Background:
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.
Method:
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.
Results:
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.
Conclusion:
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.]
Purpose
Patient care coordination is foundational to high‐quality health care and is a national priority. Since its inception, convenient health care has been criticized for its potential to decrease patient care coordination. The purpose of this study is to investigate care coordination between convenient care clinics and healthcare homes.
Data sources
The care coordination practices of Minute Clinic, which represents over 40% of the convenient care industry, were studied. Patient identification of healthcare homes and consent to transmit visit records were abstracted from the health records of 1,014,249 patients dated July 1 to December 31, 2012. The completeness of record content and timeliness of record transmission were assessed by means of interviewing Minute Clinic's Director of Quality and reviewing patient electronic health records.
Conclusions
Minute Clinic attempts to coordinate care with healthcare homes, but opportunities for improved care coordination exist.
Implications for practice
Increased vigilance on the part of providers, patients, and healthcare systems is needed to mitigate barriers to care coordination. Future research is needed to examine care coordination from multiple convenient care operators and explore how to increase care coordination with healthcare homes.
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