Educating Future Nurses on Professional Nursing Standards
Okonkwo Chinenye Maryrose RN, RM, RNAS, PDE, TRCN
The foundation of quality healthcare lies in the competence and ethical conduct of its providers, especially nurses who constitute the largest portion of the global healthcare workforce.
As healthcare systems evolve and become more complex, it is crucial to prepare future nurses not only in clinical skills but also in understanding and upholding professional nursing standards. These standards serve as a compass, guiding nurses in delivering safe, ethical, and effective care.
This article explores the importance of professional nursing standards, the strategies to integrate them into nursing education, challenges in implementation, and recommendations for educators and institutions.
Contents
Understanding Professional Nursing Standards
Professional nursing standards are authoritative statements that describe the responsibilities, behaviors, and competencies expected of nurses in clinical practice, education, research, and leadership. These standards are established by national nursing associations and regulatory bodies and are often embedded in law, institutional policies, and professional codes of ethics.
Key components of professional nursing standards typically include:
- Scope and Standards of Practice
- Code of Ethics for Nurses
- Core Competencies (clinical, communication, leadership, etc.)
- Continuing Professional Development Requirements
- Legal and Regulatory Responsibilities
Examples include the American Nurses Association (ANA) Standards of Professional Nursing Practice, the International Council of Nurses (ICN) Code of Ethics, and country-specific regulatory frameworks, such as those from the Nursing and Midwifery Council (NMC) in the UK or the Nursing and Midwifery Council of Nigeria (NMCN).
Importance of Professional Standards in Nursing Education
1. Ensures Consistency and Safety in Care Delivery
Teaching standards promotes uniformity in nursing practice, reducing variation and minimizing risks to patient safety.
2. Fosters Ethical and Legal Accountability
Understanding professional obligations helps nursing students navigate complex ethical dilemmas, comply with laws, and maintain patient confidentiality, dignity, and rights.
3. Promotes Professional Identity and Values
Exposure to standards cultivates a strong sense of professionalism, integrity, and commitment to lifelong learning among nursing students.
4. Prepares Nurses for Complex Healthcare Environments
Modern healthcare demands advanced knowledge in areas like technology, population health, and interdisciplinary collaboration—all of which are embedded in professional standards.
Integrating Professional Standards in Nursing Education
To effectively embed professional standards in nursing education, educators must use a structured, multidimensional approach:
1. Curriculum Alignment
Ensure that professional standards are embedded across all levels of the curriculum—from foundational courses to clinical internships. Examples include:
- Ethics and Law in Nursing Practice
- Evidence-Based Practice
- Cultural Competency and Advocacy
- Leadership and Management in Nursing
2. Case-Based and Scenario Learning
Use real-world cases and simulations that illustrate ethical dilemmas, boundary issues, and clinical decision-making based on professional standards.
3. Role Modeling and Mentorship
Faculty and preceptors should consistently demonstrate professional behaviors in both academic and clinical settings. Mentorship programs can reinforce these values.
4. Assessment and Feedback
Evaluate students not only on clinical skills but also on professional behaviors, adherence to ethical codes, and application of standards. Include reflective journals, portfolios, and objective structured clinical examinations (OSCEs).
5. Use of Technology and e-Learning
Leverage online modules, digital simulations, and virtual patient scenarios that emphasize standard-based care, especially in remote or underserved areas.
Challenges in Educating on Professional Standards
Despite the importance, several barriers exist:
1. Curriculum Overload
With increasing emphasis on advanced medical content, soft skills and professional standards may receive less focus.
2. Faculty Shortages and Variability
Limited numbers of qualified educators and inconsistencies in their interpretation of standards can affect teaching quality.
3. Cultural and Contextual Differences
Global nursing students may come from diverse backgrounds where ethical or legal norms differ, necessitating sensitive and inclusive approaches.
4. Clinical Learning Environments
Sometimes, clinical settings do not model ideal professional behaviors due to staff burnout, workload, or systemic issues, leading to a theory-practice gap.
Strategies to Overcome These Challenges
- Policy Support: Accreditation bodies and nursing councils should enforce the inclusion of standards in curricula.
- Faculty Development: Continuous training for educators on how to teach, model, and assess professionalism.
- Student Engagement: Encourage students to participate in discussions, professional associations, and ethics committees.
- Partnerships with Clinical Sites: Work collaboratively with healthcare institutions to ensure alignment between academic and clinical professional expectations.
Global Perspectives and Innovations
Countries are increasingly adopting standardized frameworks such as the WHO Global Competency Framework for Universal Health Coverage and integrating interprofessional education (IPE) to promote collaborative practice. Furthermore, some institutions have introduced professionalism badges, peer evaluations, and nursing ethics bootcamps as innovative methods to reinforce standards.
Educating future nurses on professional nursing standards is not optional—it is a core responsibility of nursing education that ensures quality, safety, and trust in the profession. As healthcare continues to advance, future nurses must be equipped not just with knowledge and skills, but with a solid ethical and professional foundation. Institutions, educators, and policymakers must work together to embed professional standards into every facet of nursing education and practice, thereby nurturing a resilient and ethically grounded nursing workforce for the future.
References
- American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf
- American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). ANA.
- Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. Jossey-Bass.
- International Council of Nurses. (2021). The ICN code of ethics for nurses. https://www.icn.ch/system/files/2021-10/ICN_Code-of-Ethics_EN_Web_0.pdf
- Nursing and Midwifery Council. (2018). The code: Professional standards of practice and behaviour for nurses, midwives and nursing associates. https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf
- Quality and Safety Education for Nurses (QSEN). (2020). QSEN competencies. http://qsen.org/competencies
- World Health Organization. (2020). Nurse educator core competencies. https://www.who.int/publications/i/item/9789240008458
- Zhang, Y., Qian, Y., Wu, J., Wen, F., & Zhang, Y. (2021). Professional values for nursing students: A cross-sectional survey in China. BMC Medical Education, 21(1), 1–8. https://doi.org/10.1186/s12909-021-02729-2
Important midwifery skills
What midwifery skills are most important to learn before you are responsible at a birth? How do you attain those skills?
Personally, I think it is up to the mother to decide whether or not I have the skills to protect her environment while she gives birth. With every birth I attend I have a takeaway. So, if I had to say, it has always been a numbers game: the more births, the more teachings.
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