Traditional nursing admission processes may pose barriers to enhancing the diversity of the nursing workforce. Holistic admission moves beyond academic metrics to include applicants' experiences, attributes, and abilities.
Demographic and academic information was examined for students admitted to a Bachelor of Science in Nursing program before and after holistic admission implementation, and a survey was completed by students admitted in 2014 through holistic admission.
The admission of Hispanic students significantly increased, whereas admissions of non-Hispanic White students significantly decreased. Academic metrics did not change significantly. Students rated the holistic admission process positively, with the interview rated as more valuable than the written application. Some students believed it could have a negative effect on students who were not racial or ethnic minorities.
Holistic admission may increase the diversity of a nursing class; however, it should be combined with other strategies to build a diverse pipeline. [J Nurs Educ. 2018;57(7):416–421.]
- American Association of Colleges of Nursing. (2017). 10 years of race/ ethnicity data. Retrieved from http://www.aacnnursing.org/Portals/42/News/Surveys-Data/EthnicityTbl.pdf Google Scholar
- Association of American Medical Colleges. (2014a). About holistic admissions. Retrieved from https://www.aamc.org/initiatives/holisticreview/ Google Scholar
- Association of American Medical Colleges. (2014b). Analyzing physician workforce racial and ethnic composition associations: Geographic distribution. Analysis in Brief, 14(9). Google Scholar
- Budden J., Zhong E., Moulton P., Cimiotti J. (2013). Front matter. Journal of Nursing Regulation, 4(2), S1.
10.1016/S2155-8256(15)30138-1Crossref, Google Scholar
- Cooper L.A., Roter D.L., Johnson R.L., Ford D.E., Steinwachs D.M., Powe N.R. (2003). Patient-centered communication, ratings of care, and concordance of patient and physician race. Annals of Internal Medicine, 139, 907–915.
10.7326/0003-4819-139-11-200312020-00009Crossref, Google Scholar
- DeWitty V. (2018). Holistic review in admissions: A strategy to diversify the nursing workforce. Journal of Nursing Education, 57, 195–196.
10.3928/01484834-20180322-01Link, Google Scholar
- Felix H., Laird J., Ennulat C., Donkers K., Garrubba C., Hawkins S., Hertweck M. (2012). Holistic admissions process: An initiative to support diversity in medical education. The Journal of Physician Assistant Education, 23, 21–27.
10.1097/01367895-201223030-00004Crossref, Google Scholar
- Glazer G., Clark A., Bankston K., Danek J., Fair M., Michaels J. (2016). Holistic admissions in nursing: We can do this. Journal of Professional Nursing, 32, 306–313.
10.1016/j.profnurs.2016.01.001Crossref, Google Scholar
- Grumbach K., Mendoza R. (2008). Disparities in human resources: Addressing the lack of diversity in the health professions. Health Affairs (Project Hope), 27, 413–422.
10.1377/hlthaff.27.2.413Crossref, Google Scholar
- Health Resources & Services Administration. (2016). Nursing workforce diversity program. Retrieved from https://bhw.hrsa.gov/fundingopportunities/default.aspx?id=71a65b17-a6c8-45cf-a944-99b0d256fcef Google Scholar
- Institute of Medicine. (2004). In the nation's compelling interest: Ensuring diversity in the health care workforce. Washington, DC: National Academies Press. Google Scholar
- National Council of State Boards of Nursing. (2017). NCLEX pass rates. Retrieved from https://www.ncsbn.org/10645.htm Google Scholar
- Relf M.V. (2016). Advancing diversity in academic nursing. Journal of Professional Nursing, 32, S42–S47.
10.1016/j.profnurs.2016.02.010Crossref, Google Scholar
- Scott L.D., Zerwic J. (2015). Holistic review in admissions: A strategy to diversify the nursing workforce. Nursing Outlook, 63, 488–495.
10.1016/j.outlook.2015.01.001Crossref, Google Scholar
- Sullivan Commission. (2014). Missing persons: Minorities in the health professions. A report of the Sullivan Commission on Diversity in the Healthcare Workforce. Retrieved from http://www.aacn.nche.edu/media-relations/SullivanReport.pdf Google Scholar
- Traylor A.H., Schmittdiel J.A., Uratsu C.S., Mangione C.M., Subramanian U. (2010). Adherence to cardiovascular disease medications: Does patient-provider race/ethnicity and language concordance matter?Journal of General Internal Medicine, 25, 1172–1177.
10.1007/s11606-010-1424-8Crossref, Google Scholar
- United States Census Bureau. (2015). Quick facts: United States. Retrieved from https://www.census.gov/quickfacts/table/PST045215/00 Google Scholar
- University of Illinois at Chicago. (2012). A mosaic for UIC transformation. Retrieved from https://diversity.uic.edu/diversity-strategic-plan/ Google Scholar
- Urban Universities for Health. (2014). Holistic admissions in the health professions. Retrieved from http://urbanuniversitiesforhealth.org/media/documents/holisticadmissionsinthehealthprofessions.pdf Google Scholar
- Witzburg R.A., Sondheimer H.M. (2013). Holistic review: Shaping the medical profession one applicant at a time. New England Journal of Medicine, 368, 1565–1567.
10.1056/NEJMp1300411Crossref, Google Scholar