5D: Assessing Structural Competency: Delphi Study of Observable Behaviors and Mastery Levels in Pre-Licensure Nursing

Thursday, September 24 | 2:00 p.m. – 2:45 p.m. 

This Delphi study operationalized structural competency for pre-licensure nursing education within a competency-based framework. Experts identified 15 observable behaviors across five domains—recognition of structural factors, advocacy, cultural humility, collaboration, and communication—each with progressive mastery levels. Findings provide actionable tools for assessing equity-focused competencies in classroom, clinical, and simulation settings.

Presenters: 

Sara Kaylor, EdD, RN, CNE | The University of Alabama

Sandra Davis, PhD, DPM, ACNP-BC, FAANP, FAAN | National League for Nursing

Claire McKinley Yoder PhD, RN, CNE | Oregon Health & Science University School of Nursing

Megan Jester, PhD, RN, AHN-BC | The University of Oklahoma Health Science Fran and Earl Zeigler College of Nursing