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Where Have We Come From?
A Brief History of ARNBC

Sally Thorne
July 2013
1912
Graduate Nurses Association of BC
• 1918 - Registered Nurses established the Graduate
Nurses Association of BC as the body responsible for
regulating registered nursing
• 1935 - Name change to Registered Nurses
Association of BC through amendment of Registered
Nurses’ Act
1981
Labour Relations Division of the RNABC
Becomes the BC Nurses Union
2003 The Health Professions Amendment
Includes the provisions necessary to repeal the
Nurses (Registered) Act and bring registered nursing
(along with medicine, optometry, dentistry, podiatry
and chiropractic) under the Health Professions Act.
The Health Professions Act provides for a new
model of regulating the scope of practice of health
professionals in B.C.
Aug 19, 2005
College of Registered Nurses of BC
Key elements of the
Nurses (Registered) and
Nurse Practitioners
Regulation include:
• Duty to report
• Restricted activities without
an order (Section 6)
• (Restricted activities with an
order; clinical order sets
(Section 7)
• Certified Practice (Section 8)
CRNBC Annual Report 2005
OUR VISION
Excellence in Nursing
OUR VALUES
• Accountability and service to the public
• Visible leadership on nursing and health
issues
• Innovation and openness to change
• Collaboration and mutual respect
• Competence
In her 2005 report,
President Karen Irving stated:
Nursing continues to be a self-regulating profession in B.C. and
CRNBC’s mandate remains the same: protection of the public
through the regulation of registered nurses and nurse practitioners
As you can see, much of what RNABC did, CRNBC continues to do.
Yet, the new legislation has meant changes for the organization.
Here are some examples.
– a reduced number of board members and discontinuation of chapters.
– authority to regulate nurse practitioners.
– reserved actions and college-certified practices for registered nurses.

Implementing change often presents challenges. We are confident
that these changes are being managed with minimal inconvenience
to registrants.
Devolution of Functions
• Regional Chapters
• Professional Practice Groups
• Nursing BC Magazine
• Membership Cards
• Annual Convention
• Policy Voting
MANDATE
To ensure that all individuals seeking entry to
practice and maintaining registration are
competent and ethical professionals. The College
does this by setting standards, supporting
registered nurses to meet standards and acting if
standards are not met.

VISION
A trusted and valued leader in nursing regulation

PURPOSE
Protecting the public by effectively regulating
registered nurses and nurse practitioners
BC’s Link to National Nursing Policy
As RNABC gradually transformed itself
into the new CRNBC
most nurses:
– did not appreciate the potential impact of
these changes for nursing
or
– believed that CRNBC should still be capable
of enacting many of the advocacy and
policy roles of the profession
Perfect Storm
Early 2009: Breakfast at the Naam
• Lynette Best
Former CNO,
Providence Health

• Heather Mass
Former CNO,
BC Children’s & Women’s

• Sally Thorne
Director,
UBC School of Nursing
A Week Later: Breakfast #2
Core Group of Five
• Paddy Rodney
Faculty
UBC School of Nursing

• Jo Wearing
Former Policy Consultant
RNABC

And the breakfasts continued……
Summer 2009: Expanded Consultation
• Invitational
lunch gathering
• Key leaders and
nurses of
influence
• Confidential
strategic
dialogue
Puzzling Questions:
• Whether CRNBC’s view about
their restricted mandate was
real or imagined?
• Whether there were any
possibilities of changing the
legislation?
• Whether legal action could
reverse these changes?
Ultimate Conclusion
Only four possible options:
• Do nothing
• Take the CRNBC to court
• Try to change the
legislation
• Start something new
–Transitional Steering
Committee
– Heather Mass, Sally Thorne
(Co-Chairs)
– Lynette Best, Paddy Rodney,
Maureen Shaw, Sharon
Toohey, Jo Wearing
To fill the gaps and explore opportunities for a
more permanent solution
May 19, 2010 Province-Wide Meeting
• to explain why it is
necessary to reestablish an association
for registered nurses in
British Columbia and
• broaden ongoing
support for this work
May 20, 2010
Association of Registered Nurses of BC was born
Board of Directors
Susan Duncan, RN

Robert Calnan, RN

Lynette Best, RN

Julie Fraser, RN

Suzanne Johnston, RN

Leanna Loy, RN

Patricia Rodney, RN

Maureen Shaw, RN

Sally Thorne, RN

Joan Wearing, RN

Staff Support

Heather Mass, RN

Nora Whyte, RN

to April 2011

from May 2011
Organizational Realignment
ARNBC and CNA MOU
The ARNBC and the Canadian Nurses Association have signed a
Memorandum of Understanding for a one-year period,
effective September 1, 2011.
Policy Dialogue
. . . Now more than ever, we need the
knowledge, expertise and capacity of nurses to
bring solutions to our healthcare challenges.
Nurses are, and will continue to be, at the heart
of the system’s transformation, driving and
managing change related to the delivery of
health services
Canadian Nurses Association
May 2012 First Official AGM
First elected board members
• Brenda Canitz
• Christine Davidson
• Carl Meadows
• Jennifer Parkhill
• Andrea Starck
• Rachel Bard (CNA)
CNA Biennium June 18-20, Vancouver

ARNBC Host Provincial Association
BC had 38 voting delegates
presenting 5 of the 17 AGM motions
Strategic Planning
• Expand nursing engagement
strategy
• Consolidate sustainability plan
• Strengthen collaborative
partnerships
• Rebuild government and policy
relations
June 2013 First Fully Elected Board

• Pam Burton
• Tania Dick
• Maylene Fong
Arnbc History - July 13 2013

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Arnbc History - July 13 2013

  • 1. Where Have We Come From? A Brief History of ARNBC Sally Thorne July 2013
  • 3. • 1918 - Registered Nurses established the Graduate Nurses Association of BC as the body responsible for regulating registered nursing • 1935 - Name change to Registered Nurses Association of BC through amendment of Registered Nurses’ Act
  • 4. 1981 Labour Relations Division of the RNABC Becomes the BC Nurses Union
  • 5. 2003 The Health Professions Amendment Includes the provisions necessary to repeal the Nurses (Registered) Act and bring registered nursing (along with medicine, optometry, dentistry, podiatry and chiropractic) under the Health Professions Act. The Health Professions Act provides for a new model of regulating the scope of practice of health professionals in B.C.
  • 6. Aug 19, 2005 College of Registered Nurses of BC Key elements of the Nurses (Registered) and Nurse Practitioners Regulation include: • Duty to report • Restricted activities without an order (Section 6) • (Restricted activities with an order; clinical order sets (Section 7) • Certified Practice (Section 8)
  • 7.
  • 9. OUR VISION Excellence in Nursing OUR VALUES • Accountability and service to the public • Visible leadership on nursing and health issues • Innovation and openness to change • Collaboration and mutual respect • Competence
  • 10. In her 2005 report, President Karen Irving stated: Nursing continues to be a self-regulating profession in B.C. and CRNBC’s mandate remains the same: protection of the public through the regulation of registered nurses and nurse practitioners As you can see, much of what RNABC did, CRNBC continues to do. Yet, the new legislation has meant changes for the organization. Here are some examples. – a reduced number of board members and discontinuation of chapters. – authority to regulate nurse practitioners. – reserved actions and college-certified practices for registered nurses. Implementing change often presents challenges. We are confident that these changes are being managed with minimal inconvenience to registrants.
  • 11. Devolution of Functions • Regional Chapters • Professional Practice Groups • Nursing BC Magazine • Membership Cards • Annual Convention • Policy Voting
  • 12.
  • 13. MANDATE To ensure that all individuals seeking entry to practice and maintaining registration are competent and ethical professionals. The College does this by setting standards, supporting registered nurses to meet standards and acting if standards are not met. VISION A trusted and valued leader in nursing regulation PURPOSE Protecting the public by effectively regulating registered nurses and nurse practitioners
  • 14. BC’s Link to National Nursing Policy
  • 15. As RNABC gradually transformed itself into the new CRNBC most nurses: – did not appreciate the potential impact of these changes for nursing or – believed that CRNBC should still be capable of enacting many of the advocacy and policy roles of the profession
  • 16.
  • 18. Early 2009: Breakfast at the Naam • Lynette Best Former CNO, Providence Health • Heather Mass Former CNO, BC Children’s & Women’s • Sally Thorne Director, UBC School of Nursing
  • 19. A Week Later: Breakfast #2 Core Group of Five • Paddy Rodney Faculty UBC School of Nursing • Jo Wearing Former Policy Consultant RNABC And the breakfasts continued……
  • 20. Summer 2009: Expanded Consultation • Invitational lunch gathering • Key leaders and nurses of influence • Confidential strategic dialogue
  • 21. Puzzling Questions: • Whether CRNBC’s view about their restricted mandate was real or imagined? • Whether there were any possibilities of changing the legislation? • Whether legal action could reverse these changes?
  • 22. Ultimate Conclusion Only four possible options: • Do nothing • Take the CRNBC to court • Try to change the legislation • Start something new
  • 23. –Transitional Steering Committee – Heather Mass, Sally Thorne (Co-Chairs) – Lynette Best, Paddy Rodney, Maureen Shaw, Sharon Toohey, Jo Wearing
  • 24. To fill the gaps and explore opportunities for a more permanent solution
  • 25. May 19, 2010 Province-Wide Meeting • to explain why it is necessary to reestablish an association for registered nurses in British Columbia and • broaden ongoing support for this work
  • 26.
  • 27.
  • 28. May 20, 2010 Association of Registered Nurses of BC was born
  • 29. Board of Directors Susan Duncan, RN Robert Calnan, RN Lynette Best, RN Julie Fraser, RN Suzanne Johnston, RN Leanna Loy, RN Patricia Rodney, RN Maureen Shaw, RN Sally Thorne, RN Joan Wearing, RN Staff Support Heather Mass, RN Nora Whyte, RN to April 2011 from May 2011
  • 30.
  • 32.
  • 33. ARNBC and CNA MOU The ARNBC and the Canadian Nurses Association have signed a Memorandum of Understanding for a one-year period, effective September 1, 2011.
  • 34. Policy Dialogue . . . Now more than ever, we need the knowledge, expertise and capacity of nurses to bring solutions to our healthcare challenges. Nurses are, and will continue to be, at the heart of the system’s transformation, driving and managing change related to the delivery of health services Canadian Nurses Association
  • 35. May 2012 First Official AGM First elected board members • Brenda Canitz • Christine Davidson • Carl Meadows • Jennifer Parkhill • Andrea Starck • Rachel Bard (CNA)
  • 36. CNA Biennium June 18-20, Vancouver ARNBC Host Provincial Association
  • 37. BC had 38 voting delegates presenting 5 of the 17 AGM motions
  • 38. Strategic Planning • Expand nursing engagement strategy • Consolidate sustainability plan • Strengthen collaborative partnerships • Rebuild government and policy relations
  • 39. June 2013 First Fully Elected Board • Pam Burton • Tania Dick • Maylene Fong