Slide 1 IMPACT OF RECENT NURSING EDUCATION RESEARCH AND STANDARDS ON NURSING CURRICULUM. Slide 2. Slide 3. Move to Change Nursing Curricula

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1 Slide 1 IMPACT OF RECENT NURSING EDUCATION RESEARCH AND STANDARDS ON NURSING CURRICULUM Donna Ignatavicius, MS, RN, ANEF donna@diassociates.com Slide 2 Curricula Curriculum is the formal and informal content and process by which learners gain knowledge and understanding, develop skills, and alter attitudes [e.g. caring], appreciations, and values to meet educational goals (outcomes). Slide 3 Tyler curriculum model (1949) components: Philosophy (mission) Conceptual framework Objectives (multiple levels) Evaluation of learning

2 Slide 4 Innovation in Nursing Education: A Call to Reform (NLN, 2003) Built on earlier NLN call for changes in curricula (1988) Curricula need to be truly innovative! Base curricula on pedagogical research. Slide 5 Be responsive to unpredictable nature of health care system. Discard or rethink old models. Slide 6 Educating Nurses: A Call for Radical Transformation by Benner et al. (2010) Summarizes results of first national nursing education study in 40 years (funded by Carnegie Foundation for the Advancement of Teaching)

3 Slide 7 3 major findings (themes): Programs are very effective in forming professional identity and ethical comportment. Clinical practice assignments provide powerful learning experiences where educators integrate clinical and classroom teaching. Slide 8 Programs are not generally effective in teaching nursing science, natural sciences, social sciences, technology, and humanities. Slide 9 Related Themes About Nursing Curricula Today Additive curriculum (Diekelmann & Smythe, 2004; Ironside, 2004) Focus on diseases causing content saturation (IOM, 2003; Giddens, 2007)

4 Slide 10 Related Themes (cont d) More teacher-centered (content) than student-centered (thinking like a nurse) (O Banion, 1997; Candela, et al., 2006) Use lecture more than other learning strategies causing focus on memorization of facts (Ironside, 2005) Slide 11 Which two themes are representative of your curriculum? Think-pair-share: Think about the answer to this question and write it down. Introduce yourself to someone you don t know. Share what you wrote with your new partner! Slide 12 Considerations for Nursing Curricular Redesign National health care initiatives and trends in clinical practice** IOM report on need for change in health professions education Focus on student-centered learning

5 Slide 13 Health Care Initiatives and Trends (1) The Joint Commission s National Patient Safety Goals (NPSG) Examples: Hand-off communication for continuity of care, anticoagulant monitoring Specific and focus on patient safety and quality care Slide 14 Health Care Initiatives (cont d) Institute for Healthcare Improvement ( 12 proven initiatives; Transforming Care at the Bedside (TCAB) in medsurg units Originator of rapid response teams Slide 15 Health Care Initiatives (cont d) Institute for Safe Medication Practices ( Agency for Healthcare Research and Quality: 30 Safe Practices for Better Health Care ( Centers for Medicare and Medicaid Services: Health care bundles and indicators; Never Events (

6 Slide 16 Health Care Initiatives (cont d) Global patient safety initiatives, e.g., World Health Organization (WHO) Global Priorities for Patient Safety Research Patient Safety First (UK) Canadian Patient Safety Institute National Patient Safety Programme (Scotland) Slide 17 Health Care Initiatives (cont d) Increased accountability/quality improvement initiatives (individual and system) Create a culture of safety or just culture for patients and staff. But create a health care environment that is safe for reporting errors. Slide 18 IOM Report on Need for Change in Health Professions Education (2) Health Professions Education: A Bridge to Quality (2003); 5 minimum core competencies for all health professions graduates Quality and Safety Education for Nurses (QSEN) (3 phases to date) (

7 Slide 19 Quality and Safety Education for Nurses Phase 1 & 2: Developed competency definitions with KSAs; coodinated pilot studies to demonstrate integration of QSEN into curricula (15 pilot schools) Phase 3: Developing faculty expertise and integration of competencies into faculty/student materials, NCLEX, and accreditation standards. Slide 20 QSEN (cont d) Six competency areas: Patient-centered care Teamwork and collaboration Evidence-based practice Quality improvement Safety Informatics Slide 21 Focus on Student-Centered Learning (3) Multiple educational research publications on learning vs. teaching, e.g., Educational structure has become a banking system Result is student oppression

8 Slide 22 Focus on Learning (cont d) O Banion s proposed principles to create learning colleges, e.g.: Engage learners as full partners that assume responsibility for their choices. Create and offer diversity in learning options. Promote collaborative learning. Slide 23 Focus on Learning (cont d) Student-centered learning supported by NLN (2003) and AACN Rethink emphasis on content and traditional educational practices! Use best practices from research and other sources of evidence. Slide 24 Implications for Your Nursing Curriculum???