Table 2

HNSP theoretical, outcomes and sub-competency integration table

Program phase & keystone activitiesTheoretical frameworkLearning outcomeSub-code
Freshman Year: Retreat, “Caring for Yourself and Your Community” course, book discussion/reflectionALT (Internal Impact): Establishes the “Internal Moral Core” through self-awareness and discovering personal strengths1. Demonstrate enhanced self-awareness10.1a
10.2a
10.2c
10.3f
10.3g
Sophomore Year: Legislative Workshop, “Leadership, Ethics, and Reflection” course, book discussions/reflectionsThe ALT-SLT Bridge: Grounding external action in internalized values to ensure advocacy and service remains authentic and ethically guided2. Apply a framework for ethical decision-making10.2c
10.3a
10.3b
10.3g
10.3i
Junior Year: Leadership Simulation, Capstone ProjectSLT Transition: Shifting focus toward the priority of followers’ needs and identifying root causes of public health issues3. Execute evidence-based scholarship10.2a
10.2b
10.3c
10.3d
10.3f
Senior Year: Dominican Republic Immersion, Leadership Shadowing, Capstone Project and DisseminationSLT (External Impact): Demonstrating “Service and Justice in Action” through community immersion and systemic advocacy4. Embody a servant–leadership orientation10.2e
10.3h
Evaluation: Longitudinal SurveysThe Practice-Ready Graduate: Fusing ALT and SLT to produce ethically anchored nurse leaders ready for healthcare complexity5. Integrate professional socialization 
Source(s): Author’s own work

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