DQ 2 : Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry.
The second half invites you to disagree with a national consensus report about the APRN role. Most posts decline the invitation, and taking it is what makes the response worth reading.
Editorial process
Last reviewed · August 18, 2026
Effective or radical — the prompt offers you both
The word radical is doing work alongside effective, and the prompt offers you both, so say which you are choosing. The Future of Nursing 2020-2030 report is built around health equity and its education recommendations follow from that: embedding social determinants of health throughout curricula rather than as an elective, diversifying the nursing workforce, expanding experiential learning in community and public health settings rather than only in acute care, and preparing nurses to address structural racism. Choose one and argue it from practice rather than from agreement. The most defensible radical candidate is moving substantial clinical education out of hospitals, because it would change where nursing students spend their time, which faculty are needed, and what a graduate is competent at — and it collides with a clinical placement system built around acute care beds. Choosing something nobody could argue with produces a post nobody needs to read.
Ground the rationale in what you have actually seen, since the prompt asks for that: the gap between what a new graduate was taught about social determinants and what they can do about a patient who cannot afford a prescription; the difference between a cohort that reflects the community it serves and one that does not; whether your own preparation touched public health at all. Then take the second question seriously. Disagreeing with a national report is legitimate when you can say what it under-weights, and there are real candidates: the report's account of the APRN role may treat scope-of-practice expansion as an equity solution while the geographic distribution problem remains untouched, or it may assume a supply of preceptors and faculty that does not exist, or it may under-weight how much the role's evolution is being driven by payment models rather than by professional intent. Pick one, say what evidence would settle it, and the post becomes an argument.
Likely learning objectives
- Distinguish an effective recommendation from a radical one and choose deliberately.
- Ground a rationale in observed practice rather than in agreement.
- Identify what a national report under-weights.
- State what evidence would settle a disagreement.
Assignment instructions
Read the full question
Review every instruction before using the planning guidance that follows.
NUR 513 Topic 1 DQ 2 DQ 2 : Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry. Refer to the consensus report of the National Academies of Sciences, Engineering, and Medicine, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, provided in the topic Resources. Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry. Provide rationale based on your experience in practice. Do you agree or disagree with how the report describes the evolution of the advanced practice registered nurse role? Why or why not?
Turn the brief into deliverables
- 01A named recommendation from the report.
- 02A stated choice between effective and radical.
- 03A rationale from your own practice experience.
- 04A position on the report's account of the APRN role.
- 05The evidence that would settle the disagreement.
The recommendation, the rationale, then the APRN disagreement
Effective or radical?
Choose between the two framings the prompt offers.
What the assessor is likely looking for
A criterion distinguishing the two.
The recommendation
Name a specific education recommendation from the report.
What the assessor is likely looking for
A recommendation attributable to the report.
Why it would change things
Show what would have to change structurally to implement it.
What the assessor is likely looking for
A structural consequence — faculty, placements, competencies.
Rationale from practice
Ground the argument in something you have observed.
What the assessor is likely looking for
An observation rather than a citation.
Where you disagree
Identify what the report's APRN account under-weights.
What the assessor is likely looking for
A disagreement with evidence that could settle it.
Reading the consensus report itself
Recommended databases
- National Academies of Sciences, Engineering, and Medicine
- PubMed Central
- American Association of Nurse Practitioners
- Office of Disease Prevention and Health Promotion
Search sequence
- 1.Read the report's education chapter rather than a summary of the whole report.
- 2.Check the state practice environment data for the geographic distribution question.
- 3.Look for evidence on preceptor and faculty supply.
- 4.Decide the disagreement before writing the recommendation section.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Social Determinants of Health
Office of Disease Prevention and Health Promotion · 2024
Social determinants of health — the framework the report's education recommendations rest on.
State Practice Environment
American Association of Nurse Practitioners · 2024
State practice environments, for testing the scope-expansion argument geographically.
Nurse practitioners' perception of temporary full practice authority during a COVID-19 surge: A qualitative study
International Journal of Nursing Studies · 2022
Nurse practitioners under expanded practice authority — evidence on what scope change achieves.
Effect and outcome of equity, diversity and inclusion programs in healthcare institutions: a systematic review protocol
PMC / National Library of Medicine · 2024
Effects of equity, diversity and inclusion programmes in healthcare institutions.
Closing the health equity gap: evidence-based strategies for primary health care organizations
International Journal for Equity in Health (via PMC) · 2012
Strategies for closing the health equity gap, for the community-placement argument.
Review before submission
Common mistakes
- Summarising the report rather than choosing from it.
- Agreeing with the APRN section because it is a national report.
- Offering rationale from the literature when the prompt asks for practice.
- Choosing a recommendation nobody could disagree with.
Submission checklist
- Is your recommendation named specifically?
- Have you said whether you chose it as effective or radical?
- Is the rationale from your own practice?
- Have you taken a position on the APRN account?
- Have you said what evidence would settle it?
Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.
Written by
Maren Caldwell
MSN, RN, CNE
Medical-surgical nursing, pharmacology and NCLEX preparation
Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.
Reviewed by
Dr. Tessa Redmond
DNP, RN, CNE
Evidence-based practice and clinical education
Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.