Table B. Making the Decision to Move to a CBC
Challenges/Barriers
Strategies to Overcome Challenges/Barriers
Fear of the unknown, lack of knowledge about conceptual learning
§ Provide external support for entire faculty through seminars, reading, and faculty discussions. § All faculty must be involved in this process, not just the committee assigned to the organization of the curriculum. § Focus on team building. § Hold faculty forums to explore the perceived outcomes of implementing a CBC using open and honest communication. § Provide adequate time for making the decision to change. § Moving to a CBC requires a change in focus from “teacher- centered” to “student-centered” teaching–learning. § Support for faculty as they move through this change is important. § Review current literature regarding NCLEX® pass rates for programs using a CBC. § Given the 2023 change to the NGN NCLEX, review the ways that this approach coincides with the requirement for active learning in a CBC.
Dread of change
Resistance to change beliefs regarding the role of faculty and what students need to know
Fear of first-time pass rate dropping
Table C: Developing the Concept-Based Curriculum
Challenges/Barriers
Strategies to Overcome Challenges/Barriers
Amount of time and administrative work to develop a CBC
§ Be realistic about the time required to develop and begin implementation of the CBC. (Programs report taking 1-2 years for the development process.) § Develop a timeline for steps in the process, but be flexible; life happens! § Suggest that faculty begin by converting a few lessons at a time and make peer review of the work expected and comfortable. § Develop an evidence-based process for determining which concepts and exemplars will be chosen, i.e., literature review, comparison with other programs, vote by faculty. § Provide templates. § Give faculty with special nursing expertise an opportunity to weigh in on decisions regarding their specialty.
Disagreement regarding what concepts to include in the curriculum, what the definitions should be, and what the exemplars (examples) of each concept should be
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