2025 Annual Report
Key Takeaways:
- In response to inquiries about the Continuing Competency Program, more resources were created to connect with and support registrants, resulting in a positive impact on their learning plans.
- Registrants who identify as self-employed continue to rise. As the reported number of self-employed registrants increases, the College continues to work with registrants to identify additional needed resources and supports. In response, two practice directions were published to provide additional guidance and clear expectations to ensure the delivery of safe, competent, and ethical nursing care in self-employed practice; Self-Employed Practice and Medical Aesthetic Nursing Practice.
- The number of registrants who self-declare they work for a nursing agency plateaued in 2025. The Practice Direction: Registered Nursing Agency Practice was developed from the recognition that agency nursing was a practice area that required additional oversight and guidance for the protection of the public.
- Scope of practice/reserved acts was once again the major consultation theme for our quality practice consultations in 2025.
- The quality practice team continues to receive requests for presentations with quality documentation as the number one topic requested.
Continuing Competency Program (CCP)
The Regulated Health Professions Act (RHPA) requires the College to have a Continuing Competency Program (CCP) for Registered Nurses (RNs) practising in Manitoba. This program promotes high standards of knowledge and skill through self-directed learning. It is an RN’s commitment to lifelong learning that ensures RNs deliver safe, competent, and ethical care to Manitobans. The College ensures the continued competency of all active registrants through its quality assurance processes. Each year, registrants confirm their participation in the annual Continuing Competency Program with their certificate of practice renewal. The College has processes and policies in place that:
- outline how registrant practice will be evaluated
- outline how registrants will be identified for further assessment and
- outline remediation activities that a registrant may undergo based on their quality assurance assessment
CCP Presentations
Presentations were replaced with enhanced CCP and CCP Review webpages, along with a CCP Review online webinar. The webinar received strong overall engagement, with 381 views.
In addition to these resources, Q&A sessions were offered via Microsoft Teams, allowing registrants to ask questions after viewing the webinar. However, participation in the Q&A sessions was minimal.
Feedback from the registrants who did attend indicated that both the updated webpages and the webinar provided all the information they required. This was further supported by the high number of learning plans that met the criteria.
CCP Review
Each year, registrants are randomly selected for the CCP review. The review typically consists of three components: completion of a Learning Plan, participation in a peer-review process referred to as Multi-source Feedback (MSF), and for a portion of registrants, a competency-based interview.
Registrants selected to participate in the CCP review must submit their learning plan to renew their certificate of practice.
The review is a quality check that indicates whether an RN or RN(NP) has met the program’s minimum requirements. Here is a breakdown of the results over the last five years:
Registrants with learning plans that are exemplary and those that are not met are reviewed by two quality practice team members.
Multi-Source Feedback (MSF)
All registrants selected for the CCP review also participate in MSF. This involves a 360-degree review of an RN or RN(NP)’s practice including a self-questionnaire and feedback from clients and colleagues.
When MSF is partnered with a jurisprudence learning module and the creation of self-directed learning plans, a more comprehensive program is created. This comprehensive approach supports registrants in achieving the delivery of safe, competent, and ethical care.
Here is a breakdown of the results over the last five years.
* Nurses who rank in the top 20% based on feedback from their clients and colleagues.
**identifying deferred nurses as a number; removing them from the percentage calculations.
In previous years, overall multi-source feedback (MSF) scores for each registrant were compared to a benchmark, with scores below this threshold requiring a competency-based interview (CBI).
For 2025, while MSF scores will still be calculated, a broader evaluation will determine if a CBI is necessary. This more nuanced approach identifies registrants who will benefit most from a comprehensive practice review, while still providing support to others.
Competency-Based Interview
A competency-based interview helps assess registrants’ knowledge, skill, and judgment and to identify areas of strength or practice improvement. In this interview, we ask an RN or RN(NP) to describe a recent situation or client case and discuss their actions and the results or client outcomes. The conversation within the interview allows the registrant another venue to demonstrate the provision of safe, competent, and ethical nursing care. The Continuing Competency Committee (CCC) members review the interview report and registrants learning to determine if assigned remediation is necessary.
Here is a breakdown of the deferrals and CCC outcomes over the last five years:
* The post-CBI survey question, which requires self-reflection and identification of learning, was refined, leading to an improved demonstration of self-remediation to the CCC member.
**None of the CBIs resulted in assigned remediation. Registrants either demonstrated learning and self-remediation through self-reflection or their CBIs did not identify any learning needs.
Jurisprudence Learning Module
Each year, registrants complete a jurisprudence module to meet the Continuing Competency requirements outlined in the College of Registered Nurses of Manitoba General Regulation.
Jurisprudence, by definition, is the study of the law. The College is committed to selecting topics with the greatest potential to maximize public benefit.
The 2025 learning module was The Code of Ethical Conduct. The College published the new Code of Ethical Conduct in January 2025. The Regulated Health Professions Act (RHPA) and the College of Registered Nurses of Manitoba General Regulation require that the College adopt a code of ethics governing the conduct of registrants. The Code of Ethical Conduct provides the foundation for registered nursing practice and informs registrants and the public of the primary ethical values the nursing profession upholds and the expected behaviours they express.
The purpose of the module was to provide an opportunity for all registrants to become familiar with this important document. The Code of Ethical Conduct includes ethical values that provide a frame of reference that governs registrant behaviour. Compliance with the principles in the Code of Ethical Conduct is required. All registrants are responsible for understanding the Code of Ethical Conduct and are accountable to apply it to their own nursing practice, regardless of roles or practice settings.
Self-Employed Practice
Registrants self-identify as engaging in self-employed practice during the annual certificate of practice renewal period, which runs from October 1 to December 1.
Self-employed registrants are asked to submit an Opening Self-Employed Practice Notification & Declaration form. The form includes details about the registrant’s business name, a summary of services offered, and a declaration confirming their understanding of their professional responsibilities and accountability within their practice.
There remains a wide variety of practice environments/settings identified; the most common areas continue to be foot care, aesthetics, and agency nursing.
Health Profession Corporation (HPC)
The Regulated Health Professions Act gives registrants of the College the ability to carry on the practice of the profession of registered nursing, as a Health Profession Corporation.
Agency Nursing Employment
Agency nursing has again been a focus of public discussion over the past year, particularly regarding nursing vacancies and healthcare costs in the province. The College began collecting this information in 2023. There has been a notable increase in the number of registrants who, during their certificate of practice renewal, self-identified as working for a nursing agency. This appears to be caused by clearer prompting questions during the renewal process and the subsequent introduction of the agency practice direction, which likely encouraged better alignment with existing practice expectations. Some registrants indicated they work for multiple agencies, while others reported a combination of agency and public-sector employment.
| Year | Registrants who identified as working for a nursing agency |
| December 1, 2023 | 1418 |
| December 1, 2024 | 1611 |
| December 1, 2025 | 1235 |
Quality Practice Consultations
The quality practice team is available to address incoming inquiries about regulatory processes and to provide consultation on registered nursing practice. We have differentiated between inquiries and consultations to better understand and address the needs of the individuals who contact us.
An inquiry is a request for information that can be answered with readily available information generated by the College. A practice consultation is a request to discuss a practice situation that involves the application of frameworks such as regulations, bylaws, policies, practice directions, scope of practice, and the Code of Ethical Conduct.
Consultation Themes
The major theme for our quality practice consultations in 2025 was once again the scope of practice/reserved acts. The scope of these practice consultations included questions related to assignment and delegation, reserved acts in practice, and interprofessional collaborative practice.
Self-employed practice consultations include requests for guidance for registrants considering self-employment and information on obtaining a Health Profession Corporation Permit from the College. Registrants also requested assistance in determining if their practice is considered registered nursing practice. Following the publication of the Medical Aesthetics and Agency Nursing Practice Directions, registrants sought additional guidance, resulting in an increase in consultations.
Virtual Nursing Care Guidelines were published in May, replacing the earlier tele-practice support document and offering clearer instructions for providing virtual care across jurisdictions. The communication about the update received heightened attention, resulting in more consultations.
The quality practice team develops up-to-date resources that are published on our website to help educate and support RN, RN(NP)s, and RN(AP)s in current practice. Data from inquiries and consultations help the Quality Practice team determine which resources to provide (e.g., practice direction or guidance support documents, webinars, presentations, and social media content).
Practice Reviews and Audits
A practice audit assesses an RN’s knowledge, skill, and judgment. The Complaints Investigation Committee, a panel of the Inquiry Committee, the Continuing Competency Committee, or the CEO/Registrar may refer an RN for a practice audit.
In 2025, the quality practice team completed one practice review. No practice audits were requested or completed.