Future Directions of Credentialing Research in Nursing Workshop Summary (2015) / Chapter Skim
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5 Assessing Core Competencies in Nursing Credentialing
5 Assessing Core Competencies in Nursing Credentialing
Pages 53-62
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From page 53... ...
, Holmboe said. Traditionally, curriculum has driven medical education objectives and clinician assessment efforts, which have remained loosely related concepts.
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From page 54... ...
"Milestones" and "entrustable professional activities" underpin the system and, together, facilitate a common language and training roadmap, which may include more than one path to competence and potentially makes the process of change easier (citing Ten Cate and Scheele, 2007)
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From page 55... ...
"Entrustable professional activities" are the routine professional activities of physicians within a specialty and subspecialty, said Holmboe (citing Ten Cate and Scheele, 2007)
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From page 56... ...
Additional criteria for assessment could include interprofessional team care, effective use of clinical decision support, and effective communication with patients, within teams, and among physician colleagues. Additionally, electronic health records may allow for embedding work-based assessments into routine clinical work, making them easier to perform and providing ongoing, longitudinal, real-time feedback.
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From page 57... ...
These modifications aimed to improve validity, reliability, acceptability, and feasibility. The initiative also attempted to avoid certain legal issues that arise from poor trainee performance by incorporating an early warning system with a defined timeline for student improvement; providing candid and objective evaluation; and facilitating dismissal when warranted.
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From page 58... ...
Anny assessmment system has to be acc cessible, afforrdable, and s standardized ffor all use Furthermo developin clinical pe ers. ore, ng erformance as ssessment toools require collaborati and listen es ion ning, solicitin feedback, debate, balan ng ncing proofessional buy and psyc y-in chometric rigo accountin for legal co or, ng onsiderat rdized training enhancing credibility by incorporatin tions, standar g, y ng
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From page 59... ...
CORE COMPETENCIES IN ADVANCED PRACTICE NURSING CREDENTIALING AND CERTIFICATION Laurie M Lauzon Clabo, MGH Institute of Health Professions The American Association of Colleges of Nursing's Advanced Practice Registered Nursing Clinical Training Task Force ("the Task Force")
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From page 60... ...
In the APRN field, current competency documents have limited conceptual clarity across documents, with no single common definition of competency used and variation in the scope and clarity of individual competencies, which range from long lists of psychomotor skills (completely divorced from professional judgment) to complex cognitive skills (posing serious measurement challenges)
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From page 61... ...
As certification bodies update eligibility criteria, and as nurses obtain education through various modalities, can the influence that formal education has on the value of certification and on patient outcomes be determined? Frost said some research has shown that physical therapy licensure examinations (which are more of a test of the educational process)
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From page 62... ...
While those who do not pass do not perform as well as those who do pass, this measure explains a relatively modest amount of practice variations. Certification should represent both passage of a standardized examination and clinical competence, but research has shown that the latter often receives insufficient attention.
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