WORKGROUP TIME

IMPLEMENTATION OF THE NEW NLN

EDUCATIONAL OUTCOMES AND COMPETENCIES

Sue Field DNP, RN

NLN Framework

Program Learner Outcomes

NLN Learner Outcomes1. Human Flourishing2. Nursing Judgment3. Professional Identify4. Spirit of Inquiry

QSEN Learner Outcomes

1. Patient Centered Care2. Safety3. Informatics4. Teamwork and

Collaboration5. Evidence Based Practice6. 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 Environment2. Knowledge and Science3. Personal/Professional Development4. Quality and Safety5. Relationship Centered Care6. Teamwork

Apprenticeships

QSENKnowledge

SkillsAttitudes

Cronenwett et al., 2007

NLNKnowledge

Practice Know HowEthical 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?