Reconsidering the need for technical standards: Embracing competency-based education in nursing

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Authors
Jackson, Brandy L.
Derr, Rachel
Davis, Elizabeth
DeMille, Dionne
Nthenge, Serah
Tilton, Kathleen
Betchkal, Rylee
Meeks, Lisa
Advisors
Issue Date
2025-11-03
Type
Article
Keywords
Technical standards , Nursing education , Competency-based education , Disability , Accommodations , American Association of Colleges of Nursing
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Citation
Jackson, B., Derr, R., Davis, E., DeMille, D., Nthenge, S., Tilton, K., Betchkal, R., & Meeks, L. (2025). Reconsidering the Need for Technical Standards: Embracing Competency-Based Education in Nursing. Creative Nursing, 31(4), 375-380. https://doi.org/10.1177/10784535251391874
Abstract

The use of technical standards has been common in nursing education for 40 years, originating to clarify nonacademic criteria for admission to and completion of nursing programs. However, these standards have a narrow focus, emphasizing physical and sensory abilities, that serves as a gatekeeper and hinders inclusivity. In recent years, competency-based education (CBE) has emerged as the predominant model for determining student competency in nursing education, prompting a reevaluation of technical standards. This commentary examines the continued use of technical standards in nursing education, questioning both their perceived value and necessity. The authors argue that CBE offers a more precise and less biased means of assessing readiness for practice. By replacing outdated, ableist, technical standards with outcomes-based frameworks nursing education is better positioned to cultivate a diverse workforce.

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Publisher
Sage Journals
Journal
Creative nursing
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PubMed ID
ISSN
19461895
EISSN