The Emergency Nurses Association (ENA) convened a Nurse Practitioner (NP) Validation Work Team and conducted a Delphi study to verify and gain consensus on professional and clinical competencies for NPs in emergency care. This document describes entry-level competencies for NPs practicing in emergency care, regardless of setting.
A Delphi study was conducted from September 2007 to May 2008 with a national sample of credentialed NPs in emergency care. Using online questionnaires, three rounds were sent to the NPs to reach group consensus. Participants were asked to rate the importance and frequency of performance for each competency as well as list competencies they felt were not addressed in the questionnaires.
The list of competencies was reduced from 111 to 83. In 2008, a Consensus Panel Meeting was convened to validate the Delphi study findings and gain consensus from amultidisciplinary group of stakeholders. Several organizationsparticipated in the meeting (ie, AAEM, AANP, AACN, ACEP, ACNP, ANA, ANCC, BCEN, CCNE, NCSBN, andNONPF). The stakeholders approved a list of 60 entry-levelcompetencies.
There are implications for NPs in the following areas: 1) education, for use in academic settings as a foundation for curricula; 2) practice, emphasizing the unique aspects of practice for the NP in emergency care; and 3) research, including the development of advanced competencies for NPs in emergency care.
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K. Sue Hoyt, Work Team Chairperson, Member, San Diego Chapter, is Nurse Practitioner, Department of Emergency Medicine, St Mary Medical Center, Long Beach, CA.
Elizabeth A. Coyne, Member, Philadelphia Chapter, is Nurse Practitioner, Thomas Jefferson University Hospital, Philadelphia, PA.
Elda G. Ramirez, Member, Houston Chapter, is Associate Professor of Clinical Nursing and Director of Post-Masters Emergency Concentration, University of Texas Health Science Center, Houston, TX.
Amy Smith Peard, Member, Tidewater Chapter, is Nurse Practitioner and Clinical Nurse Specialist, Emergency Department, Sentara Leigh Hospital, Norfolk, VA.
Chris Gisness, ENA Board Liaison, Member, Metro Atlanta Chapter, is Nurse Practitioner, Emory University Department of Emergency Medicine, Grady Memorial Hospital, Atlanta, GA.
Jessica Gacki-Smith, ENA Staff Liaison, is Senior Research & Practice Associate, Emergency Nurses Association, Des Plaines, IL.
Published online: June 14, 2010
Accepted: May 1, 2010
Received: March 31, 2010
© 2010 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.