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Updated: Oct 4, 2025

Using Learning Outcome Measures to assess Doctoral Nursing Education

Using Learning Outcome Measures to assess Doctoral Nursing Education

Published on: June 21, 2010

Educational Interventions to Improve Graduating Nursing Students' Practice Readiness: A Systematic Review.

Bobbi Shatto¹, Geralyn Meyer, Mary Krieger

¹Associate Professor (Dr Shatto), Professor (Dr Meyer), Reference Librarian (Ms Krieger), Students (Sr. Maria Josefa Kreienkamp, Ms Kendall, and Ms Breitbach), Saint Louis University, St Louis, Missouri.

|February 3, 2022

Summary

Assessing nursing graduates requires measuring competence across American Association of Colleges of Nursing (AACN) domains. This review found limited objective assessment evidence, highlighting a need for improved evaluation methods for practice readiness.

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Area of Science:

Nursing Education
Competency Assessment
Healthcare Professional Development

Background:

Graduates require broad competence for practice readiness.
The American Association of Colleges of Nursing (AACN) defined 10 essential domains of competence.
Evaluating objective learning assessments is crucial for nursing education.

Purpose of the Study:

To review evidence on objective assessments in senior baccalaureate nursing programs.
To determine alignment of assessments with the AACN's 10 domains of competence.
To identify gaps in the objective measurement of nursing graduate competencies.

Main Methods:

Systematic literature review of peer-reviewed articles (March 2020).
Included final-year baccalaureate nursing programs with objectively measured outcomes.
Excluded Master's and midwifery programs; analyzed 40 articles using MERSQI scoring.

Main Results:

Six of the 10 AACN domains were addressed in the reviewed literature.
Many studies utilized investigator-developed assessment tools lacking demonstrated validity or reliability.
Significant gaps exist in the objective measurement of nursing competencies.

Conclusions:

Educators must effectively teach and measure critical behaviors for practice readiness.
There is a need for validated, reliable objective assessment tools aligned with AACN domains.
Improving assessment strategies is vital for ensuring competent nursing graduates.