Bold Action Taken to Transform Nursing Education and Strengthen the Nation's Healthcare Workforce (2024)

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WASHINGTON, D.C., April 7, 2021 – TheAmerican Association of Colleges of Nursing (AACN)is pleased to announce the adoption of a new model and framework for preparing registered nurses, advanced practice nurses, and nurse specialists. On April 6, deans from the nation’s schools of nursing affiliated with AACN approvedThe Essentials: Core Competencies for Professional Nursing Education,which delineates competency expectations for graduates of baccalaureate and graduate nursing programs. This historic and bold move will transform how nurses are educated for entry-level and advanced roles.

“Academic nursing is taking this great step forward to champion competency-based education, which will help to clarify the significant and unique contributions that nurses make to health and health care,” said Dr. Susan Bakewell-Sachs, Chair of the AACN Board of Directors. “We believe this approach to nursing education will strengthen our professional identity and set the standard for graduates of baccalaureate, master’s, and Doctor of Nursing Practice programs to demonstrate their ability to lead change and achieve optimal outcomes across the continuum of health care. We are committed to the opportunities that moving to this new model of nursing education presents, including the need to address the social determinants of health and health inequities.”

As the largest segment of the healthcare workforce with nearly 4 million providers, nurses play critical roles in maintaining patient safety and ensuring access to lifesaving and health-sustaining services. The newEssentialsprovide a blueprint for how to prepare nurses to thrive in a continually evolving and complex healthcare environment. The document outlines competency expectations in 10 domains that are central to nursing practice, including:

  • Knowledge for Nursing Practice
  • Person-Centered Care
  • Population Health
  • Scholarship for Nursing Practice
  • Quality and Safety
  • Interprofessional Partnerships
  • Systems-Based Practice
  • Information and Healthcare Technologies
  • Professionalism
  • Personal, Professional, and Leadership Development


In addition to the domains, eight foundational concepts associated with professional nursing are integrated throughout theEssentials, including Clinical Judgment; Communication; Compassionate Care; Diversity, Equity, and Inclusion; Ethics; Evidence-Based Practice; Health Policy; and Social Determinants of Health. This competency-based approach to preparing nurses involves a system of education based on students demonstrating that they have learned the knowledge, attitudes, motivations, self-perceptions, and skills expected of them as they progress through their program of study. The newEssentialsModel of Nursing Education outlines how to prepare nurses at entry and advanced levels, including how to move nurses seamlessly across the educational continuum. Click here toreview the newEssentials.

The re-envisionedEssentialswere developed by anexpert task force, convened by the AACN Board of Directors in 2018, which includes a 7-member leadership team, 28 representatives from academia and practice, and senior AACN staff members. Using an iterative and inclusive process involving hundreds of academic and practice leaders, faculty, students, and other stakeholders, the task force spent nearly 3 years developing and refining theEssentialsbased on feedback received. The final model and framework represent academic nursing’s best thinking on how to prepare nurses using a competency-based approach to education, which is similar to how physicians and other healthcare providers are prepared. Voting to endorse the final version ofEssentialswas conducted from March 23-April 6, 2021, which culminated in a strong majority of AACN’smember schools endorsing the new document.

Engaging the Practice Community

Preparing nurses with a consistent set of identifiable competencies will help employers and the public understand what to expect from new nurses as well as how to distinguish nurses with baccalaureate and graduate preparation from other providers. Throughout the development of the newEssentials, AACN was intentional about involving practice leaders in the work to infuse innovation into nursing education. AACN engaged a variety of practice leaders in this effort to ensure that nursing education remains in sync with the current and future needs of the healthcare system.

“Practice leaders engaged in and informed the process of re-envisioning theEssentialsand AACN listened, proposing a model that will foster competency standards and align academe and practice expectations and partnership. Our practice colleagues consider these newEssentialsto be transformational,” said Dr. Deborah Trautman, President and Chief Executive Officer of AACN. “We have seen great support for moving to competency-based education and for having consistent expectations for our graduates in terms of their knowledge, skills, and abilities.”

Facilitating the Transition

AACN recognizes that this groundbreaking shift in hownurses are prepared in the U.S. will take 3 years or more to fully implement. Organizations that accredit nursing education programs, certify nurses in specialty areas, and license nurses for practice will need time to respond and adapt to the newEssentials, which will impact their operations.

AACN is committed to facilitating this transition and providing support to assist schools of nursing in meeting the new expectations. The association is planning to appoint an implementation advisory task force to facilitate change, identify issues that may arise, and develop materials to support programs in transition. In keeping with AACN’s commitment to providing learning opportunities for deans and faculty via webinars, conference sessions, online resources, and workshops, AACN will focus our programming on moving to the newEssentialsand addressing related concerns. Resources currently available include:

  • Anonline resourcehousing information and helpful tools for schools of nursing to adapt their programs, including key documents, references, videos, and updates on upcoming training opportunities.
  • A brief guide, titledUnderstanding the Re-Envisioned Essentials: A RoadMap for the Transformation of Nursing Education, which explains how the transition to the newEssentialswill occur, the timeline for implementation, and suggested steps that schools can take to begin this important work.
  • AFrequently Asked Questionsdocument that addresses many issues and includes insights from the Commission on Collegiate Nursing Education, the nation’s leading accreditor of baccalaureate and higher degree nursing programs, on when the newEssentialsmight be required for accreditation reviews.
  • Sample Resources from the Essentials Implementation Tool Kit, including two sample domains and course descriptions. When complete, the tool kit will provide recommendations and examples of learning strategies, resources, content, and assessment strategies for each of the 10Essentialsdomains.

Categories: Essentials, Press Release

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Bold Action Taken to Transform Nursing Education and Strengthen the Nation's Healthcare Workforce (2024)

FAQs

How can nursing education be improved? ›

Examples of such action include academic and health care organizations/employers partnering to achieve strategic alignment around workforce development; government and foundations introducing funding opportunities for scholarships to build faculty and provide tuition relief; state boards of nursing increasing the use ...

What are the essentials of baccalaureate education? ›

Essentials of Baccalaureate Education for the Professional Nursing Practice
  • Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice. ...
  • Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety. ...
  • Essential III: Scholarship for Evidence Based Practice.
Jan 30, 2024

What is the role of the baccalaureate prepared nurse? ›

Nurses must acquire competence as a provider, designer, manager, and coordinator of care. A baccalaureate education prepares nurses to understand the broader context of healthcare, such as reimbursem*nt and accreditation requirements (American Association of Colleges of Nursing [AACN], 2008).

What strategies can a nurse educator consider when developing educational programs in health promotion? ›

The suggested that to increase students' academic engagement, nursing educators should: (1) involve students in teaching strategies, (2) balance student's clinical activities with clinical assignments, (3) provide wide range of clinical activities, (4) appreciate the individual difference, (5) provide them with ...

What are three trends that you believe will impact nursing and nursing education in the future? ›

Some trends that will impact nursing include proposed legislation to regulate nursing home staffing and AI's impact on healthcare and nursing education. Nurses may also earn more money as the demand increases, and more nurses become nurse practitioners and pursue specialties, such as virtual nursing.

How does advanced nursing education improve patient outcomes? ›

Nurses with advanced education tend to be more tech-savvy, readily adapting to and utilizing the latest healthcare technologies. This proficiency enhances patient care through improved accuracy in documentation, medication administration, and monitoring.

What are the essential core competencies for professional nursing education? ›

What Are the New AACN Essentials?
DomainAACN Essentials 10 Featured Domains
1Informatics and Healthcare Technologies
2Interprofessional Partnerships
3Knowledge for Nursing Practice
4Quality and Safety
6 more rows

What are some examples of professionalism in the baccalaureate prepared nursing role? ›

6 Ways to Demonstrate Professionalism in Nursing
  • Put patients first. It's important not only to uphold patients' rights—but also to care about how patients feel. ...
  • Communicate effectively. ...
  • Collaborate with and mentor others. ...
  • Maintain a positive attitude. ...
  • Uphold the standard of care. ...
  • Be accountable and honest.

What is quality and safety education for nurses? ›

Quality and Safety Education for Nurses (QSEN) addresses the challenge of preparing nurses with the competencies necessary to continuously improve the quality and safety of the health care systems in which they work.

What are the 3 roles of the baccalaureate generalist nurse? ›

The Discipline of Nursing

The roles of the baccalaureate generalist include: • provider of care, • designer/manager/coordinator of care, and • member of a profession.

Is a baccalaureate in nursing worth it? ›

Your nursing career will benefit greatly from having a BSN. Earning a BSN is a wise move to make on your professional path as a nurse. It is associated with improved patient outcomes, a higher salary, and expanded job opportunities.

What are the four major concepts in nursing theory? ›

Fawcett has named person, health, environment and nursing as the four main concepts of nursing that need to be comprehensively defined.

Why is nursing education important? ›

The American Association of Colleges of Nursing (AACN) reports that having better educated nurses results in better patient outcomes, lower mortality, lower readmission rates, and shorter lengths of stay.

What is the health promotion model in nursing education? ›

The Health Promotion Model aims to explain the factors underlying motivation to engage in health-promoting behaviors and it focuses on people's interactions with their physical and interpersonal environments during attempts to improve health [14].

What are creative ways to educate nursing staff? ›

Implementing interactive workshops, incorporating simulation scenarios, and utilizing online platforms are creative ways to educate nursing staff.

What are the current challenges in nursing education? ›

Nurse Educators Face Challenges Due to Nursing Shortage
  • Lack of Resources. ...
  • Curriculum Challenges. ...
  • Representation in Faculty and Training. ...
  • Fostering and Maintaining Student Relationships. ...
  • Pay Inequality. ...
  • Lack of Preceptors. ...
  • Lack of Opportunity to Update Knowledge and Skills.

How can we improve the professional status of nursing? ›

6 Ways to Demonstrate Professionalism in Nursing
  1. Put patients first. It's important not only to uphold patients' rights—but also to care about how patients feel. ...
  2. Communicate effectively. ...
  3. Collaborate with and mentor others. ...
  4. Maintain a positive attitude. ...
  5. Uphold the standard of care. ...
  6. Be accountable and honest.

How we could improve the quality of nursing care? ›

How to Improve Quality of Care in Healthcare
  1. Prioritize Training and Education. The nursing staff at your facility or residence is key to improving quality. ...
  2. Increase Access to Care. ...
  3. Engage Patients and Families. ...
  4. Improve Communication. ...
  5. Measure and Monitor Quality. ...
  6. Set Tangible Goals. ...
  7. Relay Progress Back to Staff.

What is the best educational preparation to be a nurse? ›

A Bachelor of Science in Nursing (BSN) is what you might pursue to get your license—or further your education if you already possess an associate's degree. A Master of Science in Nursing (MSN) will typically be completed after an individual has earned a BSN. The MSN is a next step toward becoming an APRN.

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