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Designing Clinical Evaluation: Moving From Traditional Grading to Competency Determination.

Created on 15 Oct 2026

Authors

Kendra Duran, Jennifer Johnson, Ebony Hardee

Published in

The Journal of nursing education. Pages 1-3. Oct 15, 2026. Epub Oct 15, 2026.

Abstract

Competency-based nursing education requires clinical evaluation approaches that support defensible competency determination. Although existing literature describes assessment tools and psychometric properties, limited guidance exists on designing evaluation systems aligned with competency frameworks.
A focused review of contemporary literature examined how evidence-based principles of clinical competency assessment can inform clinical evaluation design aligned with the American Association of Colleges of Nursing Essentials.
Evidence supports evaluation approaches grounded in observable performance, structured assessment processes, and clearly defined expectations. However, many approaches emphasize developmental progression rather than threshold-based competency determination. Findings highlight a gap between available assessment tools and evaluation systems that support consistent competency decisions. This paper demonstrates how evidence-based principles can be translated into a structured clinical evaluation tool.
Intentional evaluation system design supports consistent, transparent, and defensible decisions regarding readiness for practice.

PMID:
42873717
Bibliographic data and abstract were imported from PubMed on 15 Oct 2026.

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