Dramatic reform and innovation in nursing education is needed to create and sharpen the future of nursing practice. Nurse educators, students, consumers and nursing service personnel must work in partnership to design innovative educational systems that meet the needs of the health care delivery system now and in the future .For too long nurse educators and nursing service personnel, although cordial and respectful of each other, have not been fully engaged in collaborating to prepare a workforce that can practice effectively in new healthcare en- vironments.
This current challenge demands innovative ideas, creative thinking and action, aimed at bridging the ever widening gap between theory and practice. Nurse educators need to be conversant with current practice in the clinical areas so that they can develop their research areas as well as develop theoretical basis for practice. In such a system, the very nature of “fundamental skills” and customary approaches to planning care are being challenged. There- fore, nursing service personnel must work with lecturers, and students to design innovative nursing systems that meet the needs of the health care delivery system for the 21st century.
The conventional single pedagogy in nursing educa- tion (outcome-based or competency based education is limited as shown in studies by [5] and [6]. Multiple pedagogies are needed that is philosophical and reflective of modern discourse. The essence is the development of signature pedagogies that is distinctively nursing reflecting the special needs and complexity of nursing education and practice. The new pedagogies must be re- search based, responsive to the rapidly changing care system, reflective of new partnership between and among student, teachers and the clinical nurse.