Measuring Post-Licensure Competence with Simulation: The Nursing Performance Profile

Avaliação de competências individuais e interprofissionais de profissionais de saúde em atividades clínicas simuladas: scoping review

“…Na amostra de estudos, foi possível observar que a avaliação de competências foi realizada com o apoio de instrumentos variados, os quais, utilizados de forma conjunta, apoiaram-se mutuamente para se obterem os resultados almejados 18,23,24,27,[29][30][31]35 . Além disso, para alguns pesquisadores, foram os protocolos institucionais que determinaram os itens a serem observados nas atividades 22,25,28 .…”

Using Generalizability Theory to Inform Optimal Design for a Nursing Performance Assessment

“…The NPP instrument was developed through a collaboration of three entities: the Arizona State Board of Nursing (ASBN), the Arizona State University, and Scottsdale Community College (Hinton et al, 2012; Randolph et al, 2012; Randolph & Ridenour, 2015). Funding from the NCSBN Center for Regulatory Excellence supported the development of an instrument that measures nine categories of clinical competence: professional responsibility, client advocacy, attentiveness, clinical reasoning (noticing), clinical reasoning (understanding), communication, prevention, procedural competency, and documentation (Randolph et al, 2012).…”

“…The NPP instrument has subsequently been used to provide objective data in assessing nurses referred for evaluation from the ASBN in identifying unsafe nursing practices (Randolph & Ridenour, 2015). Based upon available research, the NPP instrument is one of the few nursing performance instruments that has undergone validity and reliability testing (Hinton et al, 2012; Randolph et al, 2012), and it is the only one used to evaluate postlicensure nursing competency at the state level. Building upon the research and analysis already conducted on the NPP instrument and the accompanying scenarios, the current study was intended to provide a deeper analysis of the reliability of data obtained by the instrument and provide guidance for decision-making to ensure a psychometrically sound rating process.…”

“…During Measuring Competency With Simulation (MCWS) Phase I, reliability was examined using interrater agreement, intrarater reliability, and internal consistency of items (Hinton et al, 2012). Interrater agreement was measured by the percentage of agreement by at least two of the three raters on each item, and internal consistency of items on the NPP was estimated using Cronbach’s α.…”

“…The purpose of this article is three-fold. First, we utilize generalizability (G) theory to examine the psychometric characteristics of the Nursing Performance Profile (NPP), an instrument that measures nursing competency using simulation (Hinton et al, 2012; Randolph et al, 2012). Reliability evidence is critical because the NPP is used to provide supporting evidence during regulatory investigations.…”