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Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
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Evaluating Nurse Practitioner Student Competencies: Application of Entrustable Professional Activities.

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    This study piloted a new method using Entrustable Professional Activities (EPAs) to assess nurse practitioner (NP) student clinical competence in simulated settings. The EPA-based approach showed promise for standardized, competency-based NP education.

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    Area of Science:

    • Nursing Education
    • Clinical Competence Assessment
    • Healthcare Simulation

    Background:

    • A gap exists in best practices for assessing nurse practitioner (NP) student clinical competence.
    • Entrustable Professional Activities (EPAs) offer a framework to translate competencies into practice.
    • This study explored an EPA-based method for NP clinical competency assessment using simulated experiences.

    Purpose of the Study:

    • To pilot an Entrustable Professional Activities (EPA)-based method for assessing nurse practitioner (NP) student clinical competence.
    • To evaluate the utility of EPA activity descriptions in simulated clinical scenarios.
    • To inform the development of standardized, competency-based NP assessment processes.

    Main Methods:

    • Six EPAs were developed and mapped to core NP competencies.
    • Clinical scenarios were designed to assess student performance using EPA-based rubrics.
    • Online NP students participated in simulated clinical experiences, and faculty assigned utility scores to EPAs.

    Main Results:

    • Student EPA scores aligned with program timelines.
    • Over 70% of EPA activity descriptions were deemed useful or required minor edits by faculty.
    • The pilot demonstrated feasibility of EPA-based assessment in simulated environments.

    Conclusions:

    • This pilot study represents a significant advancement in creating a standardized, competency-based assessment for NP clinical performance.
    • The EPA framework shows potential for reliable and valid evaluation of NP student skills.
    • Further research can refine this approach for broader implementation in NP education.