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Structured reflection

Structured Reflection is an alternative process for nurses who don’t have enough colleagues to participate in multisource feedback. Structured Reflection performs a similar function, providing nurses an opportunity to reflect on their practice with the assistance of a BCCNP QA Advisor. Nurses are notified when it’s their year to participate in multisource feedback in early December of each year.

Nurses who feel they cannot identify three colleagues to provide feedback should contact the BCCNP QA department as soon as possible. BCCNP staff will work with the nurse to determine whether structured reflection is the most appropriate QA method for this individual.

What is structured reflection?

Structured Reflection is an opportunity for a nurse to reflect on a significant experience that occurred in their practice in the last 12 months, in a structured way, using a tool accessed via My Professional Plan and working with a BCCNP QA Advisor.  

Is it mandatory?

Yes. Structured reflection is an alternative process to multisource feedback and is therefore mandatory. Nurses must complete either multisource feedback or structured reflection during their assigned year, unless they are granted a deferral. 

How does it work?

Structured Reflection is a two-part process. First, the nurse identifies an experience they'd like to reflect on, and uses the Structured Reflection tool to guide the reflection. The second part is a coaching conversation with a QA Advisor about the experience.

Nurses who participate in structured reflection schedule an appointment with a QA Advisor within the 30 days allotted for the process. 

The Structured Reflection process can help: 

  • Confirm key areas of strength in professional practice
  • Identify areas for growth through self-reflection
  • Assess progress and improvements over time
  • Build a professional development plan

Part 1: Reflection Submission

The nurse logs into My Professional Plan and accesses the Structured Reflection tool. Following the prompts in the tool, the nurse reflects on a meaningful experience in their practice that occurred in the last year. The tool guides the nurse through describing the experience, reflecting on the experience, and assessing what effect the experience has had on their practice.

The questions in the tool will guide the nurse, who should be including sufficient detail so that the QA Advisor they meet with can understand the experience.

Part 2: Facilitated discussion

This is a 30-60 minute telephone conversation that the nurse has with a QA Advisor to discuss their reflection. The QA Advisor will review the experience with the nurse and support them to reflect on their behaviour, identify areas they would have done differently or where they're pleased with their actions.

The nurse must complete both the structured reflection and the coaching conversation to successfully meet this QA requirement. As with multisource feedback, the nurse has 30 calendar days from the day they renew their registration to complete the process. Note that the 30 days does not include completing and evaluating the PD Plan.

What happens after the Structured Reflection process?

Once a nurse has completed their session with a QA Advisor, the next step involves building on the coaching conversation—for instance, reviewing any areas identified for further professional development. The next step is using the structured reflection and insights to begin developing a Professional Development Plan.

As with the multisource feedback process, the nurse must identify, do and then evaluate a minimum of two learning goals using the Professional Development Plan in My Professional Plan. Nurses have until October 31 to complete this process.

Completing and evaluating a Professional Development plan is a mandatory part of meeting QA requirements.

By participating in more rigorous quality assurance activities like multisource feedback and structured reflection, nurses demonstrate to the public and other health professionals their commitment to quality improvement, accountability and ongoing professional development.


All practising registrants interested in QA support are encouraged to contact us