The Nursing Practice Remediation Consortium is a multi-site initiative implementing an evidence-based, standardized approach to professional registered nurse remediation using the ANCC educational design process.
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 pattern identification.
Only three expert reviews in the literature address professional nurse remediation in the practice setting.
The ANCC accreditation program provides an evidence-based educational design process for continuing education. This consortium adapts those nine key elements from the context of 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, or judgment deficits only — not reckless behavior or system failures. The ANA Just Culture framework guides every remediation decision.
Each element ensures the remediation plan is complete, measurable, and defensible. Educators document across three domains of learning — cognitive, psychomotor, and affective — producing consistent remediation records regardless of organization or educator.
The result: every participating site generates remediation documentation that meets the same standard, enabling the first multi-site analysis of professional nurse remediation practices.
What specific knowledge, skill, or judgment deficit prompted the remediation?
What data, event reports, or observations document the gap?
What measurable outcomes will demonstrate successful remediation?
How will each outcome be objectively measured and documented?
What teaching strategies will address the identified deficit across learning domains?
What are the specific start and end dates for each component?
What qualifications demonstrate the educator's competence in this area?
Have potential conflicts been identified, disclosed, and resolved?
What were the actual results? Were all outcomes achieved?
First publication identifying the remediation gap in nursing and the employer's legal and ethical obligation to provide structured remedial education.
Extended the remediation framework to emergency nursing practice, demonstrating applicability across specialty contexts.
Addressed remediation from the perspectives of nursing administration and regulation, broadening the audience to nursing leaders and state boards.
Quality improvement study demonstrating that applying the ANCC framework to remediation improved documentation completeness from 35% to 100% (p < .001) at a single site. This study identified the limitations this consortium is designed to address.
The Nursing Practice Remediation Consortium scales the validated framework to 10–25 healthcare organizations, employing actual remediation cases and collecting data on sustainability, satisfaction, and outcomes over time.
Standardized tools built on the nine ANCC key elements.
Everything needed to train your NPD educators in 90 minutes.
Pre-built instruments for tracking remediation processes and outcomes across your organization.
Join a professional community advancing remediation practice together.
Chief Nursing Officers, Directors of Professional Development, and equivalent leaders who want a defensible, structured process for nurse remediation.
Nursing professional development practitioners who design and deliver remediation plans — and need a clear, standardized process to follow.
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 and building the evidence needed to establish national best practices for the profession.
Core tools for standardized remediation documentation.
Everything needed to train NPD educators at your site.
Submit de-identified remediation data and satisfaction surveys using these Google Forms.
Reference materials and consortium administration documents.
Need Help?
Contact consortium leadership at adhardingrn@gmail.com