The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.
Nurse Practitioner Delphi Study: Competencies for Practice in Emergency Care
Abstract
Introduction 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.Methods 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.Results 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 a multidisciplinary group of stakeholders. Several organizations participated in the meeting (ie, AAEM, AANP, AACN, ACEP, ACNP, ANA, ANCC, BCEN, CCNE, NCSBN, and NONPF). The stakeholders approved a list of 60 entry-level competencies.Discussion 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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Since all the competencies in the final list are deemed essential, medical schools and institutions could initially develop a curriculum focusing on the competencies with the highest consensus until all have been addressed (66).”
From Identifying social media professionalism competencies in Vietnamese medical students: a modified Delphi method (2026) · cites this paper as [66]
Citations
Cites
Research guidelines for the Delphi survey technique
Hasson, F. (2000) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2000.01567.x · Cited by 5,951
Gazing into the oracle : the Delphi method and its application to social policy and public health
Ziglio, E., & Adler, M. E. (1996) · Jessica Kingsley Publishers eBooks · Cited by 1,429
Dvorak, E. M. (1987) · PubMed · Cited by 149
Crabtree, M. K., Stanley, J. M., Werner, K. E., & Schmid, E. (2002) · Cited by 68
Campo, T. M., McNulty, R., Sabatini, M., & Fitzpatrick, J. J. (2008) · Advanced Emergency Nursing Journal · doi:10.1097/01.tme.0000319926.97473.8d · Cited by 26
Developing Nurse Practitioner Treatment Competencies in Emergency Care Settings
Ramirez, E. G., Tart, K., & Malecha, A. T. (2006) · Advanced Emergency Nursing Journal · doi:10.1097/01261775-200610000-00011 · Cited by 18
Self-citation
Research works printed but not linked: 1
- ACEP amended resolution 23(04), 2004, Specialized emergency medicine training for midlevel providers who work in emergency departments
Cited by
Sorted by citations
Competency frameworks for advanced practice nursing: a literature review
Sastre‐Fullana, P., de Pedro‐Gómez, J. E., Bennasar‐Veny, M., Serrano‐Gallardo, P., & Morales‐Asencio, J. M. (2014) · International Nursing Review · doi:10.1111/inr.12132 · Cited by 100
Use of the Delphi method to generate guidance in emergency nursing practice: A systematic review
Varndell, W., Fry, M., Lutze, M., & Elliott, D. (2020) · International Emergency Nursing · doi:10.1016/j.ienj.2020.100867 · Cited by 107
Applying real-time Delphi methods: development of a pain management survey in emergency nursing
Varndell, W., Fry, M., & Elliott, D. (2021) · BMC Nursing · doi:10.1186/s12912-021-00661-9 · Cited by 89
Delphi method for the expert consultation in the scientific research
Valdés, M. G., & Marín, M. S. (2013) · Redalyc (Universidad Autónoma del Estado de México) · Cited by 76
Assessing emergency nurses' clinical competency: An exploratory factor analysis study
Hasandoost, F., Ghanbari, A., Lyili, E., Khomeiran, R., & Momeni, M. (2017) · Iranian Journal of Nursing and Midwifery Research · doi:10.4103/1735-9066.212990 · Cited by 42
Pain assessment and interventions by nurses in the emergency department: A national survey
Varndell, W., Fry, M., & Elliott, D. (2020) · Journal of Clinical Nursing · doi:10.1111/jocn.15247 · Cited by 40
Jokiniemi, K. S., Meretoja, R., & Pietilä, A. (2018) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12588 · Cited by 35
Development of clinical competencies for emergency nurse practitioners: A pilot study
O’Connell, J., & Gardner, G. E. (2012) · Australasian Emergency Nursing Journal · doi:10.1016/j.aenj.2012.10.004 · Cited by 34
Delphi Technique on Nursing Competence Studies: A Scoping Review
Furtado, L., Coelho, F., Pina, S., Ganito, C., Araújo, B., & Ferrito, C. (2024) · Healthcare · doi:10.3390/healthcare12171757 · Cited by 34
Schallmo, M. K., Godfrey, T. M., Dunbar, D., Brown, K. M., Coyle, A. L., & D’Aoust, R. (2019) · Journal of the American Association of Nurse Practitioners · doi:10.1097/jxx.0000000000000206 · Cited by 28
Hassankhani, H., Hasanzadeh, F., Powers, K., Zadeh, A. D., & Rajaie, R. (2017) · Journal of Emergency Nursing · doi:10.1016/j.jen.2017.06.007 · Cited by 28
Emergency nurse practitioner practice analysis: Report and implications of the findings
Tyler, D. O., Hoyt, K. S., Evans, D. D., Schumann, L. L., Ramirez, E. G., Wilbeck, J., & Agan, D. L. (2018) · Journal of the American Association of Nurse Practitioners · doi:10.1097/jxx.0000000000000118 · Cited by 27
Self-citationChiang, Y.-H., Yu, H.-C., Chung, H.-C., & Chen, J. (2022) · Nurse Education Today · doi:10.1016/j.nedt.2022.105409 · Cited by 24
Assessment of professional competence of nurses in emergencies: created and validated instrument
de Holanda, F. L., Marra, C. C., & Cunha, I. C. K. O. (2018) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2016-0595 · Cited by 23
Making a Case for Entrustable Professional Activities for Nurse Practitioners in Emergency Care
Hoyt, K. S., Ramirez, E. G., & Proehl, J. A. (2017) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000146 · Cited by 23
Self-citationYamaguchi, Y., Matsunaga‐Myoji, Y., & Fujita, K. (2023) · International Journal of Nursing Practice · doi:10.1111/ijn.13205 · Cited by 21
The Experience of Advanced Practice Nurses in US Emergency Care Settings
Wolf, L. A., Delao, A. M., Perhats, C., Moon, M. D., & Carman, M. J. (2017) · Journal of Emergency Nursing · doi:10.1016/j.jen.2017.04.007 · Cited by 20
Perfil de competência profissional do enfermeiro em emergências
de Holanda, F. L., Marra, C. C., & Cunha, I. C. K. O. (2015) · Acta Paulista de Enfermagem · doi:10.1590/1982-0194201500053 · Cited by 19
Ramirez, E. G., Schumann, L. L., Agan, D. L., Hoyt, K. S., Wilbeck, J., Tyler, D. O., & Evans, D. D. (2018) · Journal of the American Association of Nurse Practitioners · doi:10.1097/jxx.0000000000000139 · Cited by 17
Self-citationBoyer, L., Pépin, J., Dubois, S., Descôteaux, R., Robinette, L., Déry, J., Brunet, F. P., Bolduc, J., & Deschênes, M. (2020) · Nurse Education Today · doi:10.1016/j.nedt.2020.104530 · Cited by 16
Gardner, A., Helms, C., Gardner, G. E., Coyer, F. M., & Gosby, H. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14690 · Cited by 16
Profiling Emergency Nurse Practitioner Service
O’Connell, J., Gardner, G. E., & Coyer, F. M. (2014) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000030 · Cited by 16
Appraisal of the emergency nurse practitioner specialty role
Hoyt, K. S., Evans, D. D., Wilbeck, J., Ramirez, E. G., Agan, D. L., Tyler, D. O., & Schumann, L. L. (2018) · Journal of the American Association of Nurse Practitioners · doi:10.1097/jxx.0000000000000134 · Cited by 16
Self-citationProfessional competence of nurses in emergency services: evidence of content validity
de Holanda, F. L., Marra, C. C., & Cunha, I. C. K. O. (2019) · Revista Brasileira de Enfermagem · doi:10.1590/0034-7167-2017-0518 · Cited by 14
Emergency care: Operationalizing the practice through a concept analysis
Davis, W. D., Evans, D. D., Fiebig, W., & Lewis, C. L. (2019) · Journal of the American Association of Nurse Practitioners · doi:10.1097/jxx.0000000000000229 · Cited by 13
Advanced Practice Registered Nurses in the Emergency Care Setting
Winger, J., Brim, C. B., Dakin, C. L., Gentry, J. C., Killian, M., Leaver, S. L., Papa, A. R., Proud, M. E., Riwitis, C. L., Wrobleski, D. M., et al. (2020) · Journal of Emergency Nursing · doi:10.1016/j.jen.2019.12.011 · Cited by 13
Unique Educational Needs of Emergency Nurse Practitioners
Keough, V. A., Tell, D., Andreoni, C., & Tanabe, P. J. (2016) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000120 · Cited by 12
Dağ, G. S., Çetin, S. B., & Gözkaya, M. (2019) · Nursing and Health Sciences · doi:10.1111/nhs.12598 · Cited by 12
The Specialty of Emergency Nurse Practitioner Practice
Hoyt, K. S., Evans, D. D., Ramirez, E. G., & Wilbeck, J. (2017) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000166 · Cited by 12
Self-citationHu, Y., Wang, F., Cao, W., & Gui, C. (2024) · BMC Emergency Medicine · doi:10.1186/s12873-024-01032-8 · Cited by 11
A Modified Delphi Study to Establish Essential Clinical Pharmacology Competencies
Johnson‐Williams, B. E., Reynolds, K. S., Gobburu, J. V. S., & Rundio, A. A. (2024) · Therapeutic Innovation & Regulatory Science · doi:10.1007/s43441-023-00609-y · Cited by 10
Fan, L., Gui, L., Shu-hua, X., & Qiao, A. (2016) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2016.08.005 · Cited by 10
Advanced practice registered nurses: Addressing emerging needs in emergency care
DiFazio, R. L., & Vessey, J. A. (2013) · African Journal of Emergency Medicine · doi:10.1016/j.afjem.2013.04.008 · Cited by 8
Developing an e-learning resource for nurse airway assistants in the emergency department
Hersey, P., & McAleer, S. (2017) · British Journal of Nursing · doi:10.12968/bjon.2017.26.4.217 · Cited by 8
Evaluating an australian emergency nurse practitioner candidate training program
Plath, S. J., Wright, M., & Hocking, J. (2017) · Australasian Emergency Nursing Journal · doi:10.1016/j.aenj.2017.07.001 · Cited by 8
Trabalho em equipe de enfermagem em unidade de urgência e emergência na perspectiva de Kurt Lewin
Silva, A. P., Munari, D. B., Brasil, V. V., Chaves, L. D. P., Bezerra, A. L. Q., & Ribeiro, L. C. M. (2012) · Ciência Cuidado e Saúde · doi:10.4025/cienccuidsaude.v11i3.16609 · Cited by 7
A Collaboration to Unify Emergency Nurse Practitioner Competencies
Davis, W. D., Hallman, M. G., Denke, N. J., House, D. T., Switzer, D. F., & Wilbeck, J. (2022) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2022.06.014 · Cited by 7
An Exemplar Interprofessional Academic Emergency Nurse Practitioner Program
Evans, D. D., Ashooh, M. P., Kimble, L. P., & Heilpern, K. L. (2017) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000132 · Cited by 7
Wolf, L. A., Delao, A. M., Carman, M. J., & Simon, C. (2024) · Journal of Emergency Nursing · doi:10.1016/j.jen.2024.08.006 · Cited by 6
The Clinical Competencies of Nurse Anesthetists in Response to Community Needs: A Delphi Study
Halakou, S., Bakhsha, F., Jafari, S. Y., Yousefi, Z., Aryaee, M., & M. R. Y. (2017) · Journal of Clinical and Basic Research · doi:10.29252/jcbr.1.4.13 · Cited by 6
Wainwright, A., Klein, T., & Daly, C. (2016) · Policy Politics & Nursing Practice · doi:10.1177/1527154416665099 · Cited by 6
Aligning Emergency Nurse Practitioner Programs Using a National Validation Process
Davis, W. D., Hallman, M. G., & Wilbeck, J. (2023) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2023.104653 · Cited by 5
Self-Rated Emergency Core Nursing Competencies Among Emergency Nurses in Qassim, Saudi Arabia
Alrashedi, H. N., Alshammari, B., AlOtaibi, M., AlRashedi, F., Alanazi, N., AlOtaiby, E., & AlSayed, F. (2022) · Cureus · doi:10.7759/cureus.32416 · Cited by 5
Family Nurse Practitioner or Acute Care Nurse Practitioner in the Emergency Department?
Proehl, J. A. (2015) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000084 · Cited by 5
Ensuring Relevance and Currency for the Emergency Nurse Practitioner Profession
Davis, W. D., Evans, D. D., & Wilbeck, J. (2020) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000317 · Cited by 5
Historical Evolution of Emergency Nurse Practitioner Education
Wilbeck, J., Tucker, P. W., & Davis, W. D. (2024) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000534 · Cited by 4
Morishima, C., & Toume, M. (2016) · Journal of Japan Academy of Critical Care Nursing · doi:10.11153/jaccn.12.1_49 · Cited by 3
Yusuf, S., Hagan, J. L., & Stone, S. (2022) · Journal of the American Association of Nurse Practitioners · doi:10.1097/jxx.0000000000000771 · Cited by 3
Hoyt, K. S., Ramirez, E. G., & Proehl, J. A. (2013) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0b013e3182aa52b9 · Cited by 3
Self-citationDeveloping Clinical Competency for a Nurse Practitioner Urgent Care Fellowship
Bowles, J., Tan, M., & Gothard, D. (2024) · The Journal for Nurse Practitioners · doi:10.1016/j.nurpra.2024.104960 · Cited by 2
Chen, F., Li, H., Liang, X. H., & Liu, T. (2024) · Therapeutic Hypothermia and Temperature Management · doi:10.1089/ther.2024.0048 · Cited by 2
Smith, G. I., & Hodgins, M. J. (2018) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000202 · Cited by 2
What Can Nurse Practitioners Do for Emergency Care?
Semonin-Holleran, R. (2010) · Journal of Emergency Nursing · doi:10.1016/j.jen.2010.06.002 · Cited by 2
Exploration of the genetic assistant position in the provision of genetics services
Krutish, A. (2019) · Mspace (University of Manitoba) · Cited by 2
Dang, T. K. C., Yeh, B.-I., Park, Y. C., Hoang, B. B., Vinh, K., & Park, K. H. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1703842 · Cited by 1
The Path to Certification for Emergency Nurse Practitioners
Carman, M. J., & Jordan, K. S. (2024) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000536 · Cited by 1
Proehl, J. A. (2014) · Advanced Emergency Nursing Journal · doi:10.1097/tme.0000000000000040 · Cited by 1
Being secure in insecurity : Aspects of caring in the ambulance service
Holmberg, M. (2015) · Figshare · Cited by 1
An integrated literature review of the role of the nurse practitioner in the emergency department
Eden, S. M. (2011) · Otago University Research Archive (University of Otago)
Paula, A., & da Silva, S. S. (2012)
Assessment of the Perceived Self-efficacy of Nurses to Function as a Nurse Practitioner
Mathew, D., & GOYAL, H. J. (2018) · International Journal of Current Research and Academic Review · doi:10.20546/ijcrar.2018.602.003
Castner, J. (2020) · Journal of Emergency Nursing · doi:10.1016/j.jen.2019.11.009
Pons, E. G. (1997) · La Ley: Revista jurídica española de doctrina, jurisprudencia y bibliografía
(2010) · Journal of Emergency Nursing · doi:10.1016/s0099-1767(10)00523-4
Yousif, K. I. (2022) · Nursing & Healthcare International Journal · doi:10.23880/nhij-16000268
Wang, L., Chen, M., Dou, Y., Wang, G., Zhang, L., & Qiao, M. (2023) · Research Square · doi:10.21203/rs.3.rs-2381248/v1
Competenze dell'infermiere di pronto soccorso: revisione narrativa della letteratura
Vezzoni, B., & Masciarri, V. (2023) · Dissertation Nursing · doi:10.54103/dn/19769
Aligning Visual Data Practices with Construction Decision Making: Delphi-Based Investigation
Adegoke, A., Akanmu, A., & Terreno, S. (2026) · Journal of Construction Engineering and Management · doi:10.1061/jcemd4.coeng-17841
Developing competency evaluation indicators for neurosurgical specialist nurses: a Delphi-AHP study
Song, L., Li, W., & Wang, Z. (2026) · BMC Nursing · doi:10.1186/s12912-026-04952-x
Metadata
- Authors
- Sue Hoyt, K., Coyne, E. A., Ramirez, E. G., Peard, A. S., Gisness, C., & Gacki-Smith, J.
- Affiliations
- Thomas Jefferson University (US)
- Grady Memorial Hospital (US)
- ORCID
- Ramirez, Elda G.
- Venue
- Journal of Emergency Nursing
- Publisher
- Elsevier BV
- Published
- 2010-09
- Volume
- 36
- Issue
- 5
- Pages
- 439-449
- ISSN
- 0099-1767 (ISSN-L)
- OpenAlex
- W2001929074
- Cited by
- 71
- References
- 6
- Citations by year
- 2026: 3 · 2024: 8 · 2023: 4 · 2022: 5 · 2021: 1 · 2020: 7 · 2019: 5 · 2018: 7 · 2017: 9 · 2016: 4 · 2015: 4 · 2014: 3 · 2013: 4 · 2012: 3
- FWCI
- 5.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Emergency Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Competency Development and Evaluation
- Social Sciences › Education › Innovations in Medical Education
- Keywords
- nurse practitioners, emergency care, clinical competence, entry-level competencies, competency validation, emergency nursing education, advanced practice nursing, professional competence
- MeSH terms
- Adult, Attitude of Health Personnel, Delphi Technique, Female, Humans, Male, Middle Aged, Nurse Practitioners, Professional Competence, Surveys and Questionnaires, Emergency Nursing, Nurse's Role
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review