Clinical Competency Assessment Model for Nursing Students Based on Miller’s Pyramid Framework Using Entrustable Professional Activities

Abstract

The purpose of this research was to develop the quality of a clinical competency assessment model for nursing students based on Miller’ s Learning Framework using entrustable professional activities. The research informants developed a clinical competency assessment model consisted of 37 nursing experts. The samples for the trial of clinical competency assessment model and examining the quality of the developed model were 2 nursing instructors, and 10 fourth-year nursing students. The research instruments consisted of the Entrustable Professional Activity Scale and Clinical Competency Assessment Scale, and the scoring rubrics. The results were summarized as follows:

The development of the clinical competency assessment model consisted of 1) 82 essential entrustable professional activities of nursing students, classified into 25 domains. The activities were divided into 5 levels of supervision from levels 1 to 5 consisting of 4, 25, 12, 20 and 21 activities, respectively, 2) Clinical competency assessment components consisting of 5 core nursing professional competencies with 22 indicators, and 3) The developed clinical competency assessment model and the scoring rubrics; nursing practice was the most important core competency component, followed by core competency in the ethics, code of conduct and law. The clinical competency assessment model consisted of three stages: preparatory, operational, and concluding. The results of this study show that the developed clinical competency assessment model is appropriate, and the clinical competency assessment scale is of satisfactory quality in terms of validity and reliability. Therefore, it is recommended that nursing institutions use it as a tool to assess the clinical competency of nursing students who are graduating to build confidence in the quality of nursing practice upon graduation.