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Systems Thinking Education in RN-BSN Programs: A Regional Study.

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  • 1Author Affiliations: Associate Professor (Dr Stalter), Wright State University, Dayton, Ohio; RN-to-BSN Lead Faculty Clinical Instructor of Practice (Ms Jauch), The Ohio State University, Columbus.

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Systems thinking (ST) is integrated into most RN-BSN programs in the Midwest. Further integration requires developing evaluation tools and aligning program outcomes with systems-level decision-making for enhanced medical error prevention.

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Area of Science:

  • Nursing Education
  • Healthcare Systems
  • Medical Error Reduction

Background:

  • Nurses play a crucial role in minimizing medical errors.
  • Formal education in systems thinking (ST) can significantly aid in preventing medical errors.
  • The integration of ST within Registered Nurse to Bachelor of Science in Nursing (RN-BSN) programs remains understudied.

Purpose of the Study:

  • To investigate the extent of systems thinking integration in accredited RN-BSN programs in the Midwest.
  • To identify challenges and gaps in the current implementation of ST in nursing curricula.

Main Methods:

  • A descriptive, cross-sectional survey design was employed.
  • Surveys were administered to deans of accredited RN-BSN programs in the Midwest region.
  • Data collection focused on the current state of ST integration within these programs.

Main Results:

  • Systems thinking is incorporated into the curricula of most surveyed RN-BSN programs.
  • Key gaps identified include a lack of evaluation tools for ST mastery and quality/safety competencies.
  • Program outcomes often emphasize autonomous decision-making rather than systems-level synthesis.

Conclusions:

  • While ST is present in many RN-BSN programs, its integration is not yet comprehensive.
  • Recommendations include embedding systems theory into program outcomes.
  • Developing robust evaluation tools to validate ST mastery is essential for effective implementation.