Evidence Based National Framework for Undergraduate Nursing Education in Sri Lanka

Dr Rasika S. Jayasekara .


In Sri Lanka, nursing education is moving from diploma
nursing certificate to a university bachelor degree. In this
transitional stage, the development of an evidence based national
level framework for undergraduate nursing education is a
crucially important step to improve nursing education and
nursing service in Sri Lanka. The overall purpose of this PhD
research study was to develop an evidence-based national
framework for undergraduate nursing education in Sri Lanka.
My PhD research study has involved conducting critical
reviews of literature, two systematic reviews, developing a draft
conceptual framework, testing its appropriateness and feasibility
with key stakeholders via focus group discussions in Sri Lanka,
and formulating the final national framework for nursing
education in Sri Lanka.
The systematic reviews revealed that the evidence regarding
the effectiveness and appropriateness of undergraduate nursing
curricula is notably weak and direct transfer of the curriculum
model from one country to another is not appropriate without
first assessing the cultural context of both countries. The
conceptual framework, which was developed using the finding of
systematic reviews and literature reviews, consists of widely
recognized nursing concepts in international and local contexts.
However, some concepts cannot be directly applicable because of
cultural and economic impediments.
This study identified several factors that shape the approach
to nursing education in Sri Lanka. These factors include:
Western influence; Sri Lanka’s cultural influence; the current
healthcare system and demand for healthcare; nursing systems
and regulation; medical dominance; financial support; and Sri
Lanka’s education system. All of these factors influence the
conceptualization of nursing and educational strategies needed to
effectively and appropriately prepare nurses in Sri Lanka. This
study proposes seven recommendations to support the
implementation of the study findings into practice in Sri Lanka.


Nursing, Education, Conceptual framework, Curriculum development, Systematic reviews, focus groups, Evidence based practice, Sri Lanka

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