Incorporating NLN Framework into your Nursing

Sue Field DNP, RN
NLN Framework
Program Learner Outcomes
NLN Learner Outcomes
Human Flourishing
Nursing Judgment
Professional Identify
Spirit of Inquiry
QSEN Learner Outcomes
Patient Centered Care
Teamwork and
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
Human Flourishing
ADN 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 Judgment
NLN 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
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 Inquiry
NLN 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 Inquiry
ADN 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 Improvement
Student 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
Course Outcomes
• Course Outcomes
– Determine the Program Learner Outcomes that the Course
Outcomes are fulfilling
• Determine the Learning Activities to Measure the Course
– Determine the Means of Measuring the Activity
See Orange Templates on the Table
Course Outcomes
Remember Your Number!
NURS 111 Introduction to Health Concepts
NUR 112: Health-Illness Concepts
NUR 113: Family Health Concepts
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 interrelationships 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
– (NLN, 2007)
NLN Core Value: Ethics
• Definition of Ethics:
• “reflective consideration of personal,
societal, and professional values,
principles, and codes that shape nursing
• (NLN, 2010)
NLN Core Value: Holism
• Definition of Holism:
• “Culture of human caring
– unique and complex attributes, values, and
– 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
 Odd numbers work on the Program
Learner Outcomes
2. Throughputs = Integrating
• 6 Integrating Concepts
1. Context and Environment
2. Knowledge and Science
3. Personal/Professional Development
4. Quality and Safety
5. Relationship Centered Care
6. Teamwork
Practice Know How
Ethical Comportment
Cronenwett et al., 2007
Benner et al., 2009
Integrating Concepts Template
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
 Those who worked on NURS 112 and 113 will
work together (4 people) .
 Round Robin will progress every 2 to 3
Program Learner
• “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
 Using the Round Robin Approach
 Identify where the Course Outcomes fit for the
Program Learner Outcomes listed
 Program Learner Template
 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
• Clinical Portfolio Template
• 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
One Last Item
• Leveling…
– First semester
• Knowledge and Practice Know How
– 2nd semester
• Practice Know How and Ethical Comportment

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