Models for the awarding of credits or hours for purposes of tracking program length, with implications for financial aid.
The voluntary, self-regulatory process by which non-governmental associations recognize educational institutions or programs that have been found to meet or exceed standards and criteria for educational quality. Accreditation also assists in the further improvement of the institutions or programs as related to resources invested, processes followed, and results achieved.
A location of a governing organization that is geographically separate and independent from the main campus of the governing organization. A location is independent of the main campus if the location:
Candidate status is granted after a review of the potential of a nursing program to achieve ACEN accreditation. See the ACEN Accreditation Manual – Section I General Information for additional information regarding the Candidacy process. Pre-accreditation is not within the scope of recognition the ACEN has with the United States Department of Education (USDE). Any program/institution granted Candidacy may not use the ACEN Candidacy status to seek or gain Title IV eligibility or eligibility for any other federal funding.
The official at the ACEN who has the primary responsibility of ensuring that ACEN accreditation practices and processes are consistent with Department of Education (ED) requirements as well as the Council for Higher Education Accreditation (CHEA) and that accreditation processes are completed as described in ACEN policies.
The official who has the primary responsibility of carrying out the mission and purpose of the governing organization. In some circumstances, there may be an overall governing organization CEO and a local or campus CEO (e.g., a chancellor of the overall governing organization and a president of a campus).
A group of people, identified by the nursing education unit who formally or informally influence nursing program processes, decision-making of a nursing education unit, the end-of-program student learning outcomes, and the program outcomes of a nursing program. Examples include, but are not limited to, students, graduates, healthcare employer representatives, governing organization representatives, regulatory agency representatives, and members of the public.
When two or more governing organizations/nursing education units share the responsibility of developing and delivering nursing courses or a nursing program, in whole or part. This does not include clinical agreements for student learning experiences required by a nursing program. See ACEN Policy #3 Eligibility for Initial and Continuing Accreditation and Policy #30 Agreement for Education-Related Component from an External Source for additional information and the procedures that must be followed.
A set of guidelines approved by a nationally recognized nursing organization for use in the development and evaluation of a nursing curriculum. The most recent version/edition of the standards/guidelines must be used. The standards/guidelines include, but are not limited to:
Statements of learner-oriented expectations written in measurable terms that express the knowledge, skills, or behaviors that the students should be able to demonstrate upon completion of the course. Course student learning outcomes must be consistent with standards of contemporary nursing practice. Course student learning outcomes:
A selected series of courses that are a subset of courses within a clinical doctorate program specific to one area of practice (e.g., certificates in nursing administration, certificates in nursing education, certificate as a family nurse practitioner), which are taken after an individual is already credentialed with a doctorate degree in nursing with a different specialty.
The separation of aggregated data into subcomponents for meaningful analysis of student learning and program outcomes. Nursing faculty are expected to determine if data should be disaggregated; if data are not disaggregated a justification for not disaggregating should be developed. Faculty may consider disaggregation by program option, location, graduation cohort, or other student characteristic (e.g., gender, age) of significance or importance to the faculty to expose unseen trends and meaningfully compare student cohort performance.
The wide range of human characteristics that make one individual or a group of individuals different from another. Diversity characteristics include, but are not limited to, race, ethnicity, culture, gender identity and expression, age, national origin, religious beliefs, work sector, physical ability, sexual orientation, socioeconomic status, level of education, marital status, language, physical appearance, and neurocognitive differences.
Statements of learner-oriented, practice-ready expectations written in measurable terms that express the knowledge, skills, or behaviors that the students should be able to demonstrate upon completion of the nursing program, regardless of the nursing program option.
End-of-program student learning outcomes provide the framework for all curricular matters, represent the point of transition from being a student to being an entry-level practitioner for the chosen level of nursing education, and must be different for each program type (e.g., the end-of-program student learning outcomes for an associate degree and a baccalaureate degree offered by the same governing organization should be unique to each program).
A measurable index identified by the faculty that reflects a desired outcome for aggregate student or graduate performance (e.g., EPSLOs, program completion rate). An ELA should be high enough as to be genuine and encourage continuous improvement, but not so high as to be idealistic and, thus, unachievable.
Program leaders and faculty are encouraged to set a realistic “stretch ELA” for student achievement outcome without fear of penalty. Whether or not the ELA is met, the program is expected to analyze all student achievement outcomes data (Criteria 5.1, 5.2, 5.4), to assist with making decisions related to student performance and program improvement. If the program does not meet its stated ELA for program completion (Criterion 5.2) or job placement (Criterion 5.4), OR the program’s licensure/certification pass rate does not meet at least one of the six benchmarks identified in Criterion 5.3, then the nurse administrator and faculty should review ACEN Policy #14 Reporting Substantive Changes to determine if a Substantive Change report is required.
Activities that facilitate faculty maintenance or enhancement of expertise in clinical and teaching/instructional responsibilities. Examples include, but are not limited to, certification, continuing education, formal advanced education, informal development (e.g., journal club), clinical practice, research, publications, and other scholarly activities. NOTE: Refer to Criteria 2.6 and 2.7 to review ACEN expectations for ongoing faculty development.
Non-nurses (e.g., dietician, pharmacologist, or physiologist) who are assigned to teach a nursing course and who teach and evaluate nursing students. Non-nursing faculty must be educationally and experientially qualified for their assigned teaching responsibilities. Non-nurse faculty are not faculty members who teach general education courses. Non-nurse faculty are not guest speakers/invited presenters who teach selected topics in a nursing course.
Nurses who teach and evaluate nursing students in didactic, clinical, and/or laboratory settings, and are educationally and experientially qualified for their assigned roles and responsibilities. NOTE: Governing organizations use a variety of terms to describe individuals who teach and evaluate nursing students in didactic, clinical, and/or laboratory settings. Such titles include, but are not limited to, full-time or part-time faculty, adjunct faculty, clinical faculty, a rank (e.g., professor, associate professor, assistant professor, instructor, lecturer), or staff.
An allegation against a nursing program consistent with the nursing program or governing organization’s definition of formal complaints and/or grievances, typically expressed as a written, signed statement. The governing organization/accredited nursing education program is expected to maintain a record of all formal complaints or grievances against the program since the last ACEN accreditation visit, including evidence of documentation of due process and timely resolution. NOTE: Programs seeking initial accreditation should maintain records of formal student complaints and/or grievances from the time Candidate status is achieved.
In reference to the Substantive Change process, it is an area serving the same/similar population of students and communities as the original/main location of a nursing program, an off-campus instructional site/location, or a branch campus. See ACEN Policy #14 Reporting Substantive Changes for additional information and the procedures that must be followed.
The use of a single test or examination (written, electronic, or demonstration) to determine an important outcome, such as a student passing a course or graduating. The use of high-stakes testing should be based on current evidence and best teaching/instructional practices; high-stakes testing is not a best educational practice and should not replace other faculty-developed evaluation methods specific to the program’s curriculum (Refer to the ACEN position on high-stakes testing and addendum). NOTE: Third-party testing products should be used only for the purposes and within the guidelines recommended by the developer.
A period of time during which no new students are admitted into a nursing program; therefore, there will be no graduates from the nursing program for an intervening period of time. A nursing education unit may inactivate a nursing program for a limited period of time See Policy #14 Reporting Substantive Changes.
A period of time during which a nursing education unit does not offer 1) a nursing program and the nursing courses for the nursing program or 2) a nursing program option and the nursing courses for the nursing program option at an approved off-campus instructional site/location for five academic years. See Policy #14 Reporting Substantive Changes for additional information and the procedures that must be followed.
Percentage of graduates, typically within one year of graduation who are employed in a position for which a nursing program prepared them. Faculty must demonstrate a good faith effort to contact all program graduates to determine job placement rates, irrespective of licensure/certification examination completion or enrollment in another program of study.
Providing a reasonable explanation for actions, policies, and/or processes as determined by faculty and employed by the nursing education program. Considerations for a reasonable explanation or justification for actions include, but are not limited to student demographics and enrollment, and best educational practices (e.g., assessment, instruction).
Goal-directed activities assigned to students that are required for course completion and are designed to enhance or facilitate learning in alignment with the course student learning outcomes. Major categories of learning activities include 1) activities where learners are doing or observing something (e.g., clinical practice, presentations); 2) activities where learners are reflecting on the meaning of their learning (e.g., self-reflection, peer review); or 3) combined active and reflective learning (e.g., case study, research paper, small group discussion).
Direct, nursing care specific to the level of licensure and/or education, including engagement in planned learning activities required of nursing students in all degree or certificate granting nursing education programs, regardless of the student’s licensure status at the time of admission. Settings include, but are not limited to, acute-care and specialty hospitals, long-term care facilities, ambulatory care centers, physician offices, communities, and home health care. Clinical/practicum learning experiences should engage nursing students in the cognitive, affective, and psychomotor work of nursing appropriate for the level at which students are being prepared. Pre-licensure clinical/practicum experiences focus on direct engagement with patients and healthcare team members to impact health outcomes. Post-licensure clinical/practicum experiences include direct engagement with others who supervise, provide, or are preparing to provide direct patient care (e.g., staff nurses, nursing students, nurse managers).
Consistent with the level of academic study and the roles and responsibilities after graduation, clinical/practicum experiences should prepare graduates for practice in the care of patients/clients including a/an: individual, family, group, or populations, and should support students’ attainment of the identified end-of-program student learning outcomes and/or role-specific nursing competencies. Clinical/practicum experiences are overseen by qualified nursing faculty and may include assistance from preceptors who provide feedback to students in support of their learning and professional development. NOTE: Refer to the ACEN position statement on clinical/practicum.
Clinical/practicum learning experiences are required for all nursing students enrolled in any undergraduate or graduate program, including all students enrolled in post-licensure undergraduate programs, graduate programs, all program options in any undergraduate and graduate programs, and/or certificate program options.
Opportunities for students to learn about nursing care in settings designed to look, feel, and/or function as a real-world practice environment, offering real-world practice learning experiences, which may include the use of standardized patients, as well as low-fidelity, mid-fidelity, high-fidelity and/or virtual simulation equipment. These experiences facilitate students’ application of knowledge, skills, and behaviors in the care of patients/clients including a/an: individual, family, group, or populations, and support the end-of-program student learning outcomes and and/or role-specific nursing competencies in a controlled and low-risk environment.
Sites where a nursing program is delivered, in whole or part, including the main location, off-campus instructional sites/locations, and branch campuses. NOTE: See ACEN Policy #14 Reporting Substantive Changes for additional information and the procedures that must be followed when adding or closing an additional location. See Branch Campus/Off-Campus Instructional Site.
The teaching/instructional modalities used by faculty to deliver instruction of a nursing course. NOTE: See ACEN Policy #14 Reporting Substantive Change for additional information about the procedures that must be followed when a program changes its methods of delivery from the methods of delivery currently approved by the ACEN.
Traditional Education – A method for delivering nursing courses in which instruction occurs when a student and instructor are physically in the same place at the same time (e.g., face-to-face). This method of delivery may be web-enhanced/supported, where the instruction occurs through traditional face-to-face delivery, and students are expected to attend the in-person class. The learning management system (LMS), or other web-based system, is used to support the course such as posting syllabi and calendars for easy student access. In addition, students may also be expected to participate in web-based learning activities, such as discussion boards or learning activities posted online.
Distance Education – A method of delivery of nursing courses in which instruction occurs when a student and instructor are not physically in the same place. Instruction may be synchronous or asynchronous. Distance education uses one or more distance technology (e.g., one-way, or two-way transmissions, audio, video, the Internet) to support regular and substantive interactions between the instructor and the students.
Substantive Interaction – Engaging students in teaching, learning, and assessment, consistent with the content under discussion and includes at least two of the following:
Regular Interaction
Hybrid Education – A method of delivery for nursing courses in which instruction occurs using both distance and traditional education methods of delivery. Hybrid education, regardless of the percentage of the traditional education time it replaces, is considered a form of distance education by the ACEN.
The nurse with responsibility and authority for the administrative and teaching/instructional activities of a nursing program or a nursing education unit within a single governing organization (e.g., dean, chairperson, director). An individual may serve as the nurse administrator for only one separately accredited nursing program or nursing education unit with ACEN-accredited programs. See Single Nursing Program.
Designated nursing faculty and/or staff who are assigned administrative support responsibilities and who report directly to the nurse administrator. Administrative support responsibilities for the program include assignments such as program coordination, budget management, process management such as clinical coordination or simulation, and management/oversight of human resources. This does not include student support personnel who also assist programs/students outside of the nursing program.
The program of study designed for a subset of students within a nursing program type. Examples include, but are not limited to, prelicensure/traditional program option, LPN-to-RN program option, RN-to-BSN program option, evening/weekend program option, full- and part-time program options, face-to-face, or online program options. NOTE: See ACEN Policy #14 Reporting Substantive Change for additional information and the procedures that must be followed when adding or closing a nursing program option.
Any location that is physically apart from the main campus of the governing organization where a nursing program is offered, in whole or part. See definition of Branch Campus, which is not an off-campus instructional site. NOTE: See ACEN Policy #14 Reporting Substantive Change for additional information and the procedures that must be followed when adding or closing an off-campus instructional site/location.
Nursing program or governing organization policies that describe non-discriminatory requirements for admission to a nursing program. Admission requirements may include, but are not limited to, transfer of credit, program prerequisites, GPA, pre-entry examination results, health status (e.g., vaccinations), criminal background checks, licensure status, and gap analysis process.
Nursing program and/or governing organization policies that describe non-discriminatory requirements for graduation from a nursing program. Graduation requirements may include, but are not limited to, course completion requirements (major and general education) and other nursing program or governing organization requirements. NOTE: High-stakes testing should not be used as a graduation requirement.
Nursing program and/or governing organization policies that describe non-discriminatory requirements for progression within a nursing program. Progression requirements may include, but are not limited to, GPA, minimum course grade requirements, minimum examination score or average requirements, academic honesty, and readmission processes. NOTE: High-stakes testing should not be used for program progression.
Nursing program and/or governing organization policies that describe non-discriminatory requirements for student access to technology while enrolled in a nursing program. Technology requirements may include, but are not limited to, internet access, hardware, software or applications, browsers, virus protection, student identification verification technology and/or fees, and memory or storage capacity.
Nursing program and/or governing organization policies that describe non-discriminatory specifications under which the governing organization/nursing program will accept courses/credits that were earned at another governing organization/nursing program. The credit(s) from the former governing organization/nursing program may or may not be accepted by the new governing organization/nursing program. Each governing organization/nursing program makes its own decisions about accepting transfer credit. NOTE: The ACEN does not have a policy about acceptance of transfer credits from non-accredited nursing education programs, this decision is up to the program as allowed by the governing organization.
A selected series of courses that are a subset of courses within a master’s program specific to one area of practice (e.g., certificates in nursing administration, certificates in nursing education, certificate as a family nurse practitioner) that are taken after an individual is already credentialed with a master’s degree in nursing in a different specialty.
An educationally and experientially qualified person who has received orientation to function as a clinical supervisor during a clinical/practicum experience in lieu of having a faculty member onsite with students. Preceptors serve over a specified period of time, and they are a resource and role model for nursing students; in addition, preceptors typically provide input into the evaluation of student performance. While a student can have input into identifying preceptors, it is the responsibility of the nursing program faculty/leaders to identify and arrange for preceptors and to ensure all students have preceptors. NOTE: Nursing programs use a variety of terms to describe individuals who act in a preceptor capacity. Such titles include, but are not limited to, mentors, coaches, and volunteers.
A course that is required prior to enrolling in another course. NOTE: All credit courses that are required prerequisites and/or requirements for admission to a nursing program must be included in the total number of credit/quarter/clock hours required for completion of the nursing program.
A sense of oneself, and in relationship with others, that's influenced by the characteristics, norms, and values of the nursing profession, resulting in an individual thinking, acting, and feeling like a nurse.1
1Godfrey N, Young E. Professional identity. In: Giddens JF, ed. Concepts for Nursing Practice. 3rd ed. New York, NY: Elsevier; 2020.
Program completion rate is the calculation of the percentage of students who enter a program of study and complete the program of study in the advertised program length (i.e., on-time). Calculation of the program complete rate begins with a student’s enrollment in the first nursing course and at the time when a student can no longer receive a 100% tuition refund for the first nursing course regardless of the source of funds used to pay the students’ tuition. The moment in time may be referred to as the census date or something similar. The calculation ends with students’ completion of all requirements for conferral of a certificate, diploma, or degree.
Measurable indicators that reflect the extent to which the purposes of the nursing program are achieved and by which nursing program effectiveness is documented. The ACEN specifies and requires the assessment of the following nursing program outcomes:
All nursing, general education, prerequisite, and/or core courses required for conferral of the certificate, diploma, or degree. Also includes the total number of credit/quarter/clock hours required to complete the defined certificate, diploma, or degree allocated over a specific number of academic terms (semester/trimester/quarter).
NOTE: For undergraduate nursing programs, if first aid certification, cardiopulmonary resuscitation (CPR) certification, being a certified nursing assistant (CNA), or being a medical assistant (MA) is/are required prerequisites for admission, these requirements/courses do not count toward the total number of credit/quarter/clock hours for the defined nursing program of study, whether these requirements/courses are credit or non-credit. All other credit courses that are required prerequisites and/or requirements for admission (e.g., general biology, medical terminology) do count toward the total number of credit/quarter/clock hours.
When first aid, CPR, and CNA certification are part of the defined nursing program of study or taken as elective courses that are part of the defined nursing program of study, these courses count toward the total number of credit/quarter/clock hours.
Documented current or recent direct engagement in a significant manner in nursing experiences for those whose roles and responsibilities include teaching, administering, and/or precepting students. The experience-based activities and experiences that enhance one’s knowledge, skills, and/or abilities to perform assigned roles and responsibilities.