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Competency Evaluation

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.

After several years of research and successful outcomes, the Creighton Competency Evaluation Instrument (C-CEI©) has proven effective and is sought out by nursing educators around the country and the world. Training is also provided to ensure educators are properly utilizing the instrument.

This free, downloadable, two-page tool is used by over 190 organizations, including the National Council of State Boards of Nursing and the National League for Nursing. Requests for C-CEI have come from as far away as China, Spain and South Korea. C-CEI is even being translated into Chinese and Spanish.

C-CEI focuses on 22 general nursing behaviors divided into four categories:

  • Assessment: obtains pertinent data, objective, follow-up, assessment environment
  • Communication: with providers, with patient and significant others, documentation, response to abnormal findings, realism/professionalism
  • Clinical Judgment: interprets vital signs, lab results and relevant data, prioritizes outcome formulation, intervention performance and rationale, evaluation of interventions, reflection, delegation
  • Patient Safety: patient identifiers, utilizes standard precautions, safe medication administration, equipment management, technical performance, reflects on hazards / errors

Evaluation Tool Creators

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

  • Martha Todd, Ph.D., APRN-NP
  • Kimberly Hawkins, Ph.D., APRN
  • Maribeth Hercinger, Ph.D., R.N., B.C.
  • Julie Manz, Ph.D., M.S., R.N.
  • Mary Tracy, Ph.D., R.N.
  • Lindsey Iverson, DNP, APRN-NP, ACNP-BC


Interested in C-CEI? You may download a free document of the instrument after agreeing to the terms of use.

Creighton Nursing Simulation Evaluation Instrument

Nursing student in simulation patient lab
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