Holistic Review in NursingAn Introduction

Co-hosts

A Pilot Project

To assist nursing deans interested in leading their school’s transition to a holistic admissions process.

Builds upon a solid foundation

AAMC Advancing Holistic Review Initiative

A holistic review framework tailored to the field of nursing

We want to learn about your● School/college mission● Diversity needs● Admissions process-

related challenges

2014-2015 Diversity Enrollment

SOURCE: 2014-2015 AACN ENROLLMENT AND GRADUATIONS

Diversity of Enrollment in Master’s Programs

Diversity of Enrollment in Undergraduate Programs

69.3%

10.7% 9.8%6.8%

0.5% 0.5% 2.4%0%

10%

20%

30%

40%

50%

60%

70%

80%

67.6%

14.3%

7.2% 7.6%0.6% 0.6% 2.2%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Challenges to developing a diverse nursing workforce are considerable.

Nursing workforce challenges

● Policy questions loom large

Key findings

Providing access to educational opportunities

Move toward competency-based education

Emerging biomedical technologies and rapid scientific advances

Evolving curricula to address changes in health care delivery

Master Academic

Plan Mission & Vision

Communities of

Practice

Academic policiesVirtual

learning environmen

ts

Flipped classro

om

Programs of

study

Master Academi

c Plan

Rising student debt

TUIT

ION

IOM calls for at least 80% of RNs to be baccalaureate prepared by 2020

Nurses must attain the requisite competencies needed to deliver high-quality care

Employers recognize that education makes a difference

of employers either require or strongly prefer nurses with a bachelor’s degree

79%

???And what does all this have to

do with admissions?

Admissions is an critical door to a nursing school education and practice of nursing.

Nursing leaders must ensure access to high-quality nursing education for those with potential for success.

The decisions you make about who attends your nursing school influences who becomes a nurse…

…and who does not.

Perceptions

PerceptionsProcesses

PerceptionsProcessesPractices

PerceptionsProcessesPracticesPolicies

Selection criteria determine who will be granted the opportunity to become a professional nurse

Will the applicants you choose to accept…

…become the students you want to be part of your learning communities?

…become the compassionate, patient-centered, and competent nurses everyone is seeking?

…be able to achieve the mission and goals of your school, and provide culturally sensitive care to patients and families?

…be able to help reduce health care disparities and meet current and future health care challenges?

…be committed to meeting the health care needs of diverse populations within your community, state, and nation?

Culturally Competent and Sensitive Care

Nurse-patient interactions must understand the ways cultural, racial and socioeconomic lifestyles are expressed and how these influence the nurse-patient interactions.

Deborah Trautman, PhD, RN, FAANAACN President and CEO

“If providing culturally competent care is a goal we can all support, then diversifying the pipeline of nursing students into baccalaureate and high degree programs must be a national priority.”

Holistic Review

Holistic Reviewis a flexible, individualized way of assessing an applicant’s capabilities, by which balanced consideration is given to the applicant’s experiences, attributes and academic metrics.

Holistic Admissions Process● Integrates core principles at each stage

of the process● Facilitates identifying a broadly diverse

student body● Contributes to an enhanced learning

environment for all students and a better prepared nursing workforce.

Growing Health workforce shortages

Rapidly diversifying patient population

Changing health care system

Challenge: Preparing enough nurses with the right combination of skills, qualities, and experiences to address the health needs of diverse communities

Diversity in the Learning Environment

“All students benefit from being exposed to different experiences, cultures, and perspectives during the educational process.”

Greer Glazer, RN, CNP, PhD, FAANDean, University of Cincinnati College of Nursing

The Experiences, Attributes and Metrics Model

Sedlacek’s Noncognitive Factors

Positive self concept

Realistic self-

appraisal

Strong support system

Leadership experience

Community Involvement

Successfully Handling

the system

Preference for long-

term goals

Holistic Review in Nursing Workshop

● Think critically about admissions and how processes, practices, and policies align with your school’s mission and goals.

● An open forum for you to learn from your peers

Objectives● Articulate the importance of diversity● Describe the holistic review admission

process● Identify 2-3 admission practices that could

be modified or implemented upon return to campus

● Develop1-3 SMART goals to initiate stakeholder engagement on campus

Set of resources

Resources for initiating efforts

Access to an online collaboration community of peers

Online Collaboration Community

Knowledge Base

Shared Experience

Ideas / Solutions

Effective Tools

Guidelines

Workshop Materials

Bring:● Admission outcome data for most

recent class● Admission practices assessment

An open mind andwillingness to engage will yield new ideas and next steps for translating what you learned into action.

How should you prepare?

question

How should you prepare?How is your school’s mission manifested in your admission processes and practices?

question

How should you prepare?How is your school’s mission manifested in your admission processes and practices?

What role does your school’s diversity interests play in admissions?

question

How should you prepare?How is your school’s mission manifested in your admission processes and practices?

What role does your school’s diversity interests play in admissions?

What are the school’s mission-driven determinants of success?

question

Thank you!