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May 2, 2022

Practice Expectation Spotlight

Practice Expectation Spotlight: As Nurses, Why Do We Need Feedback? 

A nurse wearing a PPE mask reading her computer screen

Legislation identifies that the College is required to have a Continuing Competency Program (CCP) which assures the public that registered nurses are committed to maintaining and improving their competence.As you know, the annual CCP requirements consist of a self-assessment, a self-development plan, and a jurisprudence learning module.  

The annual CCP requirements provide a great opportunity to demonstrate ongoing commitment to learning. When a registrant is selected for the CCP Review they provide their self-assessment and self-development plan to the College and will also be required to participate in Multi-source Feedback (MSF). This allows for the registrant’s peers and the public they provide care for to share feedback about their communication and professional behaviour, which is unable to be captured in the annual CCP requirements. 

What is MSF? 

Also known as 360-degree feedback, it is a process where diverse groups of observers can provide feedback on their observations of one’s work behaviour, attitudes, and performance. The registrant participating in the review also rates themselves, and this information is collected by an independent company. The company reviews the data and generates an outcome report which compares the individual registrant’s score (rating from responses submitted) next to a benchmark (the average score of all nurses who were selected for that year’s CCP Review). This outcome report is provided to both the College and the registrant. 

Why MSF? 

Many of us who sing in the shower may believe we are hidden opera stars, but our audiences could feel differently. To what extent are we able to trust our own judgment? That is where MSF comes in – it can assess us at the behavioural “do” level. 

The College developed a comprehensive CCP to assess competence at the levels of Miller’s pyramid. The program is also intended to allow RNs to individualize their self-development plans to focus on self-identified areas for improvement. The tools—portfolios, practice hours, jurisprudence modules, MSF, and Competency-Based Interviews —are designed to help RNs gain insight into their practice and support them in meeting the standards of practice. Using the tools together strengthens the program’s ability to assure the public that RNs engage in professional lifelong learning and that the regulatory body promotes high standards of knowledge and skill in its CCP. (Brown et al., 2016) 

One of the most used frameworks for assessing skills is Miller’s Pyramid which ranks clinical competence both in educational settings and in the workplace. Below is how the College’s CCP works to assess these varying levels.

As you see MSF and Competency-Based Interviews are the only two items that can assess the Do” and “Behavioural” portion of the pyramid. The MSF provides feedback from separate groups, ensuring a well-rounded and varied perspective on the registrant’s behaviour and performance with these groups. This is a valuable insight for the registrant to have, and should not be viewed as negative, but as a tool for continued learning, which is the key to improving 

When to seek out feedback? 

Do not wait to be selected for the CCP Review, make feedback a part of your regular practice. Be curious about the care you provide and how others interpret that care. When is the last time you asked your team member, your manager/director, your educator, your client – How was I today? Could I have done anything differently? What did you need from me that I was unable to provide? Did you get the information you needed? 

Yes, it will feel awkward in the beginning, but if you identify that you want to continue to improve the care you provide, and the role you play as a team member…. you may be surprised at how gaining this feedback can help if you are open to it. 


Brown, S.& Elias, D. (2016). Creating a Comprehensive, Robust Continuing Competence Program in Manitoba. Journal of Nursing Regulation,7(4). 

CCP Workbook
Multi-Source Feedback