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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).
Background:
Gaps between educational preparation and clinical practice readiness have led to innovative approaches to competence assessment. Entrustable professional activities (EPAs) show promise as a competence assessment framework in graduate nursing education.
Purpose:
This study sought to develop and validate a set of EPAs that reflect the core activities performed by all nurse practitioners (NPs).
Methods:
Eight EPAs were developed. A Delphi approach was used to validate the EPAs by NP practice experts located across the United States and representing most NP populations.
Results:
Consensus was reached after 2 Delphi rounds.
Conclusions:
The EPAs developed and validated in this study map multiple advanced-level NP competencies to workplace expectations and provide a shared framework for competency-based workplace assessment among NP preceptors from varied health care professions.
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