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Education and Practice:
Partnering for the Future
Ohio League for Nursing
Nursing Education Summit
Ohio 2012
Pre-conference Workshop
Thursday, March 29, 2012
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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
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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)
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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
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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
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Outcomes and Competency Development
The NLN outcomes and
competencies were developed as a
partnership between nursing
education and nursing practice.
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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
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Transformative Change
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Language Of Model
Core Values
Integrating Concepts
KPE’s (Knowledge, Practice, and
Ethical Comportment)
Program Outcomes
Competency Statements–PN to PhD
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CORE VALUES
Foundational to the model and
competency development
Foundational to the formation of a
nurse
All nursing program graduates must
have these
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CORE VALUES
Core Values of the NLN
Caring
Diversity
Integrity
Excellence
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Additional Core Values
Holism
Ethics
Patient Centeredness
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Core Values Create The Foundation of
The Person As Nurse
Caring
Diversity
Integrity
Excellence
Holism
Ethics
Patient Centeredness
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Core Values And The Socialization Of Students
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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)?
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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?
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Integrating Concepts
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Integrating Concepts
Context and Environment
Knowledge and Science
Personal/Professional Development
Quality and Safety
Relationship-Centered Care
Teamwork
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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.
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Apprenticeships: KPEs
Knowledge: encompasses the realms
of science and theory;
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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
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Apprenticeships: KPEs
Ethical Comportment: involves the
individual’s formation within a set of
recognized responsibilities – notions of
good practice and boundaries of
practice.
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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?
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Question to Ponder
In what ways might your nursing
program examine, reorganize, and
appropriately incorporate the six
integrating concepts?
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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
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Program Outcomes
The outcomes reflect the culmination
of complex, multifaceted learning,
which can be demonstrated at the time
of graduation.
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Program Outcomes
The four stated outcomes include
human flourishing
nursing judgment
professional identity
spirit of inquiry
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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.
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Human Flourishing
Human flourishing encompasses:
Uniqueness
Dignity
Diversity
Freedom
Happiness
Holistic well-being
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Nursing Judgment
Nursing judgment encompasses three
processes:
Critical thinking
Clinical judgment
Integration of best evidence into
practice
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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.
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Professional Identity
Professional Identify involves the
internalization of core values and
perspectives recognized as integral to
the art and science of nursing.
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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.
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Spirit of Inquiry
A spirit of inquiry is a persistent sense of
curiosity that informs both learning and
practice.
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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.
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Questions to Ponder
How congruent are your program’s
articulated outcomes with the four
outcomes espoused in this model?
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Questions to Ponder
Does your school currently uphold
outcomes that are no longer relevant
and therefore need to be eliminated
from the program?
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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.
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Program Outcomes And Core Competencies
Core competencies are the expected
culmination of all learning experiences
that occur during the academic
program
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The over-arching outcome is nursing practice
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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.
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Competencies
The competencies for each program
reflect and assume those addressed in
the programs previous to this type of
educational program.
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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.
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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.
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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.
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Question to Ponder
How congruent are your nursing
program’s articulated competencies
with the competencies identified in this
model?