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PRIME-nurse practitioner competency model validation and criterion based OSCE rubric interrater reliability.

Rita D'Aoust1,2, Sarah E Slone3, Nancy Russell1

  • 1Johns Hopkins School of Nursing, Baltimore, MD, USA.

BMC Medical Education
|February 7, 2024
PubMed
Summary

The PRIME-NP model offers a valid framework for assessing Nurse Practitioner (NP) students in clinical exams. This model demonstrates reliability, aiding NP education and evaluation.

Keywords:
CompetencyNurse practitionerPRIME-NPRIMEReliabilityValidity

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Area of Science:

  • Nursing Education
  • Medical Simulation
  • Healthcare Professional Development

Background:

  • The RIME model guides medical education, but a specialized framework for Nurse Practitioner (NP) training was needed.
  • The PRIME-NP model was developed to address this gap in NP curriculum and assessment.

Purpose of the Study:

  • To validate the PRIME-NP (Professional-Reporter-Interpreter-Manager-Educator/Evaluation-Nurse Practitioner) Model for assessing NP students.
  • To establish the reliability of the PRIME-NP model and its associated OSCE Rubric.

Main Methods:

  • The Delphi technique was employed for expert consensus validation of the PRIME-NP Model.
  • Interrater reliability (IRR) was assessed using interclass correlation across five developmental levels.

Main Results:

  • Expert consensus confirmed the validity of the PRIME-NP Model after two rounds of review.
  • The PRIME-NP OSCE Rubric demonstrated acceptable overall IRR, with some variations in specific behavioral categories.
  • Variance in management and educator/evaluator behaviors increased at higher educational levels.

Conclusions:

  • The PRIME-NP Model and its OSCE Rubric are valid and reliable instruments for evaluating NP student competency.
  • This model has potential applications in other health sciences education settings.