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Defining Nurse Practitioner Core Entrustable Professional Activities: Essential Step Toward Competency-Based
Jeanne Moore1, Tracey Chan, Julianne Doucette
1Conway School of Nursing, The Catholic University of America, Washington, District of Columbia (Dr Moore); College of Nursing and Health, Madonna University, Livonia, Michigan (Dr Chan); College of Nursing, Rush University, Chicago, Illinois (Dr Doucette); School of Nursing, Beal University, Bangor, Maine (Dr Lipps); and Kirkhof College of Nursing, Grand Valley State University, Allendale, Michigan (Dr Slager).
This study developed and validated eight Entrustable Professional Activities (EPAs) to assess nurse practitioner (NP) competencies, bridging the gap between education and clinical readiness for improved practice assessment.
Area of Science:
- Nursing Education
- Competence Assessment
- Advanced Practice Nursing
Background:
- Educational preparation and clinical practice readiness gaps necessitate innovative competence assessment methods.
- Entrustable Professional Activities (EPAs) offer a promising framework for assessing competence in graduate nursing education.
Purpose of the Study:
- To develop and validate a set of EPAs reflecting core activities for all nurse practitioners (NPs).
Main Methods:
- Eight EPAs were developed.
- A Delphi approach involving NP practice experts nationwide was used for validation.
- Consensus was achieved after two rounds of the Delphi process.
Main Results:
- A consensus was reached on the developed EPAs after two Delphi rounds.
- The validated EPAs align advanced-level NP competencies with workplace expectations.
Conclusions:
- The developed and validated EPAs provide a shared framework for competency-based workplace assessment for NP preceptors.
- These EPAs bridge the gap between academic preparation and clinical practice readiness in nursing.
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