Creighton Competency Evaluation Instrument©

Shaping the Future of Clinical Education

The Creighton College of Nursing is known for innovation. So it came as no surprise when Creighton’s nursing faculty led the world in creating an instrument that would gauge the effectiveness of clinical learning in simulation environments.

As nursing education transitioned to become more competency-based, the developers of the Creighton Competency Evaluation Instrument© evolved the instrument through additional research and testing. The newly revised and updated Creighton Competency Evaluation Instrument© (CCEI) 2.0 will effectively equip nurse educators to assess student competency in clinical simulations.

Creighton’s new partnership with Laerdal Medical provides an even larger platform for the CCEI 2.0 framework, bringing the tool to educators on an international scale. 

CCEI is used in all U.S. states and 30+ countries
CCEI has been translated into 9 languages
CCEI is published in more than 300+ scholarly works

What CCEI 2.0 Measures

The CCEI 2.0 standardized how educators assess student performance and competency. This innovative process increases consistency among graders with a set of clearly defined expected behaviors that demonstrate students are safe and competent.

The tool focuses on 25 general nursing behaviors divided into four major categories:

  • Clinical judgment
  • Communication
  • Quality and safety
  • Professionalism

The category of Clinical Judgment is further divided into six subcategories:

  • Recognize cues
  • Analyze cues
  • Prioritize hypotheses
  • Generate solutions
  • Take actions
  • Evaluate outcomes 

The History of the CCEI

Development of the assessment tool began in 2008, under the name Creighton Simulation Evaluation Instrument© (CSEI). As educators increasingly moved to simulations to train nursing students, Creighton College of Nursing faculty recognized a need to establish a standardized, comprehensive assessment of student performance and competency.   

 

The American Association of Colleges of Nursing (AACN) Core Competencies served as the framework for the original CSEI tool. The measurement categories were:

  • Assessment
  • Communication
  • Critical thinking
  • Technical skills

The tool was revised in 2014 and published in collaboration with the National Council of State Boards of Nursing (NCSBN) as the Creighton Competency Evaluation Instrument©. This iteration evaluated 23 key items in the categories:

  • Assessment
  • Communication
  • Clinical judgment
  • Patient safety

CCEI was selected by the National Council of State Boards of Nursing for use in the landmark National Simulation Study.

Contributing Faculty

The evaluation tool was created by College of Nursing faculty members: 

  • Martha Todd, PhD, APRN-NP
  • Kimberly Hawkins, PhD, APRN
  • Maribeth Hercinger, PhD, RN, BC
  • Julie Manz, PhD, MS, RN
  • Mary Tracy, PhD, RN
  • Lindsey Iverson, DNP, APRN-NP, ACNP-BC
  • Sarah Ball, PhD, RNC-OB, C-EFM, CHSE
  • Lucas Manning, DNP, RN, CHSE

The CSEI and the CCEI are accessible by public domain, but training and/or updates to the original CSEI or CCEI are not available.