Pearson nursing education platform
Developing an interactive, patient-centric learning experience that integrates lessons, practice, and assessment into a single platform for nursing students.
BACKGROUND
Pearson is a leader in nursing education, pioneering eLearning tools such as MyLab® Nursing to help students prepare for the rigorous NCLEX‑RN® exam. Its Clinical Nursing Skills and Clinical Decision‑Making Case libraries are widely recognized as industry‑leading resources that support competency development across the nursing curriculum.

The CRX initiative aims to replace static and fragmented eTexts with an interactive, patient‑centric, and competency-aligned learning experience (LX) that brings lessons, practice, and assessment together in one place. Our objective is to deliver a comprehensive and stand‑alone eLearning platform that moves beyond traditional reading to deliver engaging, applied, and measurably effective Nursing education and training.
Deliverables
UI Design Proposals,
LX Design Artifacts
HiFi Prototypes
Content Manuscripts
Role
Lead LX Designer,
UX Designer,
Content Developer
Timeline
12 months (ongoing)
Industry
Education, Software
"How might we design a patient‑centric LX that streamlines student study workflows and prepares learners for both RN certification and real‑world practice?"
impact of project
The CRX initiative enabled the delivery of 616 lessons across 161 modules in six nursing courses. Through multiple rounds of feedback and iteration, the solution evolved into a flexible, resilient framework that supports a wide range of nursing content while consistently centering instructor and student needs, learning goals, and outcomes.
Image 1: CRX final build received excellent feedback from stakeholders.
Exploratory Research
We conducted targeted research to surface design opportunities and to verify alignment with Pearson’s long‑term objectives. Below are key market insights and their associated design recommendations and goals. See the sample size below.
Sample Size
The combined sample size for Pearson’s research was substantial, representing the U.S. higher education market over more than two academic years. This robust dataset enabled us to develop a compelling and holistic understanding of the trends and outcomes in Nursing education.
606,000
STUDENTS
18,000
COURSES
43,000
INSTRUCTORS
Key Research Findings & Design Opportunities
A thorough analysis of the extensive dataset revealed significant design opportunities for the application redesign. I presented the findings in a comprehensive research report for the design team; the following are the most compelling results of the human-centered UX research process,
85%
of Instructors prefer to conduct homework digitally
Call For
Digital-first strategy
29%
of Students confirm that existing platform is easy to use and access
Call For
better ease-of-use
65%
of Students use Pearson eLearning to search for answers to question/clarify questions
Call For
quick answers
83%
of Students reported that they complete their assigned readings
Call for
maintaining engagement
91%
of Faculty emphasized patient–centered approach to teaching
Call For
real case studies
Design Planning
The ideation and design planning phase for this project was rigorous and grounded in evidence‑based LX and UX principles. Through extensive stakeholder co‑creation sessions, we ensured the solution remained user‑centered, goal‑aligned, and innovation‑driven. Over approximately three months, we conducted experience mapping, UX research synthesis, interaction design planning, and iterative concept testing to shape the project’s visual design system, prioritize user needs, define key learning interactions, and craft the end‑to‑end learning experience.
Production Workflow
We needed a well‑structured production process to coordinate more than 100 contributors: authors, subject matter experts (SMEs), content production managers, engineers, multimedia researchers, instructional designers (IDs), and LX/UX designers. The figure below shows a streamlined view of our deliverable workflow. As the lead LX designer, I guided the learner‑centered design approach and ensured alignment across the full experience.
Image 2: A streamlined workflow facilitated development across 3 production divisions.
Personas
Personas help us empathize with the learners who will use CRX for 2+ years. Keeping these archetypes in mind throughout the design process grounds our decisions in real user needs. We developed our personas from patterns observed across our learner samples.
Image 3 and 4: Personas were based on research findings.
Design System
We crafted the design system to provide structure and hierarchy across diverse content. With 616 lessons across six courses, we established comprehensive, clearly documented patterns (even for edge cases!) to ensure complete coverage. This gives the authoring team a flexible toolkit for creating complex media compositions that remain coherent, well‑ordered, and visually consistent.
Image 5: A simplified preview of the design system created for CRX.
42
Typographical Styles
450
Medical-specific Icons
32
3D Illustration Icons
58
Flexible UI Blocks
9
Assessment Types
25
Interactive LXs
Designing "Interactives" Guided by Pedagogies
We design responsive, in‑lesson interactives that guide learners through each lesson. Anchored in proven learning‑science principles, these activities promote active and constructive engagement, reduce extraneous cognitive load, and provide immediate, actionable feedback—driving participation and long‑term retention. The following two theories informed our process, though they do not encompass all pedagogical approaches used.
Image 6: Two of the guiding learning pedagogies for CRX’s “interactives.”
Infographics
CRX Infographics streamline the look and feel of traditional poster‑style infographics, distilling them into bite‑size, high‑impact visuals that enhance engagement and support the program’s case‑study–driven learning approach
  • Reduces extraneous load: by enforcing a tight structure—each tile must include a clear title, an icon/image, and a short explanatory text—so related elements are co‑located and easy to parse.
  • Manages intrinsic load by chunking a set of related ideas into uniform tiles, presenting each as a small, comparable unit instead of a dense block of prose.
  • Boosts germane load: by pairing concise text with a supporting visual leverages.
  • Dual coding/multimedia principles help learners organize and integrate concepts more effectively.
Patient Encounters (Case Studies)
Our research confirmed that nursing case studies would anchor the CRX experience. As a result, we dedicated significant effort to refining the interactive component–the Patient Encounter–that delivers accurate, relevant case‑study content while keeping learners actively engaged.
Image 8: The progression of a case-study shown via the Patient Encounter interactive. Click to enlarge.
  • Segmenting & scaffolding intrinsic load: Patient Encounters break complex cases into small, patient‑relevant screens; dense details are converted to interactive formats, preventing overload while preserving clinical fidelity.
  • Active/constructive engagement & formative assessment: immediate, low‑stakes questions attached to the encounter require application (not recall alone) and provide feedback in context.
PROTOTYPing
The first high‑fidelity prototype was developed as a proof of concept to gather feedback from end users: students and faculty. Built from the initial proposed design family, this prototype also served as a bridge for the authoring team, helping them translate the original eText into the more action‑driven design framework we created.
Images 9–11: The first prototype served as a POC for the design system.
USAbility testing and qualitative research
The first high‑fidelity prototype was developed as a proof of concept to gather feedback from end users: students and faculty. Built from the initial proposed design family, this prototype also served as a bridge for the authoring team, helping them translate the original eText into the more action‑driven design framework we created.
Image 12: Research insights and their impact on design decisions.
Final Product
The CRX program is currently in active production. Authoring was completed in Q4 2025, and our builder teams are now implementing the final manuscripts with the approved design specifications. The next phases include editorial and design reviews to ensure both content accuracy and alignment with the intended UX system. We remain on track for Spring 2026 testing across 25 colleges and universities.
161
COURSE 
Modules
616
INTERACTIVE
lessons
Images 13–15: The final CRX build is well suited for the nursing curriculum.
Reflection
The CRX initiative is the largest learning experience project I have worked on to date. It required close collaboration with a large and diverse group of stakeholders across a team of more than 100 contributors, and I take pride in becoming the go‑to LX Designer on the project. Its success pushed me into a leadership role at Pearson, strengthening my LX skill set and offering valuable lessons in large‑scale collaboration, design leadership, and impact at scale.
Prioritize User Needs
A deep understanding of users and their needs was central to designing a system that supported their goals. Through multiple rounds of feedback, end users and stakeholders shared firsthand experiences that directly informed design decisions. By valuing and integrating this input throughout the process, we delivered a solution with meaningful and measurable impact.
Learning Should be Equitable
Many nursing students face socioeconomic challenges, family responsibilities, and environmental distractions can lead to unsuccessful outcomes. By simplifying and streamlining content into manageable, self‑contained lessons, and grounding design decisions in evidence‑based theories to support engagement and reduce cognitive load, we delivered a highly equitable learning experience.
Do Not Get Attached to a Design
We iterated through numerous design cycles, often arriving at solutions that bore little resemblance to the original concepts. Early attachment to specific designs proved to be a barrier to progress. The strongest outcomes emerged from substantial design shifts that enabled simpler, more streamlined, and more effective solutions.
© Alfie Aguilar Vidrio 2026. All rights reserved.