Education and Practice:

Partnering for the Future

Ohio League for Nursing

Nursing Education Summit

Ohio 2012

Pre-conference Workshop

Thursday, March 29, 2012

The National League for Nursing

Moving into the Future: Developing

Curricula Using the NLN Outcomes

and Competencies

Marilyn Brady, PhD, RN

&

June Larson, MS, RN, ANEF

NLN Governor at Large

NLN NEAC WORKGROUP

June Larson (Chair)

Marilyn Brady

Carol Coose

Lynn Engelmann

Linda Everett

Karen Pardue

Mary Schoessler

Gwen Sherwood

Terry Valiga

Kynna Wright

Brother Ignatius Perkins (NLN BOG)

Janice Brewington (NLN Staff)

Cathleen Shultz (NLN President)

Mary Anne Rizzolo (NLN Staff)

Stacey Schrand and Rachel Smaltz (NLN Staff)

Background: NEAC Competency Development

Guiding Principles for the Work:

Comprehensive

Bridge education and practice Inclusive Thoroughly researched and supported Ample opportunity for examination and comment

Outcomes And Competency Development

Provides an organizing framework for

U.S. nursing education

Is adaptable and versatile for your

program

Culminates in a graduate who has

achieved the four outcomes that are

embedded in nursing practice

Programs have same outcomes

differentiated by competencies

Outcomes and Competency Development

The NLN outcomes and

competencies were developed as a

partnership between nursing

education and nursing practice.

NLN Competencies Model

Transformation of nursing education

Adaptable to school’s own mission and

philosophy

Non-prescriptive

Inclusive - Values all program types

Promotes thinking in unique ways; how

you get there requires the creativity and

ingenuity of faculty

Supports academic progression

Transformative Change

Language Of Model

Core Values

Integrating Concepts

KPE’s (Knowledge, Practice, and

Ethical Comportment)

Program Outcomes

Competency Statements–PN to PhD

CORE VALUES

Foundational to the model and

competency development

Foundational to the formation of a

nurse

All nursing program graduates must

have these

CORE VALUES

Core Values of the NLN

Caring

Diversity

Integrity

Excellence

Additional Core Values

Holism

Ethics

Patient Centeredness

Core Values Create The Foundation of

The Person As Nurse

Caring

Diversity

Integrity

Excellence

Holism

Ethics

Patient Centeredness

Core Values And The Socialization Of Students

Core Values

Do the core values resonate with

your nursing program's mission

and/or philosophy.

How might we recognize, develop,

and fully integrate the identified

core values across our nursing

education program(s)?

Questions to Ponder

To what extent do our clinical partners

reflect our identified values?

To what extent have our collaborative

teaching and practice efforts been

congruent with the core values?

Integrating Concepts

Integrating Concepts

Context and Environment

Knowledge and Science

Personal/Professional Development

Quality and Safety

Relationship-Centered Care

Teamwork

Integrating Concepts and Apprenticeships

Each of the six integrating concepts is

described, defined and then further

explicated by the KPEs inherent to the

concept.

The KPEs are based on the

apprenticeship work of Dr. Patricia

Benner and the Carnegie Foundation.

Apprenticeships: KPEs

Knowledge: encompasses the realms

of science and theory;

Apprenticeships: KPEs

Practice: Includes the mastery of

technical skills and the notions of

situated thinking and knowledge use;

it means being able to engage in

practice in a thoughtful, deliberate and

informed way; and

Apprenticeships: KPEs

Ethical Comportment: involves the

individual’s formation within a set of

recognized responsibilities – notions of

good practice and boundaries of

practice.

Questions to Ponder

How are the apprenticeships of

knowledge, practice and ethical

comportment realized for each of the

six integrating concepts identified or to

be identified in your nursing program?

Has your program addressed KPEs

comprehensively in your courses and

program?

Question to Ponder

In what ways might your nursing

program examine, reorganize, and

appropriately incorporate the six

integrating concepts?

Program Outcomes

The expected culmination of all

learning experiences:

Includes mastery of essential core

nursing practice competencies

Builds on six integrating concepts

Builds on core values

Program Outcomes

The outcomes reflect the culmination

of complex, multifaceted learning,

which can be demonstrated at the time

of graduation.

Program Outcomes

The four stated outcomes include

human flourishing

nursing judgment

professional identity

spirit of inquiry

Human Flourishing

An effort to achieve self-actualization

and fulfillment within the context of a

larger community of individuals, each

with the right to pursue his or her own

efforts.

Human Flourishing

Human flourishing encompasses:

Uniqueness

Dignity

Diversity

Freedom

Happiness

Holistic well-being

Nursing Judgment

Nursing judgment encompasses three

processes:

Critical thinking

Clinical judgment

Integration of best evidence into

practice

Nursing Judgment

Nurses must use the three processes as

they make decisions about clinical care,

the development and application of

research and the broader dissemination

of insights and research findings to the

community, and management and

resource allocation.

Professional Identity

Professional Identify involves the

internalization of core values and

perspectives recognized as integral to

the art and science of nursing.

Professional Identity

The nurse embraces these fundamental

values in every aspect of practice while

working to improve patient outcomes

and promote the ideals of the

profession.

Spirit of Inquiry

A spirit of inquiry is a persistent sense of

curiosity that informs both learning and

practice.

Spirit of Inquiry

A nurse, infused by a spirit of inquiry,

will raise questions, challenge traditional

and existing practices and seek creative

approaches to problems.

Questions to Ponder

How congruent are your program’s

articulated outcomes with the four

outcomes espoused in this model?

Questions to Ponder

Does your school currently uphold

outcomes that are no longer relevant

and therefore need to be eliminated

from the program?

Program Outcomes And Core Competencies

Core competencies are the discrete,

measurable skills essential for the

practice of nursing. These are

developed by the faculty to meet the

program’s outcomes.

Program Outcomes And Core Competencies

Core competencies are the expected

culmination of all learning experiences

that occur during the academic

program

The over-arching outcome is nursing practice

Sample: Professional Identity Core Competencies PN to PhD

PRACTICAL/ VOCATIONAL

ASSOCIATE

DEGREE/ DIPLOMA

BACCALAUREATE

MASTER’S

PRACTICE

DOCTORATE

RESEARCH

DOCTORATE

Assess how one’s

personal strengths

and values affect

one’s identity as a

nurse and one’s

contributions as a

member of the

health care team.

Implement one’s role as

a nurse in ways that

reflect integrity,

responsibility, ethical

practices, and an

evolving identity as a

nurse committed to

evidence-based practice,

caring, advocacy, and

safe, quality care for

diverse patients within a

family and community

context.

Express one’s identity as

a nurse through actions

that reflect integrity; a

commitment to

evidence-based practice,

caring, advocacy, and

safe, quality care for

diverse patients, families,

and communities; and a

willingness to provide

leadership in improving

care.

Implement one’s

advanced practice

role in ways that

foster best practices,

promote the personal

and professional

growth of oneself

and others,

demonstrate

leadership, promote

positive change in

people and systems,

and advance the

profession.

As a nurse-

scholar, seek

ways to translate

research findings

into practice, and

help design and

implement

changes in

nursing practice

and health policy

that will best

serve a diverse

population and a

diverse nursing

workforce.

Implement one’s role

as a research scholar

committed to a spirit

of inquiry, the

systematic

investigation of

nursing-related

problems, and the

dissemination of

research findings, in

a manner informed

by a sense of

responsibility to

shape a preferred

future for our

profession.

Competencies

The competencies for each program

reflect and assume those addressed in

the programs previous to this type of

educational program.

Nursing Judgment:

Practical/Vocational

Provide a rationale for

judgments used in the

provision of safe, quality

care and for decisions that

promote the health of

patients within a family

context.

Associate/Diploma

Make judgments in

practice, substantiated

with evidence, that

integrate nursing science

in the provision of safe,

quality care and promote

the health of patients

within a family and

community context.

Nursing Judgment:

Baccalaureate Make judgments in

practice, substantiated

with evidence, that

synthesize nursing science

and knowledge from

other disciplines in the

provision of safe, quality

care and promote the

health of patients, families

and communities.

Master’s Make judgments in one’s

specialty area of practice

that reflect a scholarly

critique of current

evidence from nursing

and other disciplines and

the capacity to identify

gaps in knowledge and

formulate research

questions.

Nursing Judgment:

Practice Doctorate

Systematically

synthesize evidence

from nursing and other

disciplines and

translate this

knowledge to enhance

nursing practice and

the ability of nurses to

make judgments in

practice.

Research Doctorate

Provide leadership in

designing and

implementing research

that expands the

evidence underlying

nursing practice and

strengthens nurses’

ability to make

judgments.

Question to Ponder

How congruent are your nursing

program’s articulated competencies

with the competencies identified in this

model?