POSITION STATEMENT ON ACCREDITATION OF INTERNATIONAL NURSING EDUCATION PROGRAMS

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REVISED: August 2017

POSITION STATEMENT ON ACCREDITATION OF INTERNATIONAL NURSING EDUCATION PROGRAMS ACEN is committed to quality in all types of nursing education programs and encourages self evaluation, peer review, and the promotion of educational equity, access, and mobility through the functions of accreditation. Recognizing that educational institutions are expanding their programs to foster access and that such expansion initiatives increasingly involve global outreach efforts, ACEN welcomes nursing programs outside the United States and U.S. Territories. ACEN asserts that accreditation is a voluntary, self regulatory process by which non governmental entities recognize educational institutions or programs that have been found to meet or exceed standards and criteria for educational quality. ACEN acknowledges that nursing education programs located outside of the United States and its territories can benefit from adherence to best practices and generally accepted guidelines for nursing education incorporated in the ACEN Standards and Criteria. In order to fulfill its mission to support the interests of nursing education, nursing practice, and the public, ACEN seeks to broaden the impact of accreditation to encompass nursing education programs across the globe. Therefore, in a spirit of cooperation, openness, and mutual respect consistent with its organizational values, ACEN extends accreditation and related services for international nursing education programs. 2

ELIGIBILITY Nursing education programs in any location must meet the following eligibility requirements as listed below: Placement within a governing organization that is accredited by an approved accrediting agency or holds unconditional approval by the appropriate regulatory agency that has legal authority for education programs within the country. Placement within a governing organization that is authorized to grant the credential awarded at the completion of the program. Nursing education programs located outside the United States must meet the following additional eligibility requirements. Program faculty and students must speak and understand English proficiently. The program must produce all documents and written materials required for the accreditation processes in English. All fiscal documents must be in English with currency equivalents in U.S. dollars. The region in which the program is located must not be identified as hazardous for travel by the U.S. State Department at the time of the travel for the ACEN peer evaluators and/or staff. Program must agree to host a minimum of two (2) onsite visits, including a mandatory onsite consultation visit and the onsite accreditation visit. [Note: Nursing education units seeking accreditation for a second nursing program have the option of deferring the consulting visit as a component of the candidacy process.] Program has financial resources adequate to meet all fiscal responsibilities related to the ACEN accreditation processes including International Candidacy Eligibility Application, Candidacy, and two (2) onsite visits. The nursing program must establish and provide documentation that it has obtained requisite governmental and regulatory approval to seek ACEN accreditation, if required. INTERNATIONAL PROCESSES AND PROCEDURES Nursing education units that are located outside the U.S. considering accreditation by ACEN should contact ACEN to begin the process. International programs must complete and submit the International Candidacy Eligibility Application to determine their eligibility for International Candidacy. The International Candidacy Eligibility Application must be accompanied by an International Candidacy Eligibility Application fee. See fee schedule at this link: http://www.acenursing.net/resources/fees2018_international_092117.pdf. Half of the International Candidacy Eligibility Application fee will be refunded if the program is determined not to be eligible for accreditation by ACEN. ACEN professional staff determine a program s eligibility and suitability for ACEN accreditation by reviewing the International Candidacy Eligibility Application. Possible results of the review include the following: a. The program is deemed eligible to pursue International Candidacy. b. The program is asked to submit additional information/clarification. c. The program is deemed ineligible to pursue International Candidacy and will be withdrawn from the process. 3

International nursing education programs determined to be eligible for International Candidacy will be scheduled for a mandatory onsite consultation visit. In preparation for the onsite consultation visit, programs will submit an International Candidacy Presentation, which will be provided to site visitors a minimum of 12 weeks prior to the onsite visit. The International Candidacy Presentation will address the following: Qualifications and position description for the nurse administrator; Faculty academic and experiential qualifications for all faculty or instructional personnel teaching in the nursing program; The entire curriculum/program of study including materials related to all courses; Resources to deliver the program including learning resources, facilities (classrooms, laboratories, clinical and offices), technology, and fiscal resources; and Quantified student learning outcomes and program outcomes. The onsite consultation visit will be conducted by at least one (1) ACEN program evaluator and one (1) member of the ACEN professional staff. The purpose of the onsite consultation visit is to determine whether a program may proceed with the candidacy process. Following the onsite consultation visit, a Consultation Visit Report (CVR) is submitted by the peer evaluators. Based on the recommendations of the peer evaluators in the CVR, ACEN will take one (1) of the following actions: 1. Approval of International Candidacy: The nursing program (a) demonstrated it is currently compliant with the selected ACEN Standards and Criteria reviewed or demonstrated the potential to be compliant with the ACEN Standards and Criteria reviewed within two (2) years of notification, and (b) demonstrated the potential to achieve ACEN accreditation based upon the ACEN Standards and Criteria reviewed. The onsite initial accreditation visit is to be scheduled within one (1) year of notification. Approval of International Candidacy does not guarantee that the program will achieve initial accreditation. 2. Extension of Time to Achieve Candidacy: The nursing program (a) made an inconsistent presentation to demonstrate it is currently compliant with the selected ACEN Standards and Criteria reviewed or made an inconsistent presentation to demonstrate the potential to be compliant with the ACEN Standards and Criteria reviewed within two (2) years of notification, and (b) made an inconsistent presentation to demonstrate the potential to achieve ACEN accreditation based upon the ACEN Standards and Criteria reviewed. The Program is advised to complete specified actions/implement specific changes or modifications within one (1) year of notification. To proceed, the program must submit an International Candidacy Presentation Addendum within one (1) year of notification describing how the recommended actions/concerns have been addressed. When a program is not able to (a) demonstrate it is currently compliant with the selected ACEN Standards and Criteria reviewed or demonstrate the potential to be compliant with the ACEN Standards and Criteria reviewed within two (2) years of notification, and (b) the potential to achieve ACEN accreditation based upon the ACEN Standards and Criteria reviewed, within one (1) year of notification, ACEN withdraws the program and discontinues the candidacy process. If the Addendum is approved by the ACEN professional staff, International Candidacy is approved with the onsite accreditation visit to be scheduled within one (1) year of notification. 3. Disapproval of International Candidacy: The nursing program (a) did not demonstrate it is currently compliant with the selected ACEN Standards and Criteria reviewed or did not demonstrate the potential to be compliant with the ACEN Standards and Criteria reviewed within 4

two (2) years of notification, and (b) did not demonstrate the potential to achieve ACEN accreditation based upon the ACEN Standards and Criteria reviewed. ACEN withdraws the program from the candidacy process. Programs not approved for International Candidacy must wait for a minimum of one (1) year from the time of notification before re applying. No fees will be refunded if a program is withdrawn. 4. Program is not eligible: ACEN withdraws the program from the candidacy process. No fees will be refunded if a program is withdrawn. SELF REVIEW AND SELF STUDY REPORT The sections of the ACEN Accreditation Manual available online at www.acenursing.org related to the self review and Self Study Report apply to all programs, including those located outside the United States and the U.S. territories. All programs electing to participate in accreditation activities are required to abide by the policies and procedures as outlined in the ACEN Accreditation Manual. THE SITE VISIT The section of the ACEN Accreditation Manual related to the Site Visit applies to all programs located outside the United States and the U.S. territories. Length of Visit Accreditation visits for nursing programs located outside the United States and the U.S. territories will be a minimum of five (5) days. Assignment of Site Visit Team International peer evaluators will be selected from a pool of peer evaluators who have received additional education and training related to international accreditation activities. The number of peer evaluators will be determined by the ACEN and will be based on the program type(s), length of travel, geographic location, and number of students and faculty. Responsibilities The responsibilities of the Team Chair, Team Members, and Nursing Education Unit as listed in the ACEN Accreditation Manual apply to all nursing programs, including those located outside the United States and U.S. Territories. The following additional responsibilities apply in reference to visit arrangements: 5

Travel Area Nursing Education Unit Responsible for all travel costs incurred for each peer evaluator; travel will be at business class or higher for each evaluator; Consulting Visit/Accreditation Visit fees and airline travel expenses will be submitted prior to the Consulting Visit/Accreditation Visit; additional fees incurred during the Consulting Visit/Accreditation Visit will be submitted upon receipt of the invoice Responsibility Peer Evaluator Responsible for booking airfare in accordance with ACEN travel policy (ACEN books international travel for the site visitor but works with the peer evaluator to determine the itinerary) Hotel Accommodations Food Interpreter Services Cultural Sensitivity Responsible for arranging all local and on ground transportation during the onsite visits subject to ACEN approval Responsible for arranging hotel accommodations for peer evaluators; accommodations must include a separate, private room for each evaluator at a hotel pre approved by ACEN Responsible for costs for hotel accommodations subject to ACEN approval Responsible for providing and arranging professional interpreter services during the visit; subject to ACEN approval Provide information in advance of each visit related to customs, traditions, and expectations related to (but not limited to) dress and food Food during the site visit is the responsibility of each peer evaluator and will be reimbursed by the ACEN after the site visit based on current ACEN travel policy. Familiarization with local customs and traditions Abide by customs and traditions to the fullest extent possible during the onsite visit 6

Area Agenda for Site Visits Security Nursing Education Unit Proposed detailed agenda for each visit due to ACEN a minimum of eight (8) weeks in advance of the visit Responsible for arranging interviews between ACEN peer evaluators and the nurse administrator, administrators of the governing organization, faculty, clinical agency representatives, current students, graduates, and student services personnel Agenda to include time for evaluators to review program materials/documents Assessment will be made at the time of the visit to determine security needs for peer evaluators. Arrangements and associated costs are the responsibility of the nursing program. All arrangements are subject to ACEN approval. Responsibility Peer Evaluator Team Chair drafts agenda in collaboration with the nurse administrator 7

THE SITE VISIT REPORT Information related to the Site Visit Report as published in the ACEN Accreditation Manual applies to all programs seeking accreditation, including those located outside the United States or U.S. Territories. EVALUATION REVIEW PANEL Information related to the Evaluation Review Panel as published in the ACEN Accreditation Manual applies to all programs seeking accreditation, including those located outside the United States or U.S. Territories. BOARD OF COMMISSIONERS Information related to the Board of Commissioners as published in the ACEN Accreditation Manual applies to all programs seeking accreditation, including those located outside the United States or U.S. Territories. POLICIES AND PROCEDURES Information related to Policies and Procedures as published in the ACEN Accreditation Manual applies to all programs seeking accreditation, including those located outside the United States or U.S. Territories. STANDARDS AND CRITERIA The current Standards and Criteria apply to all programs seeking ACEN accreditation, including those located outside the United States or U.S. Territories. GLOSSARY The definitions as published in the Glossary in the ACEN Accreditation Manual apply to all programs seeking ACEN accreditation, including those located outside the United States or U.S. Territories. 8