Barriers and Facilitators to Implementing Holistic Admission Review in Graduate Advanced Nursing Programs

Area of Science:

• Healthcare education
• Nursing admissions
• Implementation science

Background:

• Holistic admission review (HAR) is highly recommended for healthcare education programs.
• No prior studies have identified barriers and facilitators for HAR implementation in these programs.

Purpose of the Study:

• To understand key determinants influencing the integration of HAR in graduate advanced nursing programs.
• To identify barriers and facilitators for HAR implementation.

Main Methods:

• Qualitative descriptive study design.
• Two online focus groups were conducted.
• Content analysis was used to identify barriers and facilitators.

Main Results:

• 39 key determinants of HAR implementation were identified.
• Determinants included 4 neutral factors, 18 barriers, and 17 facilitators.
• Findings aligned with the Consolidated Framework for Implementation Research (CFIR).

Conclusions:

• Understanding facilitators and barriers is crucial for effective HAR integration.
• Graduate nursing programs can use these findings to guide admissions process evolution.
• Implementation strategies can be developed based on identified determinants.