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An Integrative Approach to Grading in Competency-Based Curriculum
Amanda Safford1, Rachel Lowery, Ashley McMath
1Author Affiliations: School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama.
Nurse Educator
|November 20, 2025
Summary
A new grading system translates nursing competency levels into traditional grades, supporting competency-based education (CBE) and the 2021 Essentials framework. This ensures accurate grade point averages while allowing faculty flexibility in assessments.
Area of Science:
- Nursing Education
- Competency-Based Education (CBE)
- Assessment and Evaluation
Background:
- The American Association of Colleges of Nursing's 2021 Essentials framework mandates changes in nursing education assessment.
- Traditional assessment methods require adaptation to align with competency-based education (CBE).
Purpose of the Study:
- To develop a process for converting demonstrated nursing competencies into alpha-numeric grades.
- To maintain the integrity of student grade point averages within a CBE framework.
Main Methods:
- A faculty task force developed an adaptable grading scheme and competency scale.
- The scheme was designed for applicability across multiple undergraduate/prelicensure nursing programs.
- The Ottawa Surgical Competency Operating Room Evaluation scale was adapted for nursing competencies.
Main Results:
- An adaptable grading structure was created by aligning nursing competency levels with alpha-numeric grades.
- This structure operationalizes CBE within institutional constraints.
- Faculty retain academic freedom to design relevant formative and summative assignments.
Conclusions:
- Competency-based education frameworks facilitate progressive, developmentally leveled competency assessment.
- Integrating educational pedagogies enhances consistency in competency evaluation.
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