ACEN History

ACEN and the History of Nursing Accreditation

From Florence Nightingale and Clara Barton to Louisa May Alcott and Walt Whitman, nursing has a rich history; a history that may not be known by many but is upheld through nursing education and nursing education accreditation. The ACEN is a proud member of the nursing community, with decades of experience in nursing education accreditation and an eye on the future.In the late 1800s, the initial growth in higher education in the United States led to the need to ensure educational quality. This began the rise of institutional accreditation, also known as regional accreditation, and the founding of organizations such as the New England Association (1885), the Middle States Association (1887), the North Central Association (1895), and the Southern Association (1895). Soon after the development of institutional accreditation, it became clear that individual disciplines had the responsibility to ensure that each program’s graduates were well-prepared. The early 20th Century saw the birth of programmatic accreditation for business, medicine, and nursing. This led to the development of the American Society of Superintendents of Training Schools for Nurses (1895).

In 1912, the American Society of Superintendents of Training Schools for Nurses was renamed the National League for Nursing Education (NLNE). The NLNE would publish the first set of accreditation standards for nursing education in 1917. During this time, programmatic accreditation was monitored using a platform similar to the peer review process of today. A program seeking accreditation would apply to the accrediting agency, a self-evaluation process would occur followed by an external evaluation led by peer evaluators, and based on the standards set by the accreditor, the program would be granted or denied accreditation. If accreditation was granted, the program would undergo the process again in a set number of years. With the model for evaluation and the standards for accreditation established, the NLNE was poised to evolve into the international agency we know today. In 1952, the NLNE combined with the National Organization for Public Health Nursing and the Association for Collegiate School of Nursing to become the National League for Nursing (NLN).

As the decades progressed, the NLN through its accreditation division, served as the sole nursing program accreditor in the United States. However, 1997 brought about big changes. In order to comply with the U.S. Department of Education’s (ED’s) regulations requiring accrediting activities to be separate and independent from trade organizations, the accreditation activities were transferred to a wholly owned subsidiary corporation of the NLN through the establishment of the National League for Nursing Accrediting Commission (NLNAC); thus, permanently removing the NLN from accrediting nursing programs and conveying all accrediting activities and responsibilities to the NLNAC. After taking this step to comply with ED regulations, the NLNAC began expanding its accreditation services to assist nurse educators develop and maintain strong nursing programs. The NLNAC soon became the most well-trusted and well-known accrediting agency for nursing education. In 2009, the NLNAC relocated from its headquarters in New York, New York, to its current location in Atlanta, Georgia. Settling in Atlanta facilitated the continued emergence of the agency as a supportive and innovative partner in nursing education.

The move to Atlanta also spurred a name change for the NLNAC. In 2013, the NLNAC was renamed the Accreditation Commission for Education in Nursing (ACEN). The ACEN has expanded its range beyond U.S. accreditation to welcome international neighbors, with programs in Scotland, Oman, and Saudi Arabia, to name a few. Today the ACEN, now recognized by the ED as an independent, wholly owned subsidiary corporation of the NLN, operates from the Buckhead neighborhood of Atlanta, where it continues to expand support for nursing education.

As the leading authority in nursing education accreditation, the ACEN strives to be not just a leader in nursing education accreditation but a dedicated and supportive partner in nursing education, collaborating with nursing faculty and administrators, volunteers, and colleagues to continuously strengthen nursing education at the national and international level. The ACEN is proud to be the oldest nursing education accreditor, and will continue adding to its history for decades to come by ensuring educational quality through accreditation for nursing programs everywhere.

ACEN History Timeline

1893
The American Society of Superintendents of Training Schools for Nurses, forerunner of the National League for Nursing, was founded for the purpose of establishing and maintaining a universal standard of training for nurses.
1917
1920
The National League of Nursing Education published Standard of Curriculum for Schools of Nursing.
Accrediting activities in nursing education were begun by many different organizations.
1937
The National League of Nursing Education published A Curriculum Guide for Schools of Nursing, the last of its type by the organization.
1938
The National League of Nursing Education initiated accreditation for programs of nursing education for registered nursing.
1949
The National Nursing Accrediting Service was formed for the purpose of unifying accreditation activities in nursing. It was discontinued in 1952 when accreditation activities were consolidated under the National League for Nursing (NLN).
1952
The U.S. Department of Education (ED) recognized the NLN (later NLNAC and then ACEN) and included it on the initial list of recognized accrediting agencies.
1958
The NLN Board of Directors established a policy charging each educational council with the responsibility for developing its own accreditation program. The program was conducted through the three (3) NLN membership units: the Council of Baccalaureate and Higher Degree Programs; the Council of Diploma and Associate Degree Programs (the Diploma and Associate Degree Programs separated into two (2) councils in 1965); and the Council of Practical Nursing Programs (1966). The accreditation program and services were administered by NLN professional staff.
1964
Federal funding for nursing education under the Nurse Training Act was contingent upon the compliance of schools of nursing with Title VI of the Civil Rights Act of 1964.
1977
The Council on Postsecondary Accreditation (COPA) recognized the NLN Accreditation Program, which later became the Council for Recognition of Postsecondary Accreditation (CORPA).
1991
Outcome criteria were incorporated into Standards and Criteria for all accredited programs.
1995
The NLN Board of Governors approved the recommendation of the NLN Accreditation Committee to institute core Standards and Criteria.
1996
The NLN Board of Governors approved establishment of an independent entity within the organization to be known as the National League for Nursing Accrediting Commission (NLNAC).
1997
The NLNAC, now the Accreditation Commission for Education in Nursing (ACEN), began operations with sole authority and accountability for carrying out the responsibilities inherent in the accreditation processes.

Fifteen (15) Commissioners were appointed: nine (9) nurse educators, three (3) nursing service representatives, and three (3) public members. The Commissioners assumed responsibilities for the management, financial decisions, policy-making, and general administration of the NLNAC.

The peer review process was strengthened with the formation of program-specific Evaluation Review Panels.
1998
The NLNAC continued collaborative work with specialty organizations to strengthen application of standards for advanced practice nursing programs. Advanced practice nurses were invited to  serve as clinicians on the site visit teams.
1999
The NLNAC core Standards and  Criteria were revised.

The Secretary of Education, ED, renewed NLNAC recognition as a nationally recognized accrediting agency for nursing education programs and schools, both postsecondary and higher degree, which offer a certificate, diploma, or a recognized professional degree including master’s, baccalaureate, associate, diploma, and practical nursing programs in the United States and its territories. 

Title IV Note: Only diploma programs and practical nursing programs not located in a regionally  accredited college or university may use accreditation by this agency to  establish eligibility to participate in Title IV program.
2000
The NLNAC first accredited international programs.
2001
The Council for Higher Education Accreditation (CHEA) recognized NLNAC as a nationally recognized accrediting agency for nursing education.

The NLNAC was incorporated as a subsidiary of the NLN.
2002
The NLNAC core Standards and Criteria were revised.

The Secretary of Education, ED, renewed NLNAC recognition as a nationally recognized accrediting agency for nursing education programs and schools, both postsecondary and higher degree, which offer a certificate, diploma, or a recognized professional degree including master’s, baccalaureate, associate, diploma, and practical nursing  programs in the United States and its territories. 

Title IV Note: Only diploma programs and practical nursing programs not located in a regionally accredited college or university may use accreditation by this agency to establish eligibility to participate in Title IV program.
2005
The NLNAC core Standards and Criteria were revised.

The NLNAC first accredited Post-Master’s Certificates (PMC).

The Secretary of Education, ED, renewed NLNAC recognition as a nationally recognized accrediting agency for nursing education programs and schools, both postsecondary and higher degree, which offer a certificate, diploma, or a recognized professional degree including master’s, baccalaureate, associate, diploma, and practical nursing  programs in the United States and its territories. 

Title IV Note: Only diploma programs and practical nursing programs not located in a regionally accredited college or university may use accreditation by this agency to establish eligibility to participate in Title IV program.
2007
The NLNAC Standards and Criteria for Clinical Doctorate approved by the NLNAC Board of Commissioners.
2008
The NLNAC core Standards and Criteria were revised.

The Secretary of Education, ED, granted expansion of scope of recognition as a nationally recognized accrediting agency for nursing education programs and schools, both postsecondary and higher degree, which offer a certificate, diploma, or a recognized professional degree including master’s, baccalaureate, associate, diploma, and practical nursing programs in the United States and its territories, including those offered via distance education.
2009
The NLNAC first accredited Clinical Doctorate programs.
2011
The Council for Higher Education Accreditation (CHEA) renewed NLNAC recognition as a nationally recognized accrediting agency for nursing education.
2012
The Secretary of Education, ED, renewed ACEN recognition and granted expansion of scope of recognition as a nationally recognized accrediting agency for nursing education programs and schools, both postsecondary and higher degree, which offer a certificate, diploma, or are cognized professional degree including clinical doctorate, master’s, baccalaureate, associate, diploma, and practical nursing programs in the United States and its territories, including those offered via distance education.

Title IV Note: Practical, diploma, associate, baccalaureate, and higher degree nursing education programs that are not located in a regionally accredited institutions may use accreditation by this agency to establish eligibility to participate in Title IV programs.

The NLNAC endorsed 4th Edition of the National Task Force Guidelines for Evaluation of Nurse Practitioner Programs.

The NLNAC implemented mentoring for Candidate programs.
2013
The NLNAC core Standards and Criteria were revised.

The name of the Commission was changed to the Accreditation Commission for Education in Nursing (ACEN).
2015
The ACEN endorsed academic progression programs in nursing in cooperation with the Robert Wood Johnson Foundation Academic Progression in Nursing (APIN) program and the Future of Nursing: Campaign for Action.
2016
2017
The ACEN core Standards and Criteria were revised.

The ACEN first accredited DNP Specialist Certificates.
The Secretary of Education, ED, renewed ACEN recognition as a nationally recognized accrediting agency for nursing education programs and schools, both postsecondary and higher degree, which offer a certificate, diploma, or a recognized professional degree including clinical doctorate, master’s, baccalaureate, associate, diploma, and practical nursing programs in the United States and its territories, including those offered via distance education.

Title IV Note: Practical, diploma, associate, baccalaureate, and higher degree nursing education programs that are not located in a regionally accredited institutions may use accreditation by this agency to establish eligibility to participate in Title IV programs.

The ACEN endorsed 5th Edition of the National Task Force Guidelines for Evaluation of Nurse Practitioner Programs.

The ACEN Board of Commissioners approved the offering of Advisory Reviews.

The ACEN Board of Commissioners approved Observers on site visit teams (Policy #31).
2018
The ACEN Board of Commissioners  approved the expansion of the Board to 17 Commissioners – 11 Nurse Educators, 3 Nurse Clinicians, and 3 Public Members. The new Commissioners take office on October 1, 2019.

The ACEN Board of Commissioners approved Transition-to-Practice Standards and Criteria.

The ACEN held the inaugural accreditation conference, July 12-14, 2018, in Atlanta, GA.

The ACEN Board of Commissioners endorses Guidance on Developing Quality and Interprofessional Education for Health Professions.

The ACEN and Organization for Associate Degree Nursing (OADN) sign a memorandum of understanding to work together in areas of common interest.
2019
The ACEN Board of Commissioners approve the Transition-to-Practice policies.

The ACEN launches the accreditation of Transition-to-Practice programs and approves its first Transition-to-Practice eligibility application.
2020
The ACEN launches “ACEN Everywhere,” a portal offering continuing nursing education as asynchronous eCourses in a virtual learning environment –Understanding and Applying the ACEN 2017 Standards and Criteria and Effectively Leading an ACEN-Accredited Program.
2021
The American Nurses Credentialing Center (ANCC) recognizes the ACEN as a  provider of nursing continuing professional development.

The ACEN launches first virtual accreditation conference and first hybrid Self-Study Forum.

The Council of Higher Education Accreditation (CHEA) grants the ACEN recognition for seven years.
2022
The ACEN Standards and Criteria were revised.
2023
The Secretary of Education, ED, renewed ACEN recognition as a nationally recognized accrediting agency for nursing education programs and schools, both postsecondary and higher degree, which offer a certificate, diploma, or a recognized professional degree including clinical doctorate, master’s, baccalaureate, associate, diploma, and practical nursing programs in the United States and its territories, including those offered via distance education.

Title IV Note: Practical, diploma, associate, baccalaureate, and higher degree nursing education programs that are not located in a regionally accredited institutions may use accreditation by this agency to establish eligibility to participate in Title IV programs.