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Using Learning Outcome Measures to assess Doctoral Nursing Education

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Published on: June 21, 2010

Incorporating value-informed advanced nursing practice into APRN education.

Hilary Barnes¹, Betty Rambur², Laura Black³

¹Widener University School of Nursing, One University Place, Chester, PA 19013, USA.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing

|February 24, 2025

Summary

This summary is machine-generated.

Nurse practitioners (NPs) need value-based care knowledge to improve healthcare outcomes and reduce costs. This study identifies seven key domains for value-informed advanced nursing practice to guide education and leadership in systems-level change.

Keywords:

Advanced practice nursing Competency-based education Graduate nursing education Value-based care

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Area of Science:

Health Services Research
Nursing Education
Healthcare Management

Background:

Advanced practice nursing, particularly nurse practitioners (NPs), is crucial for meeting population health needs and controlling healthcare costs.
NPs often lack essential knowledge in value-based care, hindering their capacity to lead system improvements.
Defining key domains for value-informed practice is vital for aligning nursing curricula with competency-based education.

Purpose of the Study:

To identify and validate key domains for value-informed advanced nursing practice.
To support the development of educational strategies for NPs in value-based care.
To enhance NPs' ability to lead systems-level changes for improved healthcare outcomes and cost reduction.

Main Methods:

A comprehensive review of peer-reviewed and gray literature was conducted to identify initial domains.
Eight NP practice owners were interviewed to confirm and validate these domains.
The identified domains were aligned with established sub-competencies from leading nursing organizations.

Main Results:

Seven key domains of value-informed advanced nursing practice were identified and validated.
These domains include Leadership/High Value Culture, Quality and Analytics, Care Coordination, Collaboration and Community Connections, Financial Management, Care Redesign, and IT Infrastructure and Interoperability.
The identified domains align with sub-competencies set by the American Association of Colleges of Nursing and the National Organization of Nurse Practitioner Faculty.

Conclusions:

Value-informed advanced nursing practice requires specific knowledge and skills in seven key domains.
Integrating these domains into NP and Doctor of Nursing Practice curricula will better prepare NPs for leadership roles.
This educational approach empowers NPs to drive systems-level improvements in care delivery, enhancing value and efficiency.