March 05, 2024

SPEP provides boost at long-term care homes

Long-term care employers say that SPEP has been an important initiative to support and retain nursing staff.

Natalie Sherk has seen the value of the Supervised Practice Experience Partnership (SPEP) firsthand.

An RN and the Director of Care at Maple Park Lodge long-term care home in Fort Erie, Ont., Sherk is aware of the needs at the facility, where she has worked for the past two and a half years.

After SPEP was launched in Jan. 2022, Sherk connected the dots and saw how the program could be a win for everyone — for her workplace, staff, the broader health care system and for clients.

“We thought that partnering with CNO would contribute positively, not only to the facility but to health care system needs as a whole,” she told The Standard

We thought that partnering with CNO would contribute postitively, not only to the facility but to healthcare system needs as a whole. - Natalie Shrek, RN, Director of Care at Maple Park Lodge Long-Term Care Home

The program is a partnership between the CNO, Ontario Health and CNO-approved organizations. Completing practice experience helps applicants complete the registration requirements to become a nurse with the knowledge, skill and judgment to practice safely in Ontario. You can read answers to SPEP FAQs here.

So far, over 3,000 nurses have gained their practice experience and registered as nurses through SPEP.

Four people have completed SPEP and are working as nurses at Maple Park Lodge, and a fifth is currently in the process of getting their hours. For a facility with 15 RNs, SPEP graduates represent a good chunk of the workplace’s nurses.

“For us, staff retention is crucial,” Sherk said, explaining SPEP’s value. Identifying Personal Support Workers in the workplace who are eligible and interested, and supporting them through the process, has been a win-win for Maple Park Lodge and its staff, she said.

“It’s great for us, being a smaller long-term care home in an isolated area,” Sherk added.

Long-term care homes throughout the province have found SPEP to be a helpful initiative. According to CNO SPEP statistics, as of Feb. 2, of the 696 approved employers for the program, 389 are long-term care homes. The program has matched 1,791 applicants with long-term care homes so far.

Moira Place long-term care home in Tweed, Ont., is another facility that has used SPEP. Director of Care Linda Facey, RN, explains that the facility tries to make the most of the various initiatives and programs to support nursing training, and SPEP has been welcome. “It was very useful,” she told The Standard. “This was a great tool to bring someone on and see if they were interested in staying.”  

This was a great tool to bring someone on adn see if they were interested in staying. - Linda Facey, RN, Director of Care at Moira Place Long-Term Care Home

So far, two nurses have completed SPEP at Moira Place, including one who continues to work at the facility.

Sherk, the Director of Care at Maple Park Lodge, said part of what makes SPEP appealing is its ease. “CNO has made it very easy to participate in this program. It was a matter of filling out an application form.”

Once approved for SPEP, Maple Park Lodge pairs an applicant with some of their longstanding nurses, so they can learn policies and procedures. It’s all about making sure they have the knowledge, skill and judgement to practice safely.

Sherk added that, once applicants meet all of their practice requirements through SPEP, it has taken only a couple of days for them to receive CNO approval as nurses. From the employer side of things, she also added it is a “very simple process” for reimbursement of the practice hours.

It all adds up to an experience that works for everyone and feels rewarding. “It’s rewarding to know you can assist people to achieve their dreams.”

About CNO

The College of Nurses of Ontario (CNO) is the regulator of the nursing profession in Ontario. It is not a school or a nursing association. CNO acts in the public interest by:

  • assessing qualifications and registering individuals who want to practice nursing in Ontario.
  • setting the practice standards of the profession that nurses in Ontario are expected to meet.
  • promoting nurses' continuing competence through a quality assurance program.
  • holding nurses accountable to those standards by addressing complaints or reports about nursing care.

The College was founded in 1963. By establishing the College, the Ontario government was acknowledging that the nursing profession had the ability to govern itself and put the public's well-being ahead of professional interests.

For the latest information, please see our Nursing Statistics page.

Anyone who wants to use a nursing-related title — Registered Nurse (RN), Registered Practical Nurse (RPN) or Nurse Practitioner (NP) must become a member of CNO.

Frequently Asked Questions

Go to the public Register, Find a Nurse, to conduct a search for the nurse. Contact us if you can't find the person you are looking for.

All public information available about nurses is posted in the public Register, Find a Nurse, which contains profiles of every nurse in Ontario. Publicly available information about nurses include their registration history, business address, and information related to pending disciplinary hearings or past findings.

Unregistered practitioners are people who are seeking employment in nursing or holding themselves out as being able to practice nursing in Ontario, but who are not qualified to do so. They are not registered members of CNO. Only people registered with CNO can use nursing-related titles or perform certain procedures that could cause harm if carried out by a non-registered health professional. CNO takes the issue of unregistered practitioners seriously. See Unregistered Practitioners for more information.

To ensure procedural fairness for both the patient (or client) and the nurse, the Regulated Health Professions Act requires that information gathered during an investigation remain confidential until the matter is referred to the Discipline Committee or Fitness to Practise Committee. CNO will not disclose any information that could identify patients (or clients) or compromise an investigation. See Investigations: A Process Guide for more information.

Information obtained during an investigation will become public if the matter is referred to a disciplinary hearing. If a complaint is not referred to a hearing, no information will be available publicly.

See CNO's hearings schedule, which is updated as hearing dates are confirmed. Hearings at CNO are open to the public and the media. For details on how to attend a hearing, contact the Hearings Administration Team.

A summary of allegations and the disciplinary panel outcomes can be found on the public Register, Find a Nurse. Full decisions and reasons are also available.

Where a disciplinary panel makes a finding of professional misconduct, they have the authority to reprimand a nurse, and suspend or revoke a nurse's registration. Terms, conditions and limitations can also be imposed on a nurse's registration, which restricts their practice for a set period. Nurses can also be required to complete remedial activities, such as reviewing CNO documents and meeting with an expert, before returning to practice.

For detailed information see the Sexual Abuse Prevention section.

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