sue field dnp, rn. nln learner outcomes 1. human flourishing 2. nursing judgment 3. professional...
TRANSCRIPT
WORKGROUP TIME
IMPLEMENTATION OF THE NEW NLN
EDUCATIONAL OUTCOMES AND COMPETENCIES
Sue Field DNP, RN
NLN Framework
Program Learner Outcomes
NLN Learner Outcomes
1. Human Flourishing
2. Nursing Judgment
3. Professional Identify
4. Spirit of Inquiry
QSEN Learner Outcomes
1. Patient Centered Care
2. Safety
3. Informatics
4. Teamwork and Collaboration
5. Evidence Based Practice
6. Quality Improvement
Human Flourishing NLN Broad Learner Outcome
• All Nursing Graduates independent of educational level should be prepared to promote and enhance human flourishing for patients, families, communities and themselves.
Human FlourishingADN Competency
• NLN Competency for Human Flourishing• The graduate of an AD Nursing Program
advocates for patients and families in ways that promote their self-determination, integrity, and ongoing growth as human beings.
– QSEN Patient Centered Care Competency– The graduate recognizes the patient or designee as the
source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs.
Nursing JudgmentNLN Broad Learner Outcome
• All Nursing Graduates independent of educational level should be prepared to show sound Nursing Judgment.
Nursing Judgment ADN Competency
• NLN Competency for Nursing Judgment– The graduate will make judgments in practice,
substantiated with evidence, that integrate nursing science in the provision of safe, quality care and that promote the health of patients within a family and community context.
– QSEN Competency: Safety• Minimize risk of harm to patients and providers through both
system effectiveness and individual performance. – QSEN Competency: Informatics
• Use information and technology to communicate, manage knowledge, mitigate error, and support decision making.
Professional Identify NLN Broad Learner Outcome
• All Nursing Graduates independent of educational level should be prepared to continually develop their professional identity.
Professional Identity ADN Competency
• NLN Professional Identity Competency• 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
– QSEN Competency: Teamwork and Collaboration– The student will function effectively within nursing and
inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.
Spirit of InquiryNLN Broad Learner Outcome
• All Nursing Graduates must approach all issues and problems in a spirit of inquiry as they move into the world of nursing practice and beyond.
Spirit of InquiryADN Competency
• NLN Spirit of Inquiry Competency– Graduate will examine the evidence that underlies
clinical nursing practice to challenge the status quo, question underlying assumptions, and offer new insights to improve the quality of care for patients, families, and communities.
• QSEN Competency Quality ImprovementStudent will use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems.
• QSEN Competency: Evidence Based Research Student will integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.
Workgroup Time: 10 minutes
Comparison of NLN/QSEN
Program Learner Outcomes
Pages 2 and 3 of the Workbook Section
Reflections…
Texting
Course Outcomes
• Course Outcomes– Determine the Program Learner Outcomes that the Course
Outcomes are fulfilling• Determine the Learning Activities to Measure the Course
Outcome– Determine the Means of Measuring the Activity
See Orange Templates on the Table
Person Course OutcomesRemember Your Number!
1 & 2 NURS 111 Introduction to Health Concepts
3 & 4 NUR 112: Health-Illness Concepts
5 & 6 NUR 113: Family Health Concepts
7 & 8 NUR 114: Holistic Health Concepts
9 & 10 NUR 211: Health Care Concepts
11 & 12 NUR 212: Health System Concepts
13 & 14 NUR 213: Complex Health Concepts
Directions...10 minutes
• Fill in the Blank spaces The NLN and/or QSEN Competencies
Example: Outcome 1. Correlate the inter-
relationships of complex pathophysiology, and the clinical course of individuals.
NLN: Nursing Judgment
1. Inputs = The Core Values
• NLN Core Values: Caring, Diversity, Integrity and Excellence
• NLN Framework Committee Added: Ethics, Patient Centeredness, and Holism
NLN Core Value: Caring
• Definition of Caring: • “Promoting health, healing and hope in
response to the human condition”– “Concern and consideration for the whole
person, commitment to common good, and our outreach to those who are vulnerable”.
– “Act in the best interest of all stakeholders”• (NLN, 2007)
NLN Core Value: Diversity
• Definition of Diversity: • “Recognizing differences among “person,
ideas, values, and ethnicities– Affirming the uniqueness of each– Embraces acceptance and respect– Also encompasses institutional and system
wide behavior patterns”• (NLN, 2007)
NLN Core Value: Excellence
• Definition of Excellence:• A culture of excellence
– reflects a commitment to continuous growth, improvement, and understanding.
– It is a culture where transformation is embraced, and the status quo and mediocrity are not tolerated”
• (NLN, 2007)
NLN Core Value: Integrity
• Definition of Integrity:– “respecting the dignity and or moral wholeness of
every person without conditions or limitations”.
– Organizational principles of• Open communication• Ethical decision making and• Humility
– Are encouraged, expected, and demonstrated consistently
– (NLN, 2007)
NLN Core Value: Ethics
• Definition of Ethics: • “reflective consideration of personal,
societal, and professional values, principles, and codes that shape nursing practice…”
• (NLN, 2010)
NLN Core Value: Holism
• Definition of Holism: • “Culture of human caring
– unique and complex attributes, values, and behaviors,
– individual’s environment, social norms, cultural values, physical characteristics, experiences, religious beliefs, and practices,
– and moral and ethical – wellness-illness continuum”.
• (NLN, 2010)
NLN Core Value Patient Centeredness
• Definition of Patient Centeredness• “Incorporates and reflects on the
uniqueness of an individual patients– background, – personal preferences, – culture, value,– traditions and family…”
• (Crownenwett et al., 2007)
1. Inputs = The Core Values
• Present in your Philosophy Statement Flow through your Curriculum
(Course Outcomes) To your Program Learner Outcomes
Core Values Template
Work-time: 5 minutes
Philosophy Statement Template
Course Outcomes Program Learner Outcomes
Page 6 Even numbers table work on the Course
Outcomes Odd numbers work on the Program
Learner Outcomes
2. Throughputs = Integrating Concepts
• 6 Integrating Concepts1. Context and Environment
2. Knowledge and Science
3. Personal/Professional Development
4. Quality and Safety
5. Relationship Centered Care
6. Teamwork
Apprenticeships
QSENKnowledge
Skills
Attitudes
Cronenwett et al., 2007
NLNKnowledge
Practice Know How
Ethical Comportment
Benner et al., 2009
Integrating Concepts Template Example
Work Time
• Example… Pages 6,7,8• Round Robin at your table
Each pair of faculty (2 people) that worked on course outcomes together from pages 4 to 24 will work together. Those who worked on NURS 112 and 113 will
work together (4 people) . Round Robin will progress every 2 to 3
minutes…
Program Learner Outcomes
• “From Curricular Threads/Competencies • To Integration of the 3 Apprenticeships
required for Professional Education”• “More powerful to use”
• “Overarching curricular and pedagogical structure”.
• From Benner, Tanner, & Chelsea. (2009) Expertise in Nursing Practice (p. 391).
Program Learner Outcomes
• Identifies where the student has learned the “knowledge”
“practice know how” “ethical comportment”
Program Learner Outcome Template
Using the Round Robin Approach Identify where the Course Outcomes fit for the
Program Learner Outcomes listed Program Learner Template
Portfolio’s
NLNAC Students
Faculty What happens in clinical stays in clinical
Linda Caputi, 2011
Clinical Portfolio
Started with Clinical Portfolios• Listed Program Learner Outcomes
• Then the Course Outcomes• Then the Learning Activities
• Then the Measurement of the Activities
Template
• Clinical Portfolio Template
Templates
• Clinical I Portfolio: Part I• Clinical II Portfolio: Part II• Program Portfolio: Part III
• Part I, II, and III – Combined provide proof of our student’s
achievement of the Program Learner Outcomes.
One Last Item
• Leveling…– First semester
• Knowledge and Practice Know How
– 2nd semester • Practice Know How and Ethical Comportment
Questions?