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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 BCCNM QA team member. Nurses are notified when it’s their year to participate in multisource feedback in January of each year.

Nurses who feel they cannot identify three colleagues to provide feedback should contact the BCCNM QA department as soon as possible. BCCNM 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 meaningful experience or interaction 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 BCCNM QA team member.  

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 three-part process. First, the nurse identifies an experience or interaction 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 team member about the experience, and the third is completing a PD plan.

Nurses who participate in structured reflection schedule an appointment with a QA team member before June 30 of their assigned year. 

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 or interaction 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 team member 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 team memberto discuss their reflection. The QA team member 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. The nurse has 30 days from the date they renew to submit the structured reflection and then until June 30 of the assigned year to have the facilitated discussion. Note that the 30 days does not include completing and evaluating the PD Plan.

Part 3: PD Planning

Once a nurse has completed their session with a QA team member, 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, complete 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