Related Experiment Video
Updated: Mar 29, 2026
10:07
Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
19.6K
Development and Validation of the Nurse Practitioner Clinical Competency Progression Rubric.
Jeanne Moore1, Tracey Chan, Julianne Doucette
1Author Affiliations: Johns Hopkins School of Nursing, Baltimore, Maryland (Dr. Moore); Oakland University School of Nursing, Rochester, Michigan (Dr. Chan); Rush University College of Nursing, Chicago, Illinois (Dr. Doucette); and Kirkhof College of Nursing, Grand Valley State University, Grand Rapids, Michigan (Dr. Slager).
Nurse Educator
|March 27, 2026
Summary
A new Nurse Practitioner Clinical Competency Progression Rubric (NP-Clin-CPR) was developed to track student progress. This validated tool assesses practice readiness using behaviorally anchored criteria.
Area of Science:
- Nursing Education
- Competency-Based Education
- Clinical Assessment
Background:
- Current nurse practitioner (NP) education lacks tools for tracking longitudinal competency progression.
- Workplace-based, behaviorally anchored assessments are needed for practice readiness.
Purpose of the Study:
- To develop and validate the Nurse Practitioner Clinical Competency Progression Rubric (NP-Clin-CPR).
- To align Dreyfus novice-to-expert stages with entrustable professional activity entrustment levels.
- To monitor NP competency progression across core clinical activities.
Main Methods:
- Developed a rubric with 5 Dreyfus-aligned levels and separate encounter complexity recording.
- Used large language model prompts and expert indicators to draft behavioral descriptors.
- Validated relevance and clarity with NP experts using content validity indices (CVI).
Main Results:
- All 40 behavioral descriptors met I-CVI and scale-level CVI/Ave thresholds.
- Achieved targeted content validity indices for relevance and clarity.
Conclusions:
- The NP-Clin-CPR is a valid, behaviorally anchored tool.
- The rubric integrates Dreyfus and entrustable professional activity frameworks.
- It provides a complexity-stratified method for assessing NP competency progression.
Related Concept Videos
01:15Nursing Evaluation
4.7K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.7K
01:27Fundamentals of Nursing Process I
9.4K
The nursing process is the core of practice for every registered nurse to deliver holistic, patient-focused care. The following are the five steps in the nursing process.
9.4K
01:25Formulating and Validating Nursing Diagnosis II
4.3K
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
4.3K
01:22The Professional Nurse
7.2K
Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.
Communication skills: These are critical characteristics, especially speaking and listening.
7.2K
01:30National Nursing Organizations II
2.1K
Nursing organizations play a vital role in representing nurses working in specialized clinical settings, such as the American Association of Critical-Care Nurses (AACN).
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
2.1K
01:26Formulating and Validating Nursing Diagnosis I
4.3K
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
There are thirteen domains...
4.3K