The CRNA Publishes Work on Right-touch Relational Regulatory Approach

July 23, 2026

An article by the College of Registered Nurses of Alberta (CRNA), which was recently published in the Journal of Nursing Regulation, highlights how a non-traditional regulatory approach can better serve the public interest.

In the article, the CRNA shares its experiences in examining and applying the concepts of Right-touch Relational Regulation to shape a new regulatory philosophy that guides decisions and informs how the CRNA operates.

This new philosophy was conceptualized as regulators globally shifted to focus primarily on patient safety and risk management, rather than broader public interest goals.

Our approach, depicted in The CRNA Regulatory Spectrum, focuses on using the right level of regulation to ensure safe, ethical and competent nursing care. The CRNA aims to incorporate situational context and associated factors, increasing appropriate discretion and accountability to regulatory interventions. Low-risk matters are handled in an efficient and expedient manner with a focus on education and improving processes, while high-risk matters are managed using more prescriptive processes.

This non-traditional approach maintains public protection at its core, with recognition that rules and the "letter of the law" can be balanced with transparent, proportionate and reasonable decisions that are intended to support Alberta’s health-care ecosystem.