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  1. Becker, Heather PhD
  2. Meraviglia, Marty PhD, APRN, ACNS-BC, RN
  3. Seo, Jin (EunJin) MEd
  4. Ndlovu, Chipo PhD, RN-BC
  5. Kimmel, Lois MSN, RN, CNE
  6. Rowin, Toni MSN, RN


OBJECTIVE: We describe the development of the Appraisal of Nursing Practice (ANP) and present initial psychometric data.


BACKGROUND: Although measures of new nurses' confidence in clinical practice exist, psychometrically sound observational tools that assess a broad range of nursing competencies are needed.


METHODS: Based on the Quality and Safety Education for Nurses competencies, the 37-item ANP covers person-centered care, teamwork and collaboration, evidence-based practice/quality improvement, safety, informatics, professionalism, and overall satisfaction (with the new nurse's functioning). Cognitive interviewing was used to refine the items. Assessment of interrater reliability and a field test in a new nurse residency program were conducted.


RESULTS: Interrater reliability and internal consistency reliability were generally acceptable. Scores increased significantly for nurses as they moved through a nurse residency program.


CONCLUSIONS: The ANP can help nursing administrators identify areas where nurse residents are building needed competencies versus areas that need more work to achieve desired competency outcomes.