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READY+ Framework for a holistic approach to practice readiness for novice nurses
Suha Ballout1, Nada Wakim2, Jennifer Curran3
1Manning College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA.
Background:
New graduate nurses in the US face persistent challenges in transitioning to clinical practice, including deficits in emotional resilience, leadership, and culturally responsive care, despite improvements in clinical education.
Purpose:
This paper introduces the READY+ Framework, a comprehensive model designed to promote holistic practice readiness for novice nurses by integrating clinical, emotional, ethical, and equity-based competencies.
Methods:
READY+ was developed through an integrative literature review and is grounded in established theoretical foundations such as professional identity formation, critical race theory, and systems leadership. It aligns with the AACN Essentials (2021), ANA Standards (2021), and the Future of Nursing 2020-2030 report.
Discussion:
The READY+ Framework consists of six domains-Resilience, Empathy, Adaptability, Diversity and Inclusion, Yielding (Reflective Practice), and Systems Leadership-addressing identified gaps in nursing education and workforce development.
Conclusion:
The framework offers a scalable strategy to support equity-driven, practice-ready nurses. Pilot testing will inform its refinement and real-world implementation.
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