Re-Envisioning The AACN Essentials
Re-Envisioning the AACN EssentialsNCSBN APRN RoundtableApril 6, 2021Joan Stanley, PhD, NP, FAAN, FAANPChief Academic officerAmerican Association of Colleges of Nursing
Speaker has no conflict of interest to disclose
ESSENTIALS Task ForceLeadership TeamConsultantsCo-ChairsJean GiddensVirginiaCommonwealth UnivJohn McFaddenBarry UniversityCynthia McCurrenUniversity of Michigan FlintNancy DeBasioJean BartelsAACN Board LiaisonAACN Staff LiaisonsJoan StanleyRick GarcíaKathy McGuinnLin ZhanUniversityof MemphisLinda Caldwell
ESSENTIALS Task Force MembersAngela Amar,University of NevadaLas VegasVincent Hall,Walden UniversityJacklyn Barber,Morningside CollegeBeverly Foster,University of NorthCarolina – Chapel HillCarol Buck-Rolland,University of VermontJacqueline Hill,Bowie State UniversityJill Case-Wirth,WellStar HealthSystem (Practice)Erica Hooper-Arana,University of SanFranciscoLori Escallier,SUNY DownstateKristin Lee,University ofMissouri-Kansas CityEileen Fry-Bowers,University of SanDiegoKim Litwack, Universityof Wisconsin–MilwaukeeMarcella Rutherford,Nova SoutheasternUniversity
ESSENTIALS Task Force Members, cont.Martha Scheckel,University of St.ThomasSusan Swider,Rush UniversityJenny Schuessler,University of WestGeorgiaMary Stachowiak,Rutgers UniversityMarge WigginsMaine MedicalSystem (Practice)Casey Shillam,University of PortlandMarisa Wilson,University ofAlabamaBirminghamRachel Start,Rush Oak ParkHospital (Practice)Danuta Wojnar,Seattle UniversityAllison Squires,New York UniversityGeraldine Young,Frontier NursingUniversity
Focus ofPresentation Overview & update on the re-envisionedEssentials New Model for Nursing Education & APRNEducation Transitioning to competency-basededucation Implementation & what’s next
BACKGROUND» The Essentials provides the educationalframework for the preparation of nurses.– Essentials of Baccalaureate Educationfor Professional Nursing Practice (2008)– Essentials of Master’s Education inNursing (2011)– Essentials of Doctoral Education forAdvanced Nursing Practice (2006)» These documents provide specificguidance for the development andrevision of nursing curricula at eachdegree level.
PATH TO THE ESSENTIALSProvided foundation for the Essentials work:» AACN Futures Task Force Report (2015)» Common APRN Doctoral Level Competencies (2017)» AACN Vision for Academic Nursing EducationWhite Paper (2019)– Published in Journal of Professional Nursing inJuly-August 2019.
WHAT WE LEARNED FROM OURPRACTICE PARTNERS“There is inconsistency among graduates(across all degree levels) in terms ofknowledge, skills, abilities. There isvariability in length/expectations ofprograms. We are not sure what your‘product’ is.”Susan Mullaney,Senior DirectorCenter for ClinicianAdvancement UnitedHealth Group (Practice)“If all programs are accredited, and that isthe measure of the quality of a program--- howcan there be variability in the product? Howcan we know a good program? How can webe assured of ROI for tuitioninvestment?”
CURRENT ISSUES IN NURSINGEDUCATION» Multiple degree paths in nursing education which ismessy and confusing!» Variability in program length, scope, expectations» Variability in quality of degree programs» Inability to articulate that which is uniquely thediscipline of nursing» Differentiating between technical and professionallevels of nursing practice.
Type of Programs by Degree# schoolsBACCALAUREATE Generic (Entry-Level) Baccalaureate672 Accelerated 2nd Degree Baccalaureate(Entry-Level)278 LPN-to-Baccalaureate111 RN-to-Baccalaureate558MASTERS Baccalaureate to Master’s540 Accelerated Baccalaureate to Master’s51 RN-to-Master’s183 Entry-Level Master’s622020Current State ofNursingProgramsoffered bySchools ofNursingDOCTORAL Post-Baccalaureate PhD98 Post-Master’s PhD143 Post-Baccalaureate to DNP239 Post Master’s to DNP3422019-2020 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing. Washington, DC: American Association of Colleges of Nursing.
THE ESSENTIALS FRAMEWORKThe revised Essentialsframework is based on 10domains andcompetencies within eachdomain.Domains are “broaddistinguishable areas ofcompetence that in theaggregate constitute ageneral descriptiveframework for aprofession.”(Englander, et al., ency
Domains for the EssentialsDomain 1: Knowledge for Nursing PracticeDomain 2: Person-Centered CareDomain 3: Population HealthDomain 4: Scholarship for Nursing DisciplineDomain 5: Quality and SafetyDomain 6: Interprofessional PartnershipsDomain 7: Systems-Based PracticeDomain 8: Informatics and Healthcare TechnologiesDomain 9: ProfessionalismDomain 10: Personal, Professional, and Leadership Development
CONCEPTS ACROSS AND WITHIN DOMAINS» Clinical Judgment» Communication» Compassionate Care» Determinants of Health» Diversity, Equity and Inclusion» Ethics» Evidence-Based Practice» Health Policy
DOMAIN 5www.freepik.comQuality and SafetyEmployment of established and emerging principles of safety and improvement science. Quality andsafety, as core values of nursing practice, enhance quality and minimize risk of harm to patients andproviders through both system effectiveness and individual performance.Competency5.3Contribute toa culture ofprovider andenvironmentsafety.Entry Professional PracticeAdvanced Nursing Education5.3a Identify actual andpotential level of risks toproviders within the workplace.5.3b Recognize how to preventworkplace violence and injury.5.3c Promote policies forprevention of violence and riskmitigation.5.3d Manage own personal wellbeing and resiliency.5.3e Advocate for initiatives thatsupport a culture of workenvironment safety (people,process and technology),including risks and strengths.5.3f Create a just culturereflecting civility and respect.5.3g Create a safe andtransparent culture forreporting incidents.5.3h Role model and lead wellbeing and resiliency for self andteam.
Clarification, New Model
UPDATE ON THEESSENTIALSREVISION Stakeholder feedback: process andsummary Major revisions, additions to thedocument Next steps
Stakeholder FeedbackProcess2nd National FacultyMeeting (NFM) 260 schoolssubmitted surveys 7621 facultyparticipated Many schools includedpractice partners
Stakeholder FeedbackProcessInvitational Forums38 organizations participated 15 specialty nursingorganizations 18 APRN organizations5 accrediting andlicensing organizations
Stakeholder FeedbackProcessPresentations NCSBN EducationconsultantsAONL regional groupsCCNE Board of DirectorsCommission on NurseCertificationCRNA OrganizationalLeadershipRepresentatives
Stakeholder FeedbackProcessLetters and Commentary Special Interest Groups Schools Individuals
National Faculty Meeting (NFM)Feedback Common ThemesWhat did you like most? One document – easy to read and use Transition to CBE Continuity from entry to advanced level Clarity Includes practice input Inclusion of DEI and racism 4 spheres of care Goes beyond acute care to include entire healthcare continuum Future thinking
NFM Feedback Common ThemesWhat questions do you still have? Differentiating MSN from DNP Differentiating BSN from entry-level master’s How does the ADN fit; How does the ADN differ from the BSN? Why not mandate the DNP? Where is nursing educator preparation and is this an advancededucation track? What about the RN-BSN & RN-MSN competencies? How do we know what level of the competency is expected? How to evaluate the competencies? How to document attainment of competen
–Essentials of Baccalaureate Education for Professional Nursing Practice(2008) –Essentials of Master’s Educationin Nursing(2011) –Essentials of Doctoral Education for Advanced Nursing Practice(2006) » These documents provid
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