A competency roadmap for advanced practice nursing education using PRIME-NP
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Rita F. D’Aoust (a), Kristen M. Brown (a), Kimberly McIltrot (a), Jehan-Marie Daley Adamji (b), Heather Johnson (c), Diane C. Seibert (c), Catherine G. Ling (a,d) - (a) Johns Hopkins School of Nursing, Baltimore, MD; (b) Adjunct Clinical Faculty, Johns Hopkins School of Nursing, Baltimore, MD; (c) Daniel K. Inouye Graduate School of Nursing, Uniformed Services University, Bethesda, MD; (d) Family Nurse Practitioner Track Coordinator, Baltimore, MD
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- Johns Hopkins University, Baltimore, Maryland, USA
Background: Clinical competency validation is essential for nurse practitioner (NP) education and public accountability. While there has been robust discussion around what constitutes clinical competency and assessment, clear and consistent definitions and measurements remain elusive.
Purpose: This article describes the PRIME-NP clinical competency model that is scalable, reproducible and accurately documents NP student competency across clinical courses.
Methods: To develop the model, work in 5 discrete domains was necessary: (a) model development, (b) assessment tool to be used in Objective Structured Clinical Exams (OSCE), (c) rubrics to accompany the OSCE exam, (d) faculty education, and (e) evaluating the model use.
Findings: Faculty and student outcomes reveal that the model and assessment tool acceptability and effectiveness of the model, especially for early identification for at risk students.
Conclusion: The PRIME-NP offered faculty the opportunity to identify at-risk students, identify a more nuanced remediation plan, and assess student competency in simulated environments.
The activity that is the subject of this article was produced with the assistance of a Nurse Support Program II grant under the auspices of the Health Services Cost Review Commission (HSCRC). Opinions, findings, and conclusions expressed herein do not necessarily reflect the position or policy of the HSCRC, and no official endorsement should be inferred.
The authors of this work did not submit this material directly to the Sigma Repository. This work is indexed and appears in the Sigma Repository pursuant to a Creative Commons Attribution 4.0 International License attached to the work upon its publication in the journal acknowledged in this record. Please refer to the attached license (the icon at the bottom of this entry) for further information and terms. All terms of the license have been followed. There are no changes in this article from the original posting
| Type | Article |
| Acquisition | Indexed from External Source (Per Rights Granted in Creative Commons License) |
| Review Type | External Review: Previously Published Material |
| Format | Text-based Document |
| Evidence Level | N/A |
| Research Approach | Translational Research/Evidence-based Practice |
| Keywords | Nurse Practitioner; Clinical Competency; Competency Based Education; Objective Structured Clinical Exam; Simulations |
| Publisher | Elsevier |
| Date | 2021-12-12 |
| Version | Publisher’s Version |
| DOI | https://doi.org/10.1016/j.outlook.2021.10.009 |
| Citation | D’Aoust, R.F., Brown, K.M., McIltrot, K., Adamji, J.-M.D., Johnson, H., Seibert, D.C., & Ling, C.G. (2022, March/April). A competency roadmap for advanced practice nursing education using PRIMENP. Nurs Outlook, 70(2), 337 346. https://doi.org/10.1016/j.outlook.2021.10.009. http://hdl.handle.net/10755/23064. |
| ISSN | 0029-6554 |
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