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Process of curriculum change – guidelines, moral issues, limitations

Guidelines for Curriculum Change

The factors and the process of change have already been considered that influence the curriculum revision, some guidelines are offered for implementing the change:

  • Try to work with those supportive forces within the organization, rather than against those who are resistance to change.
  • Aim to produce a self-motivated team of workers who get motivation from within themselves.
  • Work with the ‘healthy’ part of the system, i.e. those who have the motivation and resource to be able to improve, rather than on lost.
  • Ensure that the people are working with for change and have the freedom and authority to implement the proposed changes.
  • Try to obtain involvement of key personnel in the change program, but make this realistic and appropriate.
  • Protect team members from undue stress and pressure.

Curriculum Changes and Moral issues in nursing education

Through history nursing education has strongly advocated the importance of educating students towards moral and ethical responsibility. In today’s society however, it has become increasingly difficult to honour this concern. One peephole to capture the ongoing struggle is to look into the curriculum where different stakeholders voice different opinions. Following a social constructive perspective the curriculum texts represent specific interest among stakeholders related to nursing education in a certain historical periods. By analyzing the two last versions of the curriculum we get an insight into moral and ethical issues at stake and different ways of addressing these questions. While moral and ethical issues in the curriculum of 1987 follow a disciplinary discourse emphasizing the importance of learning ethical concepts and modes of arguments, the curriculum of 2000 places ethical and moral issues within an employability discourse. In this curriculum moral issues are seen as an obligation linked to students practical and technical skills. The 2000 curriculum represents a shift from emphasizing the independent and reflective professional to underline the skillful and morally obliged practitioner.

Limitations of curriculum change

There are many constraints on revision of the nursing curriculum. Some of these are:

  • Limitations of resources such as time, finance and energy.
  • Nurse teachers have overstretched work and other commitments for creative curriculum planning.
  • Lack of motivate to change the curriculum.
  • The health of the organization to use medical metaphor and this reflects very much the style of the head of the nursing institute.


Changes in the nursing educational curriculum will provide a new position or direction to our profession in the modern world. It is unlikely that the rate of change will ever slow down to give the stable periods that were common in the past, so the implication is that we have got to get used to living with rapid change and adjust accordingly.