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Essential Prelicensure Psychomotor Nursing Skills: A Delphi Study.

Fara W Bowler¹, Susan H Hébert², Beth Fentress Hallmark³

¹University of Colorado, College of Nursing, Anschutz Medical Campus, Aurora, Colorado, Tennessee.

The Journal of Nursing Education

|July 14, 2026

Summary

This study identifies essential psychomotor skills for new registered nurses (RNs) through expert consensus. It guides nursing education on teaching and evaluating these skills for workforce readiness.

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Area of Science:

Nursing Education
Competency-Based Education
Psychomotor Skills Assessment

Background:

Competency-based nursing education requires clear definition of psychomotor skills for entry-level registered nurses (RNs).
Expert feedback from academic and clinical settings is vital for skill identification and evaluation standards.

Purpose of the Study:

To establish consensus on essential psychomotor skills for entry-level RNs.
To determine optimal instructional strategies and evaluation methods for these skills.
To ensure nursing workforce readiness through standardized competency assessment.

Main Methods:

A modified Delphi method was utilized with nonprobability, snowball sampling.
Nursing educators from academic and clinical environments participated.
Participants rated psychomotor skills for essentiality, instructional strategies, and evaluation needs.

Main Results:

Consensus was reached on essential psychomotor skills for generalist nurses.
Agreed-upon instructional strategies and skills requiring evaluation for competence were identified.
Findings support the development of standardized curricula for nursing education.

Conclusions:

This research provides essential guidance for nursing educators on psychomotor skill development and assessment.
The study ensures that generalist nurses are prepared to enter the workforce across diverse healthcare settings.
It contributes to enhancing the quality and consistency of nursing education outcomes.