{"schemaVersion":"1.0","exportedAt":"2026-05-15T12:39:55.079Z","occupation":{"soc":"29-1171.00","title":"Nurse Practitioners","group":"Healthcare Practitioners & Technical","sector":"62","jobZone":5,"jobZoneInferred":false},"framework":{"version":"v.26.05","description":"","contextCovered":"This framework covers Nurse Practitioners practicing across primary care, acute care, specialty, and community health settings, from supervised entry-level clinical roles through executive leadership and health system-level practice influence.","levels":{"emerging":{"label":"Emerging","statements":["Patient health records — document initial care plans and baseline prognoses under the supervision of a preceptor in a primary care or acute care setting.","Treatment plan components — identify and apply established standards of care and professional practice guidelines under direct clinical guidance.","Patient health education materials — select and present foundational information to promote health and reduce risk factors under supervised practice.","Patient histories and symptom data — collect, organize, and report clinical findings to a supervising provider for diagnostic review.","Complex or comorbid patient presentations — recognize clinical indicators and escalate care needs appropriately to collaborative care team members.","Medication dosages, routes, and frequencies — calculate and propose prescriptions based on patient age, gender, and weight under attending oversight.","Chronic condition management protocols — apply evidence-based guidelines for conditions such as hypertension and diabetes under structured supervision.","Electronic health record systems — enter, retrieve, and manage patient clinical data accurately using medical software platforms.","Clinical diagnostic information — interpret basic laboratory and imaging results to support differential diagnosis development with preceptor guidance.","Active listening and social perceptiveness skills — demonstrate during patient interviews to gather accurate subjective data in supervised clinical encounters."]},"developing":{"label":"Developing","statements":["Comprehensive patient health care records — maintain detailed, accurate, and timely documentation of evolving care plans and prognoses with minimal supervisory review.","Evidence-based treatment plans — develop and implement plans grounded in scientific rationale and current clinical guidelines across routine patient panels.","Patient risk reduction counseling — deliver targeted health promotion and disease prevention education adapted to individual patient circumstances in outpatient settings.","Patient histories, physical findings, and diagnostic data — analyze and synthesize independently to formulate appropriate diagnoses for stable and familiar case types.","Episodic and acute conditions — diagnose and manage with growing confidence, coordinating with physicians or specialists when clinical complexity warrants.","Prescription regimens — determine and authorize medication dosages, routes, and frequencies within full prescriptive authority, applying pharmacokinetic reasoning.","Chronic disease management — monitor, adjust, and maintain longitudinal treatment for conditions such as diabetes and hypertension across a defined patient caseload.","Clinical decision-support software and database tools — query and interpret resources to validate diagnostic and therapeutic decisions in routine practice.","Time management and caseload prioritization — organize patient scheduling and care tasks efficiently across a full clinical day in a community health or specialty setting.","Written clinical communication — produce clear referral letters, consultation summaries, and care coordination notes using word processing and office suite tools."]},"proficient":{"label":"Proficient","statements":["Complex, unstable, and comorbid patient presentations — diagnose and manage autonomously, leading collaborative care with physicians, specialists, and interdisciplinary teams.","Individualized treatment plans — design and refine plans across the full scope of NP practice, integrating scientific rationale with patient-specific factors and cost considerations.","Advanced patient education interventions — develop and execute tailored counseling strategies that address health literacy, behavioral risk factors, and chronic disease self-management.","Comprehensive diagnostic reasoning — interpret multi-system clinical data, laboratory results, and imaging independently to generate accurate differential diagnoses for non-routine cases.","Emergency and high-acuity conditions — assess, stabilize, and initiate evidence-based treatment under urgent conditions in emergency department or inpatient collaborative environments.","Pharmacotherapy decisions — prescribe based on comparative efficacy, safety profiles, and formulary cost-effectiveness within full legal prescriptive authority across diverse patient populations.","Longitudinal chronic disease programs — oversee and optimize population-level management of conditions such as heart failure and type 2 diabetes using outcomes monitoring and protocol adjustment.","Inductive and deductive clinical reasoning — apply systematically to resolve ambiguous or rare presentations, drawing on biomedical science and clinical experience.","Interprofessional coordination — lead care conferences and cross-disciplinary communication strategies to ensure seamless patient transitions across care settings.","Clinical data analysis and reporting — use spreadsheet and database software to track patient outcomes, identify trends, and inform quality improvement actions."]},"advanced":{"label":"Advanced","statements":["Organizational clinical practice standards — establish and champion evidence-based protocols, prescribing policies, and care guidelines across a health system or large practice network.","NP workforce development — mentor, precept, and design structured training programs that elevate clinical competency and professional practice for emerging and developing practitioners.","Strategic treatment frameworks — lead system-wide adoption of advanced practice models that integrate scientific innovation, value-based care principles, and patient safety imperatives.","Health promotion and population health initiatives — design and direct community or institutional programs targeting disease prevention, health equity, and measurable risk reduction outcomes.","Diagnostic quality improvement — analyze aggregate diagnostic accuracy data and lead interdisciplinary initiatives to reduce error rates and optimize clinical decision-making across the organization.","Prescribing governance and formulary leadership — guide organizational medication policies, controlled substance stewardship programs, and pharmacotherapy standards in alignment with regulatory requirements.","Chronic disease center of excellence — build and lead multidisciplinary programs that set regional or national benchmarks for outcomes in complex chronic condition management.","Executive-level clinical communication — represent the advanced practice nursing perspective in board-level discussions, policy negotiations, and accreditation processes using high-stakes oral and written communication.","Health informatics strategy — direct the selection, implementation, and optimization of medical software, EHR platforms, and clinical decision-support systems to advance care delivery goals.","Cross-sector collaboration and advocacy — influence legislative, regulatory, and professional bodies to expand NP scope of practice, improve patient access, and shape healthcare workforce policy."]}}},"sources":{"onet":"v30.2 (CC BY 4.0)","crosswalk":"https://skillscrosswalk.com","generator":"LER.me"},"attribution":"© EBSCOed"}