledge, skills, attributes, values, and judgment. The different
strategies (described below) draw out whether the IEN currently possesses the
CARNA Entry to Practice competencieswww.nurses.ab.ca (click on Competency Profile
for Registered Nurses on the CARNA site) to fulfill the roles and responsibilities of the
expected RN scope of practice in the Canadian health care system. The SEC
Assessment will also identify where competency strengths, gaps or areas requiring
growth exist. The SEC assessment is used to determine if IENs are prepared to
provide safe, ethical and competent nursing care according to Canadian RN scope of
practice expectations. The assessment includes the complexities of nursing practice
(holistic care) and Primary Health Care principles and approaches. The SEC
assessment provides IENs the opportunity to demonstrate their capacity for Canadian
RN scope of practice in a way that complements the evidence provided in the paper
documentation provided to CARNA.
An IEN may be referred by CARNA for an assessment in any (or all) of the following
areas:
General Nursing
have an e-mailed referral or letter referral from CARNA indicating the need for
an assessment and which type of SEC assessment(s).
review the IEN Assessment Centre Candidate Consent for Audio and/or Visual
Recording to agree to possible audio and/or visual recording of all or parts of
the SEC assessment components. This consent form is also to be reviewed in
advance, and then signed by you at the IEN Assessment Centre where your
signature will be witnessed by the Centre front office staff.
The SEC assessment uses the following five strategies developed at Mount Royal
University to evaluate the entry-to-practice competencies of registered nurses:
Written Exams
The written exams include both paper and pencil multiple choice and short answer
questions that will test the general and focused (specialty) nursing theoretical
knowledge required of professional nurses in Canada.
The General multiple choice and short answer exam is seven (7) hours
with a break between the two halves.
self-evaluate
his or her abilities to apply knowledge by holistically caring for this client/family. The
client may be a simulation mannequin or a person playing the client role. The OSCE
is used to assess the following knowledge and skills:
The SEC assessment report is then sent to the regulator (CARNA) to assist with
their decision making on how to proceed with the application for registration. You can
expect to hear from CARNA in 3-5 weeks after your assessment. The regulator
reviews the report as part of the IEN's application, along with the documentation
provided by the IEN to determine if the IEN is:
eligible for a temporary practice permit, and to write the Canadian Registered
Nurse Examination (CRNE)
in need of further assessment of the IEN (if a Complete SEC assessment was
not performed)
ineligible for licensure at this time, due to the extent of the areas requiring
growth in nursing knowledge and/or practice.
Review Primary Health Care (PHC) in relation to the principles and expected
nursing approaches.
Review current nursing textbook(s) (published within past 5 years), that cover
the knowledge, practices, and procedures of medical-surgical-community
nursing practice.
If you are referred for a focused (specialty) assessment, you would also
benefit from reviewing a current textbook in maternal-newborn health, child
health, and/or mental health nursing.
It may be helpful to recognize that many IENs who have been through the SEC
assessment view the process not only as an assessment, but as a "learning tool", a
way of exploring the scope of practice expected of an RN working in Canada.
SEC ASSESSMENT
What is a SEC assessment?
CARNA may request you to take a Substantially Equivalent Competency (SEC)
assessment. This is an evaluation designed to determine whether you currently
possess the required Entry to Practice competencies to fulfill the roles and
responsibilities expected of registered nurses in Alberta. It will also identify if any
competency gaps exist, and to what extent. If there are gaps, you will need to
take bridging education. If the gaps are too extensive, you may not be eligible to
practice in Alberta.
The SEC uses a variety of strategies to assess your professional knowledge, skills,
attributes, values and judgements, including:
self-assessment
General nursing
The different type of SEC assessments evaluate the following areas of nursing
knowledge and practice:
Cultural competencies
CARNA Nursing Practice Standards and CNA Code of Ethics for Registered
Nurses
have a letter from the SRNA indicating the need for an assessment. You may
be required to have an assessment in the areas of:
o General Nursing
o Maternal Newborn Health Nursing
o Child Health Nursing
o Mental Health Nursing
The SEC is a comprehensive assessment that uses the following four strategies to
evaluate the competencies of registered nurses:
Note: The SEC assessment strategies and tools were developed at Mount Royal
University in Calgary, Alberta.
the general multiple choice and short answer exam is seven (7) hours with a
break between the two halves
each focused (specialty) diagnostic exam is three and a half (3.5) hours
self-evaluate
work through the sample Clinical Judgment Scenarios and Triple Jump
scenario links on this website
Refer to the Canadian Nurses Association (CNA) to review the "CNA Code of
Ethics document"
review current nursing textbook(s) (published within past five years), that
cover the knowledge, practices, and procedures of medical/surgical nursing
practice
if you are referred for a focused (specialty) assessment, you would also
benefit from reviewing a current textbook in maternal-newborn health, child
health, and/or mental health nursing
How?
This section explains how the knowledge, skills and abilities that meet the performance
standards of Canadian nursing practice are tested using the competence assessment.
Assessment Methods used during the Competence Assessment
The competence assessment consists of written examinations containing multiple choice and
short answer questions, oral examinations (clinical judgement and triple jump assessments)
and modified objective structured clinical examinations (OSCEs). OSCEs are conducted in a
lab setting where the nurse demonstrates his or her abilities to care for a patient. The nurse
also needs to complete a self-assessment tool.
The majority of the 34 competencies are tested using three or more assessment techniques.
Written Examinations
The written examinations include multiple choice and short answer questions that test the
general and focused (specialty) nursing knowledge required of professional nurses in
Canada. These are paper-based examinations. The candidate is supplied with all necessary
materials to complete the examinations (e.g., calculator, pencils, scrap paper).
Clinical Judgment Assessment
The Clinical Judgment Assessment is an interview style assessment that evaluates the
nurses ability to make sound clinical judgments in complex situations that have no "simple"
answers. It tests the nurses ability to purposefully and critically through a clinical nursing
situation; apply essential and relevant knowledge; consider options; and make reasoned,
reflective and insightful decisions about nursing actions. Each clinical judgment consists of a
brief case scenario, followed by several questions which are answered verbally.
Triple Jump Assessment
The Triple Jump assessment is another oral examination that further tests the nurses
problem solving and critical thinking skills. In the interview, the candidate is presented with a
brief client situation and asked to: generate a problem list/hypotheses about the clients
situation, identify and collect relevant data about the client/family, revise his/her problem list
based on the data collected, develop an intervention/management plan, and self-evaluate
his/her performance.
This process tests the nurses knowledge, problem-solving, critical thinking, organizational,
client assessment and self-evaluation skills, as well as self-directed learning abilities. The
website listed below may help to prepare for this portion of the competence assessment. The
structure of this preparation example is not exactly the same as the actual Triple Jump
assessments that are conducted during the competence assessment. Please note that in the
actual triple jump assessment, the candidate will not be provided with resources or research
time to look up the answers. However, this example may assist in the nurses preparation
studies.
https://wwwacad.mtroyal.ca/healthcomm/ien/triplejump/
Modified Objective Structured Clinical Examination (OSCE)
The OSCE is conducted in a simulated clinical setting, where the candidate role plays the
nurse in response to client/family health situations and demonstrates the ability to apply the
nursing knowledge while holistically caring for a client/family. The client will be a person
playing the client role. The OSCE is used to test the following knowledge and skills: nurseclient communication and relationships, critical thinking and clinical judgment skills, health
assessment and nursing skills, ethical decision making skills, pharmacology and
pathophysiology, planning and intervening based on health status, and rapidly changing
client situations.
All equipment and supplies for the OSCE is provided for the candidate. It is recommended
that the clothing worn be comfortable and appropriate for bedside nursing practice. Although
it is not necessary, some candidates do prefer to wear a nursing uniform to the OSCE.
Self-assessment: Entry-Level Competencies of the Registered Nurse
The nurse must complete a self-assessment by using the Self Assessment Tool to analyze
the nurses past nursing practice in comparison to the role of the nurse in Canada. This
analysis of the nurses own practice is used to assess the nurses insight regarding the
nurses areas of strength and areas requiring growth. This tool is completed and passed in
before the start of the other parts of the competence assessment.
Time to Complete Competence Assessment
The candidate will be given a set amount of time to complete each part of the competence
assessment, as well as ample time for meals and breaks. Candidates must take at least
thirty minutes for a meal break mid-day for each day of the competence assessment. If a
candidate completes a portion of the assessment early, he or she may be able to begin
another part of the competence assessment. At times the schedule for the competence
assessment may need to be changed. No extra time will be given to candidates. If
candidates are late, this time w