Additional Requirements for the Bachelor of Science in Nursing (BScN)
In addition to academic admissions criteria, students are required to meet cognitive and physical requirements as outlined below. This information is also found on the Ontario Universities Application Centre (OUAC) entitled, “Essential Requirements for Study for Baccalaureate Nursing Programs in Ontario” (College of Nurses of Ontario (CNO) and the Council for Ontario Universities Programs of Nursing (COUPN), 2019). Carleton University aligns with the CNO and COUPN requirements to uphold legal, ethical and safety standards for students, instructors and/or faculty members for the protection of the student, patient/client, and organization and to ensure success within the program and while at clinical placements.
These requirements are not intended to exclude students who may require accommodation. Delivery of services and accommodations is based on the core values of integration, individualization and independence, and are integrated to the extent that is possible, varying from student-to-student depending on individual disability-related needs. We recommend that such accommodations and/or learning supports be discussed during the pre-admission or admission phase in coordination with Admissions and the Paul Menton Centre.
Nursing students will be required to submit pre-clinical documents (such as immunization records, CPR certification, a police records check to work with vulnerable individuals, etc.) before the clinical component of the program begins as per agency and School policies.
An offer of admission to a nursing program is not evidence that the nursing program has independently verified an applicant’s ability to meet the essential requirements in the domains described below.
Essential Requirements for Students in Baccalaureate Nursing Programs in Ontario
Cognition
Students must be able to acquire and retain new information from various sources. Examples include reading and comprehending a range of written documents, including anatomical diagrams, digital displays, medication labels, textbooks, articles, and columns of numbers such as those recorded on flow charts.
Students must be able to sustain prolonged attention, concentration and focus in various academic activities, as well as in stressful and distracting practice environments.
They must be able to retain information as memory and apply and transfer information from one situation to another.
Other cognitive skills that are required include: telling time; counting rates such as a pulse; accurately adding, subtracting, multiplying and dividing; computing fractions; using a calculator; writing numbers in records; identifying and differentiating sounds related to heart, lung or other body systems; and recognizing abnormal odours.
Information Gathering Abilities
Students must be able to participate in learning situations and client interactions for the purposes of gathering and recording information. This information may be gathered in a number of different ways, including but not limited to observing (using all relevant senses), listening, searching, reading, understanding and synthesizing.
Students will learn to gather information through interviewing, auscultating (listening with a stethoscope), palpating, smelling, percussing, and reviewing documents (such as reading charts and electronic documents).
In addition, a student must be able to use, observe and use diagnostic aids and/or instruments directly or in an adaptive form for the purposes of gathering information.
Critical Thinking Capabilities
Students must be able to learn to use cognitive and information gathering skills to address individual patient/client needs by noticing, reasoning, interpreting, and responding in a safe, caring and appropriate manner. This requires problem solving and judgment in order to analyze, integrate, synthesize, and apply information to the patient/client situation or context.
Students must be able to become familiar with clinical models, theoretical nursing frameworks, and scholarly evidence in order to critically appraise these, and interpret and apply them in a particular patient/client context.
Physical / Motor Abilities
To succeed in a nursing program, students must have sufficient fine motor skills, physical endurance, physical strength and mobility to learn the clinical skills required to safely care for clients. Examples include (modified from Requisite Skills and Abilities for the Bachelor of Nursing Program):
- Mobility
- Move within small spaces
- Raise equipment above shoulders
- Bend and reach
- Walk, stand and maintain balance
- Fine Motor Skills
- Manual dexterity to pick up, grasp and manipulate small objects with hands, with and without gloves
- Use a computer
- Perform complex sequences of hand/eye coordination, e.g., preparing and giving an injection
- Physical Endurance
- Correctly sustain repetitive movements (e.g., Cardio-Pulmonary Resuscitation)
- Work for up to 12 hours, with occasional rest times
- Physical Strength
- Support clients with position changes, e.g., bed to chair
- Move, push, pull, and/or carry objects, e.g., computers, medication carts, lift machines
- Use upper body strength for Cardio-Pulmonary Resuscitation
Resilience
Students must be able to adapt to and manage a range of unexpected, changing, stressful, emotionally charged, and/or ethically challenging situations, for example respiratory arrest, bleeding, patient death, or disclosure of abuse.
Students must be able to deal with academic requirements through prioritization of activities, effective time management, focus and discipline. Some examples of academic requirements may include: presentations to colleagues, oral examinations, practical examinations, debates, and assignment deadlines.
Students must be able to receive, reflect on and integrate constructive feedback.
Students must be aware of their own emotions and behaviours and develop the ability to further regulate these in order to focus on required program activities.
They must have the ability to recognize their own stress, develop stress management abilities and self-care strategies, including being able to seek resources and assistance when needed.
Ethics
Students entering a nursing program must have an interest in assisting individuals and their families and communities in achieving their goals, and to do so in ways that acknowledge ethical values.
The CNO has identified the following values as being most important to providing nursing care in Ontario (Practice Standard – Code of Conduct [PDF]): client well-being, client choice, privacy and confidentiality, respect for life, maintaining commitments, truthfulness, and fairness.
To succeed in nursing, students must demonstrate integrity, sensitivity, compassion and concern for others including clients, peers and colleagues with whom they work collaboratively to build trusting relationships.
They must be respectful of the individuality and diversity of others, regardless of their background characteristics such as age, health status, place of origin, race, culture, ethnicity, political or spiritual beliefs, socio-economic status, marital status, occupation, sex, gender identity, sexual orientation, lifestyle, mental ability, or physical ability.
Communication / Interpersonal Abilities
The ability to develop mature, sensitive, and effective relationships with patients, families and other members of the health care team is required. This includes the ability to communicate with and relate to other people in a caring manner.
Students must have the ability to develop excellent observational, listening, oral and written communication skills, as well as to develop the capacity to sensitively perceive and convey verbal and non-verbal information effectively and efficiently.
Students must also be able to develop the ability to coherently summarize the patient/client condition, assessment, and intervention plan, both verbally and in text, in compliance with regulatory and organizational record-keeping standards and privacy and confidentiality legislation and standards.
Examples include:
- Hear, speak, write, and comprehend the principal language or languages of the program
- Learn to understand and respond to patient and colleague perspectives
- Become aware of and respond to the body language of oneself and others
- Develop an understanding and use of clinical terminology
- Learn to document pertinent patient findings in writing or in electronic format
In addition to obtaining a baccalaureate nursing degree, graduates must meet seven additional requirements set by the CNO to become licensed registered nurses and practice as such in Ontario.