Abstract
A knowledge gap exists regarding the best methods for assessment of nurse practitioner (NP) student clinical competence. Entrustable professional activities (EPAs) translate competencies into practice and provide a potential framework for NP clinical competency assessment. This study piloted the use of an EPA-based method of assessing NP student clinical competence via simulated clinical experiences. Six EPAs were mapped to NP core competencies. Faculty designed clinical scenarios to assess student clinical performance using EPA-based rubrics. Online family nurse practitioner students rotated through simulated clinical scenarios during an on-campus residency. Faculty assigned a utility score to each EPA activity description. Student EPA scores paralleled time-based program requirements. Faculty found over 70% of EPA activity descriptions to be useful or requiring minor editing in assessing students. This study is an important step toward the creation of a standardized, competency-based process for NP clinical performance assessment. [J Nurs Educ. 2020;59(12):714-720.].
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