Author:
Carrie Gits, Anthony Palmiotto
Subject:
Health Sciences, Medicine, Nursing
Material Type:
Reading
Level:
Workforce Education (Technical), Academic Lower Division, Academic Upper Division
Tags:
  • Nursing
  • ONE Project
  • Overview
  • License:
    Creative Commons Attribution No Derivatives
    Language:
    English
    Media Formats:
    Text/HTML

    Open Educational Resources Nursing Essentials (O.N.E.) Project - Overview

    Open Educational Resources Nursing Essentials (O.N.E.) Project - Overview

    Overview

    This resource provides an overview and timeline summary of the Open Educational Resources for Nursing (O.N.E) Project, a collaboration between the Texas Higher Education Coordinating Board and OpenStax at Rice University. 

     

    Project Overview

    Background

    The ONE Project aims to design and develop OER for nursing, based on the AACN Essentials curriculum, in collaboration with stakeholders at Texas institutions. The American Association of Colleges of Nursing (AACN) recently led the re-structuring and re-design of domains, competencies, and sub-competencies for various levels of nursing practice resulting in a new AACN Essentials curriculum. This new competency-based curriculum will impact how nursing courses are taught in Texas and nationwide.

    A new curriculum structure requires the development of new instructional materials. Above and beyond the rearrangement of scope and sequence, the Essentials competency-based approach envisions "frequent assessment using diverse methodologies and formats." Instructional materials for nursing courses, including textbooks and ancillaries, are typically very costly for students. Development of open educational resources (OER) mapped to the AACN Essentials curriculum would decrease costs for students in a high-need field and allow instructors access to adaptable materials designed to directly address emerging methods of instruction and evaluation, as well as provide for course content.

    Project Summary

    Texas Higher Education Coordinating Board's (THECB) Division of Digital Learning contracted with OpenStax at Rice University to design and develop OER for nursing, based on the AACN Essentials curriculum, in collaboration with stakeholders at Texas institutions.

    The O.N.E. Project consists of three distinct project phases. The first two phases of the project, the Discovery Phase, and the Planning Phase, were made possible through federal GEER I funds. During the initial Discovery Phase, OpenStax initiated collaboration with stakeholders at Texas institutions to begin research and discovery on the needs of nursing instructors within the new AACN Essentials curriculum. The second Planning Phase involved developing plans for OER to address emerging needs in nursing instruction, in continued collaboration with stakeholders at Texas institutions. The Implementation Phase began in November 2022 and is made possible by GEER II funding. Implementation will involve the development of OER textbooks and complementary ancillaries. Peer review will be utilized to ensure the quality and relevancy of the content.

    Project Phase Timeline 

    • Discovery: Completed in May 2022
    • Planning: Completed in September 2022
    • Implementation: Currently underway - spring 2024

    The Division of Digital Learning's (DDL) mission is to provide leadership and advocacy for digital learning in higher education and promote, sustain, and advance a quality digital learner, positioning Texas as a world leader and resulting in globally competitive digitally proficient citizens. Through collaboration and partnership with stakeholders across the state, the DDL manages and leads a robust portfolio of programs supporting OER and open education including OER grants, professional development academies, the OERTX repository, and research efforts on OER. 

    OpenStax is a non-profit charitable corporation with a proven track record of developing successful partnerships with public and private sector stakeholders to develop OER course materials.

    Stay informed about the project and OER publication updates:

    Additional questions about the project contact:

    • Carrie Gits, Director, Digital Learning, THECB – carrie.gits@highered.texas.gov
    • Anthony Palmiotto, Editorial Director, OpenStax – avp1@rice.edu

     

    Discovery Phase

    The Discovery Phase concluded in May 2022. During this initial phase, OpenStax initiated collaboration with stakeholders at Texas institutions to begin research and discovery on the needs of nursing instructors within the new AACN Essentials curriculum.

    THECB and OpenStax outreach to nursing program leaders resulted in extensive interest and involvement, representing each of the Texas systems. Individuals involved serve as nursing school deans, directors, or department chairs. In addition, they offered detailed perspectives on emerging requirements in nursing education, student preparation, teaching during and after COVID, the Next Generation NCLEX, and the Essentials curriculum.

    Key Findings from the Discovery Phase:

    • Nursing students face challenges and barriers to success, including navigating complex degree programs, managing priorities, and affording the robust sets of course materials and technical resources required by programs.
    • Nursing departments are undergoing a significant reduction in experienced faculty due to retirements and industry competition. As a result, department administrators are undertaking mitigation strategies; strong networks and multi-institutional collaborations are necessary for overall success.
    • The AACN Essentials curriculum represents a challenging but generally manageable enhancement to nursing programs. The Essentials is a complex set of specified competencies, but many are already covered or tangentially covered in nursing programs.
    • The Next Generation NCLEX will go into effect in 2023, representing a more pressing priority for most nursing programs. The test has new instructional goals and deeply emphasizes clinical judgment and decision-making. The new test also features new interactive question displays. However, most faculty emphasize that strong course materials should first teach new foundational ways of thinking and interpreting information.
    • Administrators and faculty welcome a series of collaboratively written, consistent, open textbooks. Expected benefits include Essentials-first and NGN-first support for students, embedded teaching pathways for less experienced instructors, resources that match current teaching practices, and much-needed financial relief for students. But, beyond those outcomes, many faculty and administrative advisors emphasized that creating them will have profound benefits for nursing education in Texas in supporting deeper connections between programs and creating more collaboration opportunities that are required to ensure greater faculty and student success.
    • Existing OER is increasing in quality and availability. There are specific opportunities for reuse, complementary use, and collaboration with other programs, e.g., OpenRN in Wisconsin. However, no comprehensive, current, or competency and NCLEX-aligned OER are available for direct overlap with the courses in the program.

    Planning Phase

    The Planning Phase concluded in September 2022. This phase involved developing plans for OER to address emerging needs in nursing instruction in continued collaboration with stakeholders at Texas institutions.

    Building on the needs identified during the Discovery Phase, the planning phase resulted in a report describing the recommended scope, schedule, and approach to deliver effective materials, resources, and experiences to address the Essentials competencies.

    Key Deliverables Included:

    • Continued collaboration with Texas nursing education institutions to help inform the planning for OER development; including collaborating with other stakeholders, advisors, and partners to drive learning and deeper involvement from diverse institutions, professional organizations, licensing boards, and other relevant stakeholders.
    • Identification and thorough analysis of existing OER and other materials for inclusion or adaptation in the final materials
    • Creation of a comprehensive project plan for the creation of at least eight OER nursing textbooks, supporting ancillaries, including relevant artwork to accompany all textbooks.
    • Identification of subject matter expert authors and peer reviewers.
    • Development of detailed Tables of Contents for all proposed textbooks that address competencies, learning outcomes, and course areas identified as necessary to the AACN Essentials curriculum during the research and discovery phase necessary.

     

     

    Implementation Phase

    The Implementation Phase began in November 2022. Implementation will involve the development of at least eight OER textbooks and complementary ancillaries. In addition, a peer review process will be utilized to ensure the quality and relevancy of the content. Publication of the ONE Project materials is scheduled for Spring 2024 when promotion to encourage adoption will commence.

    Resources currently under development include:

    • Community-Population Health for Nurses
    • Fundamentals of Nursing
    • Maternal-Newborn Nursing
    • Medical-Surgical Nursing
    • Nursing Skills
    • Nutrition
    • Pharmacology
    • Psychiatric-Mental Health Nursing

    The textbooks will be comprehensive, aligned with the outcomes and sequences of their respective courses, and will include features and review components designed to enrich and support learning. The materials will also be publised under an open license, which enables faculty to use them flexibly and adjust them to suit institution-specific needs. Open educational resources can be reorganized, modularized, and integrated into learning management systems and other instructional tools. For schools of nursing, which may serve students in a variety of programs, OER can be particularly powerful.  

    The presentation below from the 2023 Open Education Conference provides insight and updates on the ONE Project:

    Collaboration is Key: Building the OER Nursing Essentials (ONE) Project