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American Nursing Informatics Association |
Download PDF Version. As the voice of academic nursing, the American Association of Colleges of Nursing AACN serves as a catalyst nursing papers com excellence and innovation in nursing education, research, and practice. Since its inception inthe organization has worked to improve the quality of nursing care by re-envisioning traditional nursing roles, strengthening nursing education programs, and striving to create a more highly educated nursing workforce.
At a time when new models of health care are being introduced and the roles for registered nurses RNs are expanding, the need to reconsider how best to educate the nursing workforce of the future is critical. As indispensable members of the healthcare team, nurses today are at the forefront of advancing evidence-based solutions and leading innovation in an atmosphere of accelerating change.
The imperative to evolve is driven by the needs of students, nursing papers com, employers, and consumers of care. Nurse educators must be nimble enough to embrace new technology and explore fresh approaches to teaching designed to satisfy the diverse learning needs of contemporary nursing students. Given the growing body of evidence linking education to quality outcomes, employers increasingly expect registered nurses to be prepared at the baccalaureate level. Increasingly, nursing papers com, care is provided not in hospitals, but within the community; thus, we can no longer prioritize the preparation of nurses for roles confined to acute care settings.
To underscore this point, the Josiah Macy Jr. With the goal of meeting the needs of a dynamic and global society, this AACN vision for nursing education is derived in part from a review of current trends and relevant assumptions regarding registered nurse preparation and practice.
Addressed are education pathways, overarching curricular changes, resource needs, and learning methodologies to transform nursing education. These suggested actions are provided to inspire nursing education leaders to innovate and seek opportunities to advance the nursing profession within a changing environment. As a vision statement, this document is meant to be aspirational rather than a mandate for the profession or nursing papers com of nursing.
Further thinking and action will need to address implementation strategies and actions to realize any or all the visionary goals. While the trends and changes described are not exhaustive, they inform the vision being advanced. Higher education has been subject to shrinking federal and state funding, rising tuition, aging infrastructure, variation infunding sources, fluctuations in available resources, and changing demographics of enrollees. Recent trends—such as open access online courses, short courses nursing papers com award micro-credentials or badges, tuition models based on the number of enrollees in the course, and the growing availability of distance learning opportunities and immersive learning technologies—are broadly challenging traditional approaches to higher education.
The development and awarding of micro-credentials or badges by academic institutions is an evolving trend. Digital badges have emerged as documentation of community engagement, professional development, and accomplishments. Badges provide recognition of incremental learning in visible ways nursing papers com can support career development.
Charged with educating the nursing workforce of the future, academic nursing should formulate a proactive response to the changing landscape of higher education and the demands of employers, prospective students, and the public, nursing papers com. To ensure that graduates are ready for contemporary practice requires faculty who have an awareness of evolving changes and the understanding nursing papers com the science of learning and a commitment to adapting curricula, teaching strategies, and nursing papers com learning assessment, nursing papers com.
Nursing papers com is paramount to inculcate graduates with the knowledge, skills, nursing papers com, and values for embracing change and innovation through career-long learning.
Competency-based education has emerged in higher education and the health professions to address criticisms of contemporary approaches to training. In addition, the Physical Therapist Clinical Performance Instrument provides a validated, standardized assessment tool that is available for programs to document attainment of the expected competencies.
In nursing, competency-based education models are being developed and studied. Across the educational spectrum, students are calling for changes in how they are taught given recognition of the changes in how they learn. They generally prefer using a checklist approach and do not embrace societal conventions that view seat time as a benchmark for higher education. Generation Z values entrepreneurship and innovation, self-reliance, social and racial equality, and project-based learning around real-world problems.
In addition to traditional first-time college students seeking an education and degree, second degree learners are returning to school in greater numbers to retool their skills to better meet workforce demands, nursing papers com. Learners are seeking second degrees nursing papers com be competitive in the workplace and obtain marketable degrees and skills that afford them a preferred lifestyle.
As such, nursing papers com, f aculty must retool their teaching strategies to accommodate the styles of this diverse population of learners, both first-degree students pedagogy as well as adults returning to school andragogy. These shifts in generations will require a metamorphosis of the education enterprise and the ability to embrace the ongoing emergence of the science of learning.
Recent advances in educational neuroscience—a term used to describe the interrelationship between neuroscience, teaching strategies, nursing papers com, and psychology—have resulted in new understandings associated with how people learn.
This area of science provides evidence for best practices in teaching to include strategies that engage the learner in challenging and purposeful learning, and where reflection on that learning is nursing papers com. Advances in immersive technologies provide growing opportunities to engage the learners in their learning experiences. The use of learning technologies is transforming higher education by blurring the boundaries between formal and informal learning systems and offering greater opportunity for connectivity and active engagement, nursing papers com.
The technology explosion requires faculty to have a clear understanding of the push-pull of technology; the utility of technologies in transforming teaching-learning experiences; and nursing papers com availability, acceptability, affordability, and accessibility of technology to enhance learning. As technologies evolve, the availability and affordability of the new learning opportunities for all institutions and all learners must be planned.
A balance is needed between competition and collaboration among institutions considering the increased availability of technology-driven teaching methods, nursing papers com rising cost of tuition, and the proven effectiveness of learning technologies. A growing emphasis within the domain of learning science involves promoting active learning, e. Priming for classroom learning both actual and virtual by creating self-study, and guided exposure to concepts and content knowledge followed by teacher coaching of knowledge application in the classroom holds much promise to enhance learning.
For example, through a problem-based unfolding case study, nursing papers com, learners are guided through multiple steps where previous knowledge must be recalled and applied to make clinical decisions. It uses computer technology algorithms that provide individualized responses based on student interactions comprehension in real-time, making the learning personalized. The field of adaptive learning encompasses artificial intelligence and other nursing papers com technologies, using knowledge domains such as cognitive science, predictive analytics, and learning theory.
Access to online education and new technologies is growing. Increasingly, nursing papers com, a design-build approach is being used with pairing of faculty with an instructional designer to promote innovation and effective teaching methods in the classroom. Such approaches help address limited resources, rising education costs, and demands to expand enrollments as well as diverse student learning styles, nursing papers com.
These options offer opportunities for multi-pronged approaches that facilitate student-centered learning. The aging of the nursing faculty workforce is creating pressure to adapt new strategies to address growing faculty shortages fueled by both increased retirements and demand.
Although faculty are delaying retirement much longer than in the past, in thirty-one percent of full-time faculty were over 60 years of age.
While the delayed retirements may prevent hiring of less experienced faculty potentially at lower costhiring sufficient faculty with the credentials to meet program needs is the current challenge. In the face of evolving educational models and to nursing papers com financial challenges and faculty shortages, the number of adjunct faculty has been steadily increasing. Widespread national dialogues have raised questions related to the issues of the cost, purpose, and value to the academic enterprise, and current models of tenure and promotion.
To better suit the institutional mission, many schools have instituted both clinical or practice and research faculty tracks for recruitment, promotion, and tenure of faculty. Due to the differential in academic and practice salaries, concerns have been raised about fewer nurse clinicians choosing to enter academia. With the growth of the practice doctorate and the need to maintain advanced practice licensure, new academic workload models incorporating faculty clinical practice and enhanced academic-practice relationships are emerging, nursing papers com.
Active engagement in practice ensures that what is taught in schools, colleges, and programs of nursing appropriately reflects current practice; increases faculty credibility with practice; and enhances the relevance, applicability, and implementation of research, nursing papers com.
Stronger formal and informal collaboration between academia and practice will position nursing as a leader in healthcare delivery. To spur broader access to an enhanced patient experience, better quality care and provider work life, and to reduce cost, the U. healthcare delivery system is undergoing constant change. Needed are adaptable, creative individuals able to work with diverse populations while being agile to respond to the fluctuating business needs and reimbursement realities.
R eimbursement has moved from service-based nursing papers com to value-based purchasing. Integrated-care systems are emerging that require coordination, not only across settings, but across the care and lifespan continuum.
With scientific discoveries growing exponentially e. In addition, the rise of personalized health care has the potential to transform the traditional patient care experience. The technologies for precision health already exist and may lead to a significant shift in care delivery from standardized to individualized treatments and from treating conditions to preventing conditions.
This shift will occur in conjunction with a growing emphasis on population health and the social determinants of health. However, regulatory policy, reimbursement, and clinical adoption of available nursing papers com have been slow to change. The implementation of precision health approaches in clinical practice requires an increased awareness and understanding of these advances by the current and future healthcare workforce.
This new approach to care requires that we reconsider what we teach, including the knowledge, skills, and attitudes necessary to provide this individualized approach to care, nursing papers com. Nurse employment settings are shifting from the most expensive venues—inpatient facilities and emergency departments—to more primary care and community settings.
Care is becoming increasingly convenient with more mobile and technology enabled e-visits or e-encounters available anywhere and at any time. Shifting care delivery to retail, community, or home settings has the potential to produce cost savings, nursing papers com, a shift in workforce distribution, nursing papers com, and a change in requisite skills.
Healthcare systems are revising nursing papers com goals and reorganizing services to move more care outside of inpatient institutions, nursing papers com. The American Hospital Association reported that from tooutpatient visits rose from million to million while inpatient visits decreased from Preparing graduates for the rapid advancement of technologies in practice also is a challenge. Telehealth technologies are used to provide healthcare in rural and other areas where health care options are limited.
With patients and families experiencing multiple transitions across care settings, nurses need to have higher level knowledge and skills to support safe transitions and minimize fragmentation of care. Growing demands for an increasing number of baccalaureate and higher-degree prepared nurses require new education and professional development models, particularly new clinical education models.
To improve healthcare outcomes and the overall health of the population, nursing faculty will need to prepare nurses with a solid knowledge and skill set to practice across settings, provide care to diverse populations, nursing papers com, address the social determinants of health, and minimize health disparities, nursing papers com. Inthe Nursing papers com Macy Jr. Foundation brought together leaders in nursing education and primary care to examine current education along with best practices.
The result was the proposed actionable recommendations for re-balancing nursing education and, specifically, a call to encourage registered nurses to become leaders in primary care teams, practicing to their full scope to improve the health of the American people.
As most faculty are likely not prepared to teach primary care nursing, this was addressed as a need for entry preparation and professional development. The nursing profession must partner with others to transform our healthcare system into one that promotes the health of individuals, families, and communities, including preventing and better managing chronic illnesses. The Macy report must be considered in light of the report Supply and Demand Projections of nursing papers com Nursing Workforce31 which highlighted the inequitable distribution of the nursing workforce across the United States.
Although a shortage of registered nurses is a nursing papers com, the greater problem resides with the distribution of nurses across states, particularly in rural areas.
Rural communities are greatly affected by the maldistribution of healthcare professionals, which significantly impacts primary and acute care access. Areas with higher proportions of low-income and minority residents, such as rural areas, tend to suffer most from an inadequate supply of healthcare providers.
T he number of working RNs per capita has remained substantively lower in rural areas than in urban areas, and the salaries of RNs who live in rural areas remain lower than those residing in urban areas. Nursing workforce demographics have changed slowly even though the United States is steadily becoming more diverse. According to the U.
Census Bureau, in minority groups comprised nursing papers com If this trend continues, the minority population will be the majority by However, nursing papers com, the nursing workforce remains predominately white with minorities comprising Holistic admissions review is defined as a flexible, individualized way of assessing how an applicant will fare as a student and as a future professional and member of society, nursing papers com.
The National Council of State Boards of Nursing NCSBNa not-for-profit organization whose members include the state and territorial boards of nursing, administers the national licensing exam, the National Council Licensing Examination for Registered Nurses NCLEX-RN ®.
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The baccalaureate degree program in nursing, master's degree program in nursing and Doctor of Nursing Practice program at University of Michigan School of Nursing is accredited by the Commission on Collegiate Nursing Education, K Street, NW, Suite , Washington, DC , The result was the proposed actionable recommendations for re-balancing nursing education and, specifically, a call to encourage registered nurses to become leaders in primary care teams, practicing to their full scope to improve the health of the American people. 30 The lack of primary care content in the curricula of most nursing schools Nursing Informatics Certification Review Course. ANIA offers a comprehensive Nursing Informatics Certification Review Course. Learn about course options, including on-demand educational modules and chapter programs
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