Article Gold Open Access 2025

Transitioning to competency-based education in nursing: a scoping review of curriculum review and revision strategies

BMC Nursing
Journal · Vol. 24 · Issue 1 · Art. 1111
Abstract

Aim: This scoping review synthesizes strategies for curriculum review and revision that support the implementation of CBE in nursing programs. Background: As the demands of modern healthcare systems evolve, nursing education must adapt to ensure that graduates possess the competencies required for effective, patient-centered care. Competency-based education (CBE) offers a robust framework to guide such transformation. Methods: Following the JBI methodology and PRISMA-ScR guidelines, a scoping review was conducted across five databases. Studies were screened based on inclusion criteria aligned with the Population–Concept–Context (PCC) framework. Peer-reviewed research and reviews were included, while commentaries, editorials, and gray literature were excluded. Data were extracted using a structured form and analyzed thematically using NVivo 15. Findings: A total of 37 peer-reviewed studies were included, spanning a range of international settings and methodological designs. Key strategies identified were thematically categorized into three domains: curriculum design, teaching methods, and assessment. Implementation challenges involved faculty resistance and resource limitations, addressed through stakeholder engagement, faculty development, and technology integration. The findings demonstrate CBE’s potential to transform nursing education when supported by systemic strategies. Conclusion: The findings underscores the importance of a systemic approach to CBE integration, involving curriculum redesign, innovative teaching methods, and robust assessment frameworks. The findings provide actionable insights for nursing educators and institutions to enhance workforce readiness and align education with contemporary healthcare demands. By addressing challenges and leveraging evidence-based strategies, nursing programs can successfully transition to CBE and better prepare graduates for the complexities of modern practice. © The Author(s) 2025.

Keywords

Author Keywords

curriculum design Teaching methods Assessment strategies Competency-based education Curriculum revision Nursing curriculum

Index Keywords

Teaching human Systematic Review Article curriculum clinical practice guideline health care system practice guideline Preferred Reporting Items for Systematic Reviews and Meta-Analyses scoping review nursing education therapy evidence based practice competency-based education drug therapy data base health care need person centered care stakeholder engagement workforce
Author Affiliations
Department of Nursing, Jazan University, Jizan, Jazan, Saudi Arabia
Funding & Acknowledgements
Jazan University
Grant: JU-20250277 -DGSSR- RP -2025
The authors gratefully acknowledges the funding of the Deanship of Graduate Studies and Scientific Research, Jazan University, Saudi Arabia, through Project number: (JU-20250277 -DGSSR- RP -2025).
Jazan University
The authors gratefully acknowledges the funding of the Deanship of Graduate Studies and Scientific Research, Jazan University, Saudi Arabia, through Project number: (JU-20250277 -DGSSR- RP -2025).
References 10 References
1 Mededpublish, (2020)
2 undefined, (2024)
3 Altmiller, Gerry M., Influence of Technology in Supporting Quality and Safety in Nursing Education, Nursing Clinics of North America, 57, 4, pp. 551-562, (2022)
4 Belita, Emily, Stakeholder Engagement in Nursing Curriculum Development and Renewal Initiatives: A Review of the Literature, Quality Advancement in Nursing Education, 6, 1, (2020)
5 Evaluating the Quality of Learning the Solo Taxonomy, (1982)
6 Burns, Helen K., Using research findings to design an evidence-based practice curriculum, Journal of Continuing Education in Nursing, 48, 4, pp. 184-189, (2017)
7 Bürgermeister, Anika, Supporting Peer Feedback on Learning Strategies: Effects on Self-Efficacy and Feedback Quality, Psychology Learning and Teaching, 20, 3, pp. 383-404, (2021)
8 ten Cate, Olle Th J., Competency-based postgraduate medical education: Past, present and future, GMS Journal for Medical Education, 34, 5, (2017)
9 Chen, Paoju, The effects of an augmented reality application developed for paediatric first aid training on the knowledge and skill levels of nursing students: An experimental controlled study, Nurse Education Today, 120, (2023)
10 Forbes, Maryann O., Curriculum reform in baccalaureate nursing education: Review of the literature, International Journal of Nursing Education Scholarship, 6, 1, (2009)
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