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Holistic Admissions Review Integration in Nursing Programs.

Michelle DeCoux Hampton, Denise Dawkins, Sheri Rickman Patrick

The Journal of Nursing Education

|July 20, 2022

Summary

This summary is machine-generated.

Holistic admissions review (HAR) is recommended to increase diversity in nursing programs, but only 43% of programs use it. Wider adoption requires standardizing HAR processes and reviewer training.

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Area of Science:

Health professions education
Nursing education
Admissions policy

Background:

Health inequities persist in healthcare.
Recommendations from major health organizations advocate for holistic admissions review (HAR) to enhance diversity among health professionals.
Holistic admissions review (HAR) is a strategy to increase diversity in nursing programs.

Purpose of the Study:

To assess the extent of holistic admissions review (HAR) adoption in nursing programs.
To identify barriers and facilitators for implementing HAR in nursing education.

Main Methods:

Cross-sectional study of 1,547 nursing programs' admissions criteria.
Categorization of criteria using the experiences, attributes, and academic metrics (EAM) model.
Dichotomization of programs into those using HAR versus those not.

Main Results:

Only 43% of nursing programs utilize holistic admissions criteria.
Regional variation in HAR adoption, with the South at 35% and the West at 54%.
Fewer than seven states have integrated HAR in over 67% of their programs.

Conclusions:

Widespread integration of HAR in nursing programs is lacking.
Reliance solely on academic metrics disadvantages qualified underrepresented students.
Standardizing HAR operationalization, evidence-based rubric development (EAM model), and reviewer training are crucial for effective implementation.