The Nurse Practitioner Clinical Competency Progression Rubric, or NP-Clin-CPR, is a workplace-based clinical assessment resource designed to support competency progression in nurse practitioner education.
The rubric organizes assessment around core nurse practitioner professional activities that reflect the clinical work students are learning to perform across clinical settings.
Why it was developed
Nurse practitioner education is shifting toward competency-based education, which emphasizes demonstrated performance rather than time-based measures alone.
NP-Clin-CPR was developed to provide a structured, behaviorally anchored way to monitor learner progression over time and support feedback about clinical performance, growth, and readiness for practice.
Building on the EPA concept and consistent with AACN and NONPF competency-based assessment guidance, the rubric bundles related competencies into observable NP professional activities that can be demonstrated, coached, and evaluated in practice.
Competency Progression
Supports tracking of learner growth across clinical experiences.
Dreyfus + Professional Activities
Integrates developmental performance levels (novice to expert) with workplace-based professional activities.
Shared Feedback Language
Provides shared language for students, preceptors, and faculty to discuss performance expectations and clinical growth.
Appropriate use
NP-Clin-CPR is designed to support formative feedback, learner reflection, clinical coaching, and competency-informed evaluation across clinical learning experiences.
Programs should align use of the rubric with their curricula, course expectations, clinical placement structures, and institutional policies. Faculty remain responsible for final evaluation decisions and for interpreting rubric information within the broader context of learner performance.
Development Team
The NP-Clin-CPR rubric was developed collaboratively over several years by the team listed below.
Jeanne Moore
DNP, FNP-BC
Johns Hopkins University
Tracey Chan
Phd, ANP-BC
Oakland University
Julianne Doucette
DNP, CPNP-BC
Rush University
Dianne Slager
DNP, FNP-BC
Grand Valley State University
Terri Lipps, DNP, FNP-BC, Beal University, contributed to developing the NP core professional activities.
Anna Brock, PhD candidate, Oakland University, provided research assistance.