The Nursing Practice Remediation Consortium is a multi-site initiative implementing an evidence-based, standardized approach to professional registered nurse remediation using the 2025 ANCC NCPD Educational Design Process.
When a registered nurse demonstrates a practice gap, the education provided to correct it is called remediation. Despite its importance, no national standard exists for its design, documentation, or evaluation.
The term "remediation" does not appear in foundational nursing documents from the ANA, ANCC, or specialty nursing organizations.
Approaches vary widely across organizations, making it impossible to evaluate effectiveness at scale or benchmark against peers.
Incomplete remediation documentation exposes organizations to regulatory and legal risk and limits identification of systemic practice patterns.
Only four peer-reviewed publications address professional nurse remediation in the practice setting — all by the consortium founder.
Baseline documentation completeness across the ANCC EDP criteria — before standardization. After implementing the ANCC framework, completeness improved to 100% (p < .001).
Harding, Sipe, Whalen, & Almeida (2018). Journal for Nurses in Professional Development, 34(6), E1–E7.
The ANCC NCPD accreditation program provides an evidence-based educational design process for continuing professional development. This consortium adapts the seven EDP criteria from continuing education and applies them to professional registered nurse remedial education — creating a standardized, structured approach to every remediation event.
Remediation is nonpunitive, targeting knowledge, skill, practice, or affective deficits only — not reckless behavior or system failures. The ANA Just Culture framework guides every remediation decision, ensuring the process is corrective rather than punitive.
The 2025 ANCC EDP identifies three categories of underlying educational need: Knowledge, Skill, and Practice. The consortium deliberately extends this to a four-domain model by adding Affective — grounded in Walker-Cillo & Harding (2013) and clinical reality. This extension is explicitly documented and not ANCC doctrine.
What specific knowledge, skill, practice, or affective deficit prompted the remediation? What data, event reports, or observations document the gap?
Classify the gap as Knowledge (what the learner does not know), Skill (what the learner cannot do), Practice (what the learner cannot implement), or Affective (consortium extension).
Cite published competency standards that define expected performance — ANA Scope & Standards, specialty organization competencies, or NPD Scope & Standards. Educators must cite an established source; self-created competencies do not meet this criterion.
What measurable outcomes will demonstrate successful remediation? Outcomes must be aligned backward to the identified gap, educational need, and established competency.
How will each outcome be objectively measured and documented? Assessment must measure change in the specific knowledge, skill, practice, or affective domain identified in EDP 2.
What teaching strategies will engage the learner? The 2025 ANCC EDP explicitly excludes Q&A, post-tests, PowerPoint viewing, and videos from "active learning." Acceptable strategies include simulation, tabletop exercises, think-pair-share, jigsaw discussions, and guided reflection.
What were the actual results? Were all outcomes achieved? Summative evaluation must inform future activities and identify aggregate and unit-level patterns — not merely summarize the individual case.
Identify, mitigate, and disclose any relevant financial relationships with ineligible companies. The 2025 ANCC framework expands COI expectations to include mitigation, not just disclosure. Nurse Planner competency attestation is documented here.
The seven EDP criteria follow a backward-design sequence: Practice Gap → Educational Need → Established Competency → Measurable Outcome → Assessment Method → Active Learning Strategy → Summative Evaluation. Each criterion builds on the prior one. Documentation that cannot trace this chain does not meet the standard.
This consortium extends a progressive body of published scholarship developed over more than twelve years — from foundational conceptual work to empirical validation — all authored by the consortium founder.
All participating organizations receive the following resources at no cost.
The consortium serves two interconnected audiences within acute care hospitals and health systems in the United States.
Dr. Harding is the author of all four peer-reviewed publications forming the evidence base for standardized professional nurse remediation. His research has progressed from foundational conceptual work (2012) through specialty application (2013) and regulatory analysis (2016) to empirical validation (2018), establishing the only published evidence-based framework for professional nurse remediation in the practice setting.
The Nursing Practice Remediation Consortium extends this body of work to multiple healthcare organizations, addressing the specific limitations identified in the 2018 study, updating the framework to the 2025 ANCC NCPD Educational Design Process, and building the evidence needed to establish national best practices for the profession.
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Welcome. All resources below are for consortium member use only.
These de-identified examples demonstrate a completed remediation plan using the 7 EDP criteria framework. Use as a reference when completing your own plans.
Example