NLN Vision Series: Transforming Nursing Education - Educator Reform

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This document presents the National League for Nursing's (NLN) vision for transforming nursing education by emphasizing the critical role of graduate preparation for academic nurse educators. It highlights the need for nurse educators with discipline-specific pedagogical knowledge and skills to advance the science of nursing education and prepare a workforce capable of leading healthcare reform. The report addresses the shortage of qualified faculty, the importance of inclusiveness, and the need for graduate programs to equip nurses with the knowledge and skills to teach, lead, and conduct research. The NLN's response includes developing core competencies for nurse educators, supporting nursing education research, and providing guidance for graduate programs. The document concludes with recommendations for the nursing profession, graduate programs, and the NLN to support the development of well-prepared nurse educators and advance the quality of nursing education. Desklib provides a platform for students to access this and other solved assignments.
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VISIONSERIESVISIONSERIESVISIONSERIESTRANSFORMING NURSING EDUCATIO
L E A D I N G T H E C A L L T O R E
Graduate Preparation for Ac
Nurse Educators
A Living Document from the National League
NLN Board of Governors 2017
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Graduate Preparation for Ac
Nurse Educators
A Living Document from the National League
Mission:Promote excellence in nursing education to build a strong and diverse nursing
workforce to advance the health of our nation and the global community.
Core Values:Caring, Integrity, Diversity, Excellence
INTRODUCTION
As the voice of nursing education nationally and internationally, the National League
Nursing (NLN) has consistently advocated for nurse educator preparation at the forefront
of educational reform. The 2013 NLN Vision for Doctoral Preparation for Nurse Educators
focused on doctoral preparation for the nurse educator role. This Living Document is
now being updated to reinforce the belief that all graduate education in nursing needs to
foster scholarship in teaching and learning and advance the science of nursing education.
Nursing education is a specialized area of practice, and nurse educators who understand
and implement discipline-specific pedagogy are the vital link to a future workforce that will
lead health care reform. Consistent with the NLN’s commitment to lead in accomplishing
this imperative, the NLN has developed program outcomes and competencies for graduate
academic nurse educator preparation.
In today’s academic environment, with national directives for curriculum innovation an
the development of models of cost-effective education, along with the need to prepare a
workforce capable of providing safe, quality care in a reformed health care system, both
nationally and globally, the NLN’s support of graduate preparation to prepare academ
educators, scholars, and researchers who can advance the science of nursing education
is more important than ever. The NLN underscores its belief that the practice of teaching
in nursing is achieved through graduate education that develops the knowledge and skills
required to apply, conduct, and translate research on salient nursing education phenomena.
The nursing profession embraces the vital goal of preparing faculty to be expert practitioners
skilled in knowledge generation and knowledge translation in the science of nursing practice
and care delivery (American Association of Colleges of Nursing [AACN], 2008; Benner
Sutphen, Leonard, & Day, 2010; Institute of Medicine [IOM], 2011). Achieving this goal is
critical to justify the public’s trust in our profession. As well, we have the obligation in our
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work as educators to prepare the next generation of nurses to provide safe, quality care to
changing populations in a variety of health care settings. It is imperative that the profession
achieve excellence in the educational preparation of nurse educators and advance th
science of nursing education (Booth, Emerson, Hackney, & Souter, 2016; Valiga, 2017). The
National League for Nursing believes that it is critical that graduate programs in nursing,
including master’s and research and practice doctorates, prepare graduates with the
knowledge, attitudes, and skills to teach, to provide leadership for transforming education
and health care systems, and to conduct and translate research in nursing education.
BACKGROUND AND SIGNIFICANCE
The compelling need for graduate preparation for academic nurse educators is not new.
To be responsible stewards of the nursing profession and to address emerging nee
of educational systems, a report by the Carnegie Foundation for the Advancement
Teaching (Benner et al., 2010) called for graduate nursing programs to support the study
of pedagogies specifically designed and evaluated for nursing education. The need for
programs to include teacher education courses and experiential learning that better
prepares future nurse faculty is integral to the report’s recommendation to transfor
nursing education to meet the needs of today’s health care system. The report fu
calls for schools, federal and state governments, and philanthropies to increase funding
support for faculty to engage in the scholarship of teaching and learning.
According to the Robert Wood Johnson Foundation-funded Institute of Medicine report,
The Future of Nursing: Leading Change, Advancing Health (IOM, 2011), there is a critical
need for more doctorally prepared nurse educators to advance the science of nurs
education, design educational systems that implement efficient and cost-effective
programs of learning, and lead in the improvement and redesign of the health care system
Concurrent societal concern about the cost and efficacy of higher education accentuates
the need to develop a science that addresses the call for interprofessional education, team
communication skills, and efficient ways to implement new clinical practice models.
The NLN’s commitment to champion inclusiveness in the nurse educator workforce
resonates with the national call to diversify the next generation of health care professiona
to support high quality health care for all population groups, specifically in primary care an
community health care settings (IOM, 2011). Although there has been a steady increment
growth in the diversity of full-time nursing faculty (10.5 percent in 2006; 14 perce
2009; 18.1 percent in 2015; NLN, 2009, 2015), the call to enhance efforts to recruit and
retain faculty from diverse backgrounds, to move toward excellence with inclusiveness, is
now more important than ever. As the nursing profession works to significantly affect the
development of systems, in both practice and education environments, in which all nurses
work toward reducing health disparities and promoting culturally sensitive patient care, a
nurse educator workforce that includes more educators from diverse backgrounds is at the
core of preparation for the nurse educator role. This produces a stronger workforce for the
goal of achieving excellence through inclusiveness.
Over the last decade, the growth of doctor of nursing practice (DNP) programs, enrollmen
and graduates has increased significantly with 303 DNP programs identified in 2016 (AACN
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2017). Multiple studies have focused on the employment of faculty with DNP degrees in
response to the ongoing faculty shortage. In the examination of hiring practices of deans
and directors of associate and baccalaureate and higher degree programs, surveys showe
that both DNP- and PhD-prepared faculty had minimal teaching and academic preparation
in their degree programs (Agger, Oermann, & Lynn, 2014). Additionally, a survey of DNP
and PhD students and graduates (N = 548) revealed dissatisfaction with the adequacy of
their doctoral programs in preparing them for the faculty role; DNP students expressed
concern that they may not be prepared to assume the role (Dreifuerst et al., 2016). These
findings give rise to the recommendation that graduate programs include preparation for
faculty roles. In a 2015 NLN faculty census survey, 37 percent of schools reported that the
main difficulty in recruiting and hiring new nurse educators was the shortage of qualified
faculty.
Coupled with inadequate preparation for the faculty role, the quantity of qualified faculty
remains a primary concern. A 2016 report (NLN, 2016) indicates that the faculty shortage
continues to be a primary obstacle in expanding all types of nursing programs, and there
continues to be an insufficient number of doctorally prepared faculty. Thus, while t
number of doctorally prepared nurses may be doubled by 2020 due to the number of DNP
graduates, this may not be the solution for meeting the shortage of well-prepared, qualifie
faculty (Dreifuerst et al., 2016; Feeg & Nickitas, 2011).
With well-prepared nurse educators to lead educational reform, the nursing profession will
be better situated to produce a workforce that is ready to provide accessible and affordable
care to diverse populations in multiple settings. While various graduate programs emphasize
practice, research, and education to varying extents, it is imperative that all programs prepa
nurse educators to teach in both academic and practice environments.
THE NLN’S RESPONSE
The National League for Nursing has actively given voice to the need for nurse scholars with
discipline-specific pedagogical knowledge and skills (2002, 2005, 2007, 2012, 2016). As the
first national nursing organization to assert that the nurse educator role requires specialized
preparation (NLN, 2002), the NLN developed core competencies for the nurse educato
(2005, 2012). The NLN continues to extend its support for nursing education research by
committing operational funds and contributions through the NLN Foundation for Nursing
Education to support grants to advance the science of nursing education and scholarship
awards for students engaged in nurse educator preparation.
To provide guidance to schools of nursing to design graduate programs that prepare
academic nurse educators, in 2016 the NLN conducted an extensive review of the literature
to identify the state of the science of nurse educator preparation at the graduate le
Through subsequent discussions with national experts and focus groups held at national
nurse educator conferences, the NLN developed Program Outcomes and Competencies
for Graduate Nurse Educator Preparation These graduate nurse educator outcomes an
competencies provide guidance for graduate programs whose focus is the preparation of
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academic nurse educators and scholars. Consensus competencies are based on the four
concepts of human flourishing, nursing judgment, professional identity, and spirit of inquiry
(NLN, 2010).
All of these endeavors designed and implemented by the NLN over the last two decades hav
focused on a core belief that the role of the nurse educator requires the nurse to be an expe
practitioner, possess the pedagogical knowledge of a skilled educator, and engage in the
scholarship of teaching and learning, knowledge generation, and/or knowledge translation.
In practice disciplines like nursing, it is especially important that educators have the ability
to evaluate and demonstrate links among pedagogical teaching strategies, student learning
outcomes, and patient care quality.
CONCLUSION
Nursing education is a specialized area of practice and the NLN supports multiple
approaches (master’s, post-master’s certificates, and doctorate) for attaining nurse educator
competencies. At the same time, to ensure that future nurses can practice competently in
environments that demand the delivery of safe and cost-effective, systems-oriented, team-
driven care, the NLN asserts that nurse educators prepared at the graduate level need a
deep understanding of the nursing discipline’s practice foundations and an equally deep
understanding of educational and evaluation theories and strategies. The future calls
new ways to value the complex role of the nurse educator and to promote the prac
of expert clinicians who can translate their knowledge and skills for students at all levels
through evidence-based teaching.
RECOMMENDATIONS
For the Nursing Profession
Support the inclusion of formal academic preparation for the nurse educator and/or faculty
role in all graduate program curricula.
Minimize degree completion time between BSN and MSN degrees and doctoral degrees,
to more rapidly increase the number of nurse educators who are doctorally prepared with
faculty role preparation.
Affirm the need for educational models that foster inclusiveness in graduate programs.
By 2020, double the number of faculty with formal graduate preparation in nursing
education.
For Graduate Programs in Nursing
Develop master’s and doctoral program courses to prepare graduates consistent with thei
academic preparation to:
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Design curricula that prepare students for patient-centered, population- based care in
interprofessional teams.
Evaluate the impact of large-scale educational innovations.
Translate and implement evidence from nursing education research.
Facilitate student learning using sound empirical evidence.
Use information technology-empowered learning strategies.
Collaborate with schools of education to explore ways to enrich pedagogical course
offerings.
Maximize program capacity by establishing partnerships or consortia between schoo
of nursing with graduate programs offering nurse educator preparation courses and
faculty role preparation courses, and those lacking such programs.
Intensify efforts to recruit and retain students from diverse backgrounds.
Increase the number of accessible graduate nursing programs with nurse educator and
faculty role preparation courses.
For the National League for Nursing
Continue to advocate for a diverse body of graduate students and obtain scholarsh
funding for underrepresented students who seek nurse educator positions in academic
settings.
Offer faculty development programs that prepare faculty with the knowledge and skills to
teach, provide leadership for transforming education, and conduct and translate research
in nursing education. Offer recommendations for the design of curricula for gradua
programs that prepare nurse educators, with special attention to differentiating between
the competencies expected of the master’s-prepared nurse educator and those expected
of the doctorally prepared nurse educator.
Promote Academic Nurse Educator (CNE) certification for all nurse educators.
Continue to obtain funding for scholarships and grants to support nurses whose doctoral
studies focus on advancing the science of nursing education.
Advocate for master’s/doctoral program funding support at state and federal levels.
Contribute to nurse educator workforce development by maintaining data on: docto
programs offering educator and faculty role preparation, faculty with doctoral preparation
and master’s programs/post-master’s certificate programs with educator preparation
concentrations and majors.
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REFERENCES
Agger, C., Oermann, M., & Lynn, M. (2014). Hiring and incorporating doctor of nursing practi
prepared nurse faculty into academic nursing programs. Journal of Nursing Education, 53, 439-446.
doi:10.3928/014834-20140724-03
American Association of Colleges of Nursing. (2008). The essentials of doctoral education for advanc
nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.
pdf.
American Association of Colleges of Nursing, (2017). DNP fact sheet. Retrieved from http://www.
aacn.nche.edu/media-relations/fact-sheets/dnp
Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transforma
San Francisco, CA: Jossey-Bass.
Booth, T.L., Emerson, C.J., Hackney, M.G., & Souter, S. (2016). Preparation of
academic nurse educators. Nursing Education and Practice, 19, 54-57. doi: 10.1016/j.nepr.2016.04.0
Dreifuerst, K., McNelis, A., Weaver, M., Broome, M., Draucker, C., & Fedko, A. (2016). Explor
the pursuit of doctoral education by nurses seeking or intending to stay in faculty roles. Journal of
Professional Nursing, 32, 202-212. doi:10.1016/j.profnurs.2016.01.014
Feeg, V., & Nickitas, D. (2011). Doubling the number of nurses with a doctorate by 2020: Predicting
the right number or getting it right? Nursing Economics$, 29, 109-110, 125.
Institute of Medicine. (2011). The future of nursing: Leading change, advancing health. Washington,
DC: National Academies Press.
National League for Nursing. (2002). The preparation of nurse educators [Archived Position Statemen
Retrieved from http://www.nln.org/newsroom/nln-position-documents/archived-position-statements
National League for Nursing. (2005). Transforming nursing education [Archived Position Statement].
Retrieved from http://www.nln.org/newsroom/nln-position-documents/archived-position-statements
National League for Nursing. (2007). The need for funding for nursing education research [Archived
Position Statement]. Retrieved from http://www.nln.org/newsroom/nln-position-documents/
archived-position-statements
National League for Nursing. (2009). Executive summary; Findings from the 2009 faculty cen
Retrieved from http://www.nln.org/docs/default-source/about/fc_exec_summary_0809.pdf?sfvrsn=2
National League for Nursing. (2010). Outcomes and competencies for graduates of practical/
vocational, diploma, associate degree, baccalaureate,master’s, practice doctorate, research
doctorate programs in nursing. New York: Author.
National League for Nursing. (2012). Transforming research in nursing education [NLN Vision Series]
Retrieved from http://www.nln.org/newsroom/nln-position-documents/nln-living-documents
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National League for Nursing. (2013). A vision for doctoral preparation for nurse educators [NLN Visio
Series]. Retrieved from http://www.nln.org/newsroom/nln-position-documents/nln-living-documents
National League for Nursing. (2016). NLN biennial survey of schools of nursing, 2016. Retrieved from
http://www.nln.org/docs/default-source/newsroom/nursing-education-statistics/main-obstacles-to-
expanding-capacity-of-prelicensure-rn-programs-2016-(pdf).pdf?sfvrsn=0
National League for Nursing. (2015). Faculty census survey 2015. Retrieved from http://www.nln.
org/docs/default-source/newsroom/nursing-education-statistics/main-difficulty-in-recruiting-and-
hiring-faculty-2015-(pdf).pdf?sfvrsn=0
National League for Nursing. (2016). A vision for advancing the science of nursing education: The
NLN nursing education research priorities (2016-2019).
Retrieved from http://www.nln.org/docs/default-source/professional-development-programs/vision-
statement-achieving-diversity.pdf?sfvrsn=2
Valiga, T.M. (2017). Do schools of nursing truly value excellence in teaching? Actions speak louder
than words. Journal of Nursing Education, 56, 519-520. doi:10.3928/01484834-20170817-01
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