QA Program Learning Plan form
Collection of Personal Information
‘disclosure of this information contact the Manager of Information Management, College of Nurses of
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Registration Number
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Learning Needs
What learning needs di | Identity through practice reflection and peer input?
Identify a minimum of two (2) to three (8) learning needs.
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Haven't done practice reflection yet? Use
the Practice Reflection worksheet to help
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Learning Goal #1
‘My goal must be based on my learning needs.
Need help creating a goal? Review the
Developing SMART Leaming Goals
guide.
‘Your learning goal must be based on
your current practice setting and one of
the College's practice documents.
Goal #1: Activities and Timeframes i
How am I going to achieve my goal? Identity a minimum of three (3) learning activites with timeframes/timelines.
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My goal must be based on my learning needs.
‘Need help creating a goal? Review the
Able lay be ba ce pds rk arroh > Developing SMART Leaming Goals
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How am I going to achieve my goal? Identify a minimum of three (3) learning activites with timeframes/timelines.
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Learning Goal #3
‘My goal must be based on my learning needs.
Your learning goal must be based on
your current clinical practice and the
‘Nurse Practitioner practice standard.
How am I going to achieve my goal? Identity a minimum of three (3) learning activites with timeframeshimelines.How do my learning goals support my commitment to continuing competency?
How does my learning relate to the competencies of my practice?
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Continue to maintain and update your
Learning Plan throughout the year.
Evaluation of changes/outcomes to my practice
What did | earn?
What impact has my Learning Plan had on my practice?
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You can print your Learning Plan for your
records.
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201408