Change Over Time in Ratings of New Nurses on the Appraisal of Nursing Practice. Academic Article uri icon


  • OBJECTIVE: To examine changes in new nurses' competencies across the 1st year of practice. BACKGROUND: Competency assessment is a challenge for nurse residency programs and often focuses on skills checklists and confidence self-reports. The Appraisal of Nursing Practice, an observational rating based on Quality and Safety in Nursing Education standards, was developed to help evaluate an RN residency program. METHODS: Preceptors, nurse educators, and/or unit managers from various units rated new nurse residents. Ratings were compared for 353 nurses at 3 points: within the 1st month in the program (T1), at 5 months (T2), and at month 11 (T3). RESULTS: Competency ratings increased significantly for all subscales from T1 to T2. Ratings continued to increase significantly from T2 to T3, although at a slightly slower rate. Teamwork and evidence-based practice increased the most. CONCLUSIONS: Future studies should explore factors affecting the trajectory in developing nursing competencies within various settings.

altmetric score

  • 13.75

author list (cited authors)

  • Becker, H., Ndlovu, C., Huang, Y., & Rowin, T.

citation count

  • 2

complete list of authors

  • Becker, Heather||Ndlovu, Chipo||Huang, Ya-Ching||Rowin, Toni

publication date

  • October 2019