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Aligning the AACN Essentials with civility and healthy work environments: A competency-based learning activity.

Cynthia M Clark¹

¹Boise State University School of Nursing, United States of America.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing

|June 11, 2026

Summary

Integrating civility and healthy work environments (HWEs) into nursing education using the AACN Essentials framework is crucial. Competency-based assessments ensure nurses are prepared for practice, promoting patient safety and positive work cultures.

Keywords:

Active learning Civility Competency-based education Nursing education Organizational culture Professional competence

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Area of Science:

Nursing Education
Professional Development
Healthcare Quality

Background:

Civility and healthy work environments (HWEs) are fundamental to professional nursing.
Unhealthy work environments and incivility negatively impact nurse well-being, patient safety, and organizational culture.

Purpose of the Study:

To demonstrate how the AACN Essentials (2021) can be used as a competency-based framework.
To integrate principles of civility and HWEs into prelicensure nursing education.

Main Methods:

Aligning each AACN Essentials domain, competency, and sub-competency with civility and HWEs.
Utilizing active-learning, competency-based activities for student reflection and application.
Implementing formative assessments aligned with AACN Essentials to evaluate student learning.

Main Results:

Students can identify uncivil behaviors and analyze their impact.
Students can propose evidence-based strategies to promote civility and HWEs.
The framework provides measurable performance expectations and assessment criteria.

Conclusions:

Aligning civility and HWE concepts with competency-based expectations is essential for evaluating learners.
This approach supports professional formation and readiness for nursing practice.
Competency-based education fosters a culture of civility and HWEs in nursing.