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Development and Implementation of APRN Competency Validation Tools in Four Nurse-Led Clinics in Rural East Tennessee.

Christine M Mullins1, Katherine C Hall1, Sandy K Diffenderfer1

  • 1College of Nursing, East Tennessee State University, Johnson City, Tennessee.

Journal of Doctoral Nursing Practice
|August 4, 2020
PubMed
Summary

Competency validation tools (CVTs) ensure advanced practice registered nurse (APRN) preceptors demonstrate essential skills. These tools are feasible for documenting preceptor competency in nurse-led clinics, supporting evidence-based practice for student training.

Keywords:
APRN competency validation toolRapid Cycle Quality Improvementcompetency-based educationcompetency-based education frameworks

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Area of Science:

  • Nursing Education
  • Quality Improvement
  • Advanced Practice Registered Nurses

Background:

  • Graduate nursing faculty depend on clinical preceptors for FNP student mentorship.
  • Ensuring preceptor clinical competency is vital for quality, evidence-based practice and regulatory compliance.

Purpose of the Study:

  • To develop and implement APRN competency validation tools (CVTs) in nurse-led clinics.
  • To validate the clinical competency of APRN preceptors.

Main Methods:

  • Rapid Cycle Quality Improvement (RCQI) strategies were employed.
  • Three APRN CVTs were developed, tested, refined, and implemented across four rural nurse-led clinics.

Main Results:

  • The CVTs were successfully developed and implemented.
  • Most APRN preceptors had documented clinical competency before student precepting.
  • Stakeholders (faculty, preceptors, students) reported satisfaction with the project.

Conclusions:

  • CVTs are practical for documenting validated clinical competency in APRN preceptors within nurse-led settings.
  • The use of CVTs confirms preceptors utilize evidence-based practice before precepting students.
  • Developed CVTs and checklists are available from the primary author.