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Holistic Review in Nursing
An 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
policies
Virtual
learning
environments
Flipped
classroom
Programs
of study
Master
Academic
Plan
Rising student debt
TUITION
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
Perceptions
Processes
Perceptions
Processes
Practices
Perceptions
Processes
Practices
Policies
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, FAAN
AACN 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 Review
is 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, FAAN
Dean, 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 and
willingness 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
Holistic Review - An Introduction

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