Applying the RIME Framework to Level Nurse Practitioner Curriculum Competencies.

Area of Science:

• Nursing Education
• Curriculum Development
• Healthcare Professional Training

Background:

• Nurse practitioner (NP) faculty assess student knowledge via examinations, simulation, and clinical performance.
• Developing appropriately leveled curriculum, assessments, and clinical expectations for NP students is challenging.

Purpose of the Study:

• To redesign the doctor of nursing practice (DNP) NP curriculum using the Reporter, Interpreter, Manager, Educator (RIME) framework.
• To enhance student performance and content mastery in NP education.

Main Methods:

• Faculty utilized a gap analysis approach for curriculum redesign.
• Specialty content, competencies, assessments, and clinical expectations were iteratively leveled using RIME principles.
• The RIME framework guided the enhancement of student performance and content mastery.

Main Results:

• Objective scores on student evaluations for clinical courses surpassed established thresholds.
• Eighty-three percent of simulation encounters met or exceeded performance benchmarks.
• Targeted remediation strategies were implemented for areas of identified underperformance.

Conclusions:

• Structuring competencies and feedback around RIME simplifies identification of student deficiencies.
• The RIME framework facilitates targeted remediation efforts.
• RIME aids in establishing clear minimum acceptable standards for student performance.