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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...

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Updated: Jan 10, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education

Using Learning Outcome Measures to assess Doctoral Nursing Education

Published on: June 21, 2010

Nursing education for complex adaptive systems: Redesigning education and practice.

Kathleen Hall¹, Mary Jo Stanley¹

¹Colorado Mesa University, Grand Junction, CO.

Nursing Outlook

|November 20, 2025

Summary

The Nursing Education for Complex Adaptive Systems (NEXAS) model integrates complex adaptive systems into nursing education. This framework helps prepare nursing students for modern healthcare complexities.

Keywords:

Complex adaptive systems Nursing education Nursing models

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Published on: September 27, 2020

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Last Updated: Jan 10, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education

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Published on: June 21, 2010

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

Published on: September 27, 2020

Area of Science:

Nursing Education
Complex Adaptive Systems Theory

Background:

Current nursing education models lack a focus on complex adaptive systems (CAS).
Understanding CAS is crucial for preparing nursing students for modern practice complexities.

Purpose of the Study:

To describe the Nursing Education for Complex Adaptive Systems (NEXAS) model.
To address the gap in applying CAS principles to nursing education.

Main Methods:

The NEXAS model was developed through inductive research.
A scoping review of the Nursing Education Model guided the research.

Main Results:

The review identified the need to incorporate complex adaptive systems as a core concept.
Complex adaptive systems, including entropy and butterfly effects, influence learners, instructors, and outcomes.

Conclusions:

The NEXAS framework incorporates complex adaptive systems thinking.
This model equips nurse educators to prepare students for diverse practice settings.