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Horizontal Integration of Concepts

An Innovative Teaching Strategy

Daniel, Manju, PhD, APN, FNP-BC; Joseph, Rachel A., PhD, CCRN

doi: 10.1097/NNE.0000000000000608
Nurse Educator: PDF Only

Background Horizontal integration of a prelicensure nursing curriculum is an innovative discipline-specific teaching-learning strategy for facilitating interactive learning and achievement of quality student learning outcomes.

Purpose The purpose of this article is to describe the impact of the horizontal integration of an nursing curriculum on students' attendance, collaboration for interactive learning, course grades, and satisfaction with the course learning outcomes.

Methods An intervention of horizontal integration of 2 courses, one on nursing research and evidence-based practice and the other on mental health nursing, in an undergraduate nursing curriculum was used.

Results Class attendance and student collaboration improved by 60% to 65%, and final examination scores improved by 14% to 16% for students in the intervention group.

Conclusion Horizontal integration of a nursing curriculum is a strategy that can improve class attendance, student collaboration, course grades, and student satisfaction with the course learning outcomes.

Author Affiliations: Associate Professor (Dr Daniel), School of Nursing and Health Studies, Northern Illinois University, DeKalb; and Assistant Professor (Dr Joseph), School of Nursing, West Chester University, Pennsylvania.

The authors declare no conflicts of interest.

Correspondence: Dr Daniel, School of Nursing and Health Studies, Northern Illinois University, 1240 Normal Rd, DeKalb, IL 60115 (

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Accepted for publication: September 1, 2018

Published ahead of print: October 9, 2018

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