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The State of Nursing Education is the authoritative ATI series examining key issues affecting today’s academic nursing programs, deans and faculty.

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Academic Integrity in Nursing Education: The Foundations of Authentic Learning

by  Ryan Garrett     Oct 1, 2026
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5 Steps to Building a Culture of Academic Integrity

 


This article is adapted from the State of Nursing Education, the authoritative ATI series examining key issues affecting today’s academic nursing programs, deans and faculty. State of Nursing Education content reflects extensive research, evidence and interviews, with perspectives from nursing industry leaders. To read more from the series, click here.

Every enduring culture has something in common: They didn’t emerge by accident. Instead, they were intentionally built around a shared vision and a common sense of purpose.

The same is true for cultures of academic integrity. If nursing programs want honesty and transparency to be lasting fixtures of their learning environments, they can’t just wait for it to happen. They must be intentional. They must be proactive and persistent, incorporating more clarity and more accountability into every corner of the program.

Such comprehensive change and culture-building is not accomplished by a single policy. It is created through countless interactions and reinforced through consistent expectations for students and faculty. As Bonnie Ross, EdD, RN, CNE, a Nurse Educator and Product Content Strategist at ATI, notes, “This means providing a positive approach to academic integrity using active teaching and learning techniques.”

Over time, these repeated reinforcements shape every aspect of the program—they become a “culture” of academic integrity. The strongest institutions recognize this and design their programs accordingly. With a shared vision and a common purpose, such intentional design is a practical framework for building an environment that naturally promotes authentic learning.

Why Nursing Needs Authentic Learning

Nursing isn't a profession built on memorization alone. Students must learn how to apply knowledge, make decisions, communicate effectively, and respond to rapidly changing situations. Authentic learning is what transforms information into competency. It requires students to genuinely engage with the material, learn from mistakes, and demonstrate their abilities through verifiable effort and practice.

That distinction matters because future nurses are expected to perform vital services, not simply recall information. Assessments need to reflect real understanding, skills need to be genuinely developed, and patients need to receive care from confident and competent professionals. In this way, authentic learning protects student readiness, and student readiness protects patient outcomes and the future of healthcare.

How do programs actually build a culture of authentic learning? It starts with five basic steps.

1. Establish Clear Expectations

Students can't meet expectations they don't understand. Academic integrity policies should clearly define acceptable behavior, clarify expectations for AI use, and remove as much ambiguity as possible.

Just as importantly, these expectations should be communicated consistently across courses, instructors, and clinical experiences. When students receive conflicting messages, confusion fills the gaps. Conversely, crystal-clear standards create a shared understanding of what integrity looks like in practice.

THE GIST: Students should never have to guess about academic boundaries.

2. Reinforce Integrity Through Everyday Learning

Integrity shouldn't be reserved for orientations, training sessions, or disciplinary conversations. Programs need to regularly connect integrity to long-term professionalism, clinical judgment, patient care, and real-world success.

When students encounter these ideas throughout their education, integrity becomes less of an academic rule and more of an understood expectation. Those repeated conversations help turn academic policies into long-term habits. Over time, those habits become part of the student’s professional identity.

THE GIST: Integrity should be reinforced throughout the curriculum.

3. Consider Integrity When Designing Lessons

Students are more likely to engage honestly when content feels meaningful and relevant. Assessments that emphasize application, reasoning, and clinical decision-making create more authentic and immediately engaging demonstrations of competency.

Part of assessment design is considering security and misconduct, but its greater value is encouraging students to interact with the learning process itself. After all, studies show engaged students are much less likely to cheat the system.1 When students see clear value in the learning process, they invest in it honestly.

THE GIST: Don't just make cheating harder. Make authentic learning more valuable and interesting.

4. Offer Support as Early as Possible

Most instances of misconduct begin long before a violation occurs. Academic pressure, competing responsibilities, stress, and lack of confidence can all influence student decision-making.

Programs that provide support early on are often better equipped to address remediation challenges in the long term. Research suggests proactive outreach can significantly deter academic dishonesty.2 This isn’t surprising given that most behaviors that eventually become academic misconduct begin as unmet needs, unanswered questions, or unresolved struggles with the content itself.

THE GIST: Students are more likely to make good decisions when they have the support they need.

5. Create a Sense of Shared Accountability

The strongest cultures of academic integrity don't rely on a single person, policy, or department. Faculty, students, administrators, and proctors all help shape the integrity standards of a nursing program.

When accountability is shared, academic integrity stops being the lone duty of a few select people. Instead, it becomes a visible part of the learning environment, and those shared expectations become part of the program's identity.

THE GIST: The strongest cultures of integrity are not imposed by a solitary source. They are reinforced by everyone.

Why the Right Partnership Matters

Building a culture of academic integrity requires intention. However, good intentions aren't enough to bring a culture to life. It requires clear expectations, meaningful student support, authentic assessments, and support systems that can adapt as technology continues to evolve.

For many nursing programs, that means finding a partner to navigate the academic integrity challenges of today and tomorrow.

 

 

ATI and the Future of Authentic Learning

Academic integrity is becoming more complex, but the solution is still simple: proactivity. The strongest nursing programs are moving beyond a reactive model focused primarily on misconduct and toward a proactive culture focused on authentic learning, professional development, and shared accountability.

As Jake Ritz, Director of Exam Security and Incident Investigation at Ascend Learning, notes, "The thing that institutions can do to help themselves the most with academic misconduct is to focus on the culture at the institution itself—really building a culture that naturally supports academic integrity."

When integrity becomes part of a program's culture, the benefits extend far beyond misconduct prevention:

  • Students develop strong habits of accountability and professional responsibility.
  • Faculty gain greater confidence in assessment outcomes and measures of competency.
  • Programs build stronger trust in the validity of progression decisions and top-level strategic choices.

Ultimately, cultures of integrity help ensure that future nurses enter practice with clinical judgment that has been genuinely developed and demonstrated.

Building that kind of culture requires more than simple policies. It requires secure assessments, targeted student support, clear expectations, and systems that can evolve alongside emerging technologies. With industry-leading solutions like SecureATI, Claire AI, and ATI Academy, ATI helps nursing programs create environments where academic integrity can thrive. ‌

 

References

  1. Taşkın N, Kokoç M. Behavioural engagement, academic dishonesty, and performance gaps: comparing online and paper–pencil based tests in an online learning context. Education and Information Technologies. 2025.doi:10.1007/s10639-025-13514-8
  2. Stephens JM, Watson PWSJ, Alansari M, Lee G, Turnbull SM. Can online academic integrity instruction affect university students’ perceptions of and engagement in academic dishonesty? Results from a natural experiment in New Zealand. Frontiers in Psychology. 2021;12:569133. doi:10.3389/fpsyg.2021.569133