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Nurse Practitioners

SOC 29-1171.00Job Zone 5 · Extensive Preparationv.26.05

Context coveredThis 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.

Sources:O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.SkillsCrosswalkSkillsCrosswalk — O*NET enrichment + adjacency index. Opens in new tab.
Emerging
Entry / Apprentice
  1. Patient health records — document initial care plans and baseline prognoses under the supervision of a preceptor in a primary care or acute care setting.
  2. Treatment plan components — identify and apply established standards of care and professional practice guidelines under direct clinical guidance.
  3. Patient health education materials — select and present foundational information to promote health and reduce risk factors under supervised practice.
  4. Patient histories and symptom data — collect, organize, and report clinical findings to a supervising provider for diagnostic review.
  5. Complex or comorbid patient presentations — recognize clinical indicators and escalate care needs appropriately to collaborative care team members.
  6. Medication dosages, routes, and frequencies — calculate and propose prescriptions based on patient age, gender, and weight under attending oversight.
  7. Chronic condition management protocols — apply evidence-based guidelines for conditions such as hypertension and diabetes under structured supervision.
  8. Electronic health record systems — enter, retrieve, and manage patient clinical data accurately using medical software platforms.
  9. Clinical diagnostic information — interpret basic laboratory and imaging results to support differential diagnosis development with preceptor guidance.
  10. Active listening and social perceptiveness skills — demonstrate during patient interviews to gather accurate subjective data in supervised clinical encounters.
Developing
Mid-level / Established
  1. Comprehensive patient health care records — maintain detailed, accurate, and timely documentation of evolving care plans and prognoses with minimal supervisory review.
  2. Evidence-based treatment plans — develop and implement plans grounded in scientific rationale and current clinical guidelines across routine patient panels.
  3. Patient risk reduction counseling — deliver targeted health promotion and disease prevention education adapted to individual patient circumstances in outpatient settings.
  4. Patient histories, physical findings, and diagnostic data — analyze and synthesize independently to formulate appropriate diagnoses for stable and familiar case types.
  5. Episodic and acute conditions — diagnose and manage with growing confidence, coordinating with physicians or specialists when clinical complexity warrants.
  6. Prescription regimens — determine and authorize medication dosages, routes, and frequencies within full prescriptive authority, applying pharmacokinetic reasoning.
  7. Chronic disease management — monitor, adjust, and maintain longitudinal treatment for conditions such as diabetes and hypertension across a defined patient caseload.
  8. Clinical decision-support software and database tools — query and interpret resources to validate diagnostic and therapeutic decisions in routine practice.
  9. Time management and caseload prioritization — organize patient scheduling and care tasks efficiently across a full clinical day in a community health or specialty setting.
  10. Written clinical communication — produce clear referral letters, consultation summaries, and care coordination notes using word processing and office suite tools.
Proficient
Senior / Expert IC
  1. Complex, unstable, and comorbid patient presentations — diagnose and manage autonomously, leading collaborative care with physicians, specialists, and interdisciplinary teams.
  2. Individualized treatment plans — design and refine plans across the full scope of NP practice, integrating scientific rationale with patient-specific factors and cost considerations.
  3. Advanced patient education interventions — develop and execute tailored counseling strategies that address health literacy, behavioral risk factors, and chronic disease self-management.
  4. Comprehensive diagnostic reasoning — interpret multi-system clinical data, laboratory results, and imaging independently to generate accurate differential diagnoses for non-routine cases.
  5. Emergency and high-acuity conditions — assess, stabilize, and initiate evidence-based treatment under urgent conditions in emergency department or inpatient collaborative environments.
  6. Pharmacotherapy decisions — prescribe based on comparative efficacy, safety profiles, and formulary cost-effectiveness within full legal prescriptive authority across diverse patient populations.
  7. 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.
  8. Inductive and deductive clinical reasoning — apply systematically to resolve ambiguous or rare presentations, drawing on biomedical science and clinical experience.
  9. Interprofessional coordination — lead care conferences and cross-disciplinary communication strategies to ensure seamless patient transitions across care settings.
  10. Clinical data analysis and reporting — use spreadsheet and database software to track patient outcomes, identify trends, and inform quality improvement actions.
Advanced
Lead / Principal / Executive
  1. Organizational clinical practice standards — establish and champion evidence-based protocols, prescribing policies, and care guidelines across a health system or large practice network.
  2. NP workforce development — mentor, precept, and design structured training programs that elevate clinical competency and professional practice for emerging and developing practitioners.
  3. Strategic treatment frameworks — lead system-wide adoption of advanced practice models that integrate scientific innovation, value-based care principles, and patient safety imperatives.
  4. Health promotion and population health initiatives — design and direct community or institutional programs targeting disease prevention, health equity, and measurable risk reduction outcomes.
  5. Diagnostic quality improvement — analyze aggregate diagnostic accuracy data and lead interdisciplinary initiatives to reduce error rates and optimize clinical decision-making across the organization.
  6. Prescribing governance and formulary leadership — guide organizational medication policies, controlled substance stewardship programs, and pharmacotherapy standards in alignment with regulatory requirements.
  7. Chronic disease center of excellence — build and lead multidisciplinary programs that set regional or national benchmarks for outcomes in complex chronic condition management.
  8. 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.
  9. Health informatics strategy — direct the selection, implementation, and optimization of medical software, EHR platforms, and clinical decision-support systems to advance care delivery goals.
  10. 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.

AI-at-Work Competency Framework

Sources:Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.
Subscriber feature

Authoritative source data identified for 998 occupations

How a worker at each mastery level uses, directs, and evaluates AI tools in this occupation. Each statement cites its evidence inline; click a citation chip to verify the source.

Emerging
  1. AI-assisted documentation drafting — uses an AI tool to generate initial drafts of patient health care plan notes and progress summaries, then reviews and corrects entries before finalizing the record Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  2. Clinical guideline retrieval — queries an AI assistant to surface relevant standards of care and professional practice guidelines, cross-checking outputs against authoritative sources before applying them WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
Developing
  1. Diagnostic information synthesis — directs an AI tool to compile and summarize patient histories, symptom patterns, and lab findings into a structured overview, then applies clinical judgment to form or refine diagnoses Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  2. Patient education content generation — assigns an AI assistant to draft condition-specific health promotion materials, then edits the output for accuracy, literacy level, and individual patient context Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  3. Differential diagnosis support — prompts an AI tool with presenting symptoms and risk factors to generate a ranked differential list, treating the output as one input among clinical examination findings and diagnostic data Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
Proficient
  1. Treatment plan co-development — iterates with an AI assistant through multiple evidence options for complex, comorbid patients, retaining full clinical authority over the final plan while delegating literature-matching tasks to the tool Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  2. Clinical workflow time recapture — systematically offloads documentation, coding cross-checks, and formulary lookups to AI tools, reallocating recovered time toward direct patient assessment and care coordination Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  3. Collaboration handoff structuring — prepares AI-generated clinical summaries as structured handoff documents for consulting physicians or specialist teams, verifying completeness and accuracy before transmission WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
Advanced
  1. AI capability boundary setting — evaluates which diagnostic and treatment tasks fall within the moderate automation-feasibility range and establishes practice-level protocols that preserve NP clinical oversight for high-stakes decisions Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  2. Human-technology integration governance — leads the design of AI-assisted care pathways for the clinical team, defining validation checkpoints and escalation criteria that ensure human-technology interaction standards are met across all provider roles WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab. Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
  3. AI output auditing for complex patients — applies expert-level clinical reasoning to systematically review AI-generated assessments for unstable or emergency presentations, identifying model errors and feeding findings back to improve prompting and workflow standards Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
Evidence pack
AEI usage
Task observations: 674
Augment share: 67.4%
Time saved: 89.5%
AI autonomy: 3.38
SAFI positioning
Top skill: Complex Problem Solving
Score: 59.2 / 100
precision: exact
WEF cluster
Human-Technology Interaction
human_technology_interaction
Sources:Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.

Pathsmith Durable Skills Framework

Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Subscriber feature

Ten durable-skill domains mapped to four proficiency/role levels for each occupation. Each statement is aligned to the Pathsmith taxonomy, derived from trusted grounding data and mapped to occupation-specific O*NET tasks and skills.

1Communication11 statements
Emerging
  1. Patient history intake — elicits chief complaints and symptom timelines through structured questioning during initial clinical encounters Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Medication instruction delivery — communicates basic prescription dosage and frequency information to patients using plain language O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Diagnostic explanation — translates clinical findings and preliminary diagnoses into accessible language for patients with varying health literacy levels Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Interdisciplinary handoff — conveys patient status, active problems, and care plan updates to collaborating physicians and specialists using SBAR or equivalent frameworks O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Clinical documentation — records patient health care plans, prognoses, and treatment rationale in complete and detailed medical records O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Treatment plan communication — presents evidence-based treatment options, risks, and expected outcomes to patients and families to support informed decision-making Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Health promotion counseling — delivers targeted education on risk factor reduction, disease prevention, and lifestyle modification tailored to individual patient circumstances O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Written clinical correspondence — authors referral letters, discharge summaries, and consultation notes that accurately synthesize complex patient histories and clinical reasoning O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Population health messaging — designs and delivers health education campaigns for community or panel populations addressing chronic disease management and prevention Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Difficult conversation facilitation — leads conversations about serious illness, end-of-life planning, or adverse diagnoses with emotional precision and therapeutic presence Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Interprofessional communication leadership — models and coaches team members on effective clinical communication standards and documentation best practices across care settings Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
2Leadership10 statements
Emerging
  1. Care team participation — contributes clinical observations and patient data to team discussions, supporting shared decision-making in supervised settings Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Patient advocacy initiation — identifies patient needs that fall outside standard visit scope and escalates concerns to appropriate care team members Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Chronic disease panel management — assumes primary accountability for developing and monitoring individualized care plans for patients with conditions such as hypertension and diabetes O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Clinical preceptorship — guides nursing students or new graduate NPs through patient encounters, offering structured feedback on assessment and clinical reasoning Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Independent practice leadership — exercises full scope-of-practice authority in managing complex, comorbid patient populations with minimal physician oversight where legally authorized O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Quality improvement initiative ownership — leads protocol development or process improvement projects targeting measurable outcomes in patient safety or care quality Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Emergency response coordination — directs clinical response to acute or unstable patient presentations, mobilizing resources and collaborating with specialists as required O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. NP workforce development — mentors and develops early-career nurse practitioners through structured professional development programs, practice-based coaching, and clinical role modeling Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Health system influence — shapes organizational policies, clinical guidelines, or legislative testimony that expands NP scope of practice and advances equitable patient access Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Multidisciplinary team leadership — chairs care conferences and coordinates complex case management across physicians, social workers, pharmacists, and allied health professionals Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
3Metacognition8 statements
Emerging
  1. Clinical self-assessment — identifies personal knowledge gaps in pharmacology or pathophysiology and seeks targeted learning resources to address deficiencies Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Diagnostic uncertainty recognition — acknowledges the limits of current clinical reasoning and articulates the need for supervision or consultation in ambiguous cases Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Reflective practice — reviews clinical decisions after patient encounters to identify reasoning errors, anchoring bias, or missed diagnostic considerations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Learning strategy calibration — selects continuing education formats—case-based learning, simulation, or journal review—aligned to identified clinical performance gaps Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Cognitive bias monitoring — systematically evaluates own diagnostic and prescribing decisions for premature closure, availability bias, or overconfidence in standard presentations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Practice pattern analysis — uses patient outcome data and peer benchmarking to evaluate the effectiveness of personal treatment approaches and adjust protocols accordingly Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Clinical reasoning model development — creates or adapts structured reflection tools for NP teams to systematize metacognitive review of complex or diagnostic error cases Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Expert uncertainty navigation — models transparent acknowledgment of clinical uncertainty to trainees and colleagues, demonstrating decision-making under incomplete information Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
4Critical Thinking11 statements
Emerging
  1. Symptom pattern recognition — identifies common chief complaint clusters and maps them to probable differential diagnoses using foundational pathophysiology knowledge O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Evidence appraisal initiation — locates and reads clinical guidelines and research summaries relevant to assigned patient presentations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Differential diagnosis construction — systematically generates and ranks differential diagnoses for acute and chronic presentations by analyzing symptom histories, physical findings, and diagnostic data O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Diagnostic test interpretation — evaluates laboratory, imaging, and diagnostic results within clinical context to confirm, refute, or refine working diagnoses O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Prescribing rationale evaluation — selects medications by critically weighing efficacy data, safety profiles, contraindications, and cost considerations for individual patients O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Complex case analysis — integrates comorbid conditions, polypharmacy risks, and psychosocial factors into comprehensive, individualized treatment plans grounded in scientific rationale and standards of care O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Clinical guideline application — evaluates applicability of evidence-based guidelines to individual patient contexts, adjusting recommendations when patient characteristics deviate from study populations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Unstable condition management — applies rapid, structured clinical reasoning to assess and manage emergency or acutely deteriorating patients, prioritizing interventions by urgency and risk O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Diagnostic innovation — identifies atypical or rare presentations that elude standard diagnostic frameworks, synthesizing cross-disciplinary evidence to reach accurate diagnoses in complex cases Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Systems-level problem solving — analyzes root causes of recurring clinical errors or adverse outcomes at the practice or system level and designs evidence-based corrective interventions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Research translation — critically appraises emerging clinical literature and translates findings into updated practice protocols or treatment pathways for NP teams Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
5Collaboration9 statements
Emerging
  1. Care team integration — participates in interdisciplinary rounds and case discussions, contributing patient-specific clinical observations within assigned scope Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Consultation request — identifies clinical situations requiring specialist input and initiates referral or consultation through appropriate channels O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Co-management coordination — collaborates with physicians and specialists to develop and execute shared care plans for patients with complex or comorbid conditions O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Pharmacy collaboration — works with clinical pharmacists to reconcile medications, identify drug interactions, and optimize prescribing decisions for high-risk patients O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Interprofessional care planning — leads and participates in multidisciplinary care conferences, integrating nursing, social work, pharmacy, and specialty perspectives into cohesive patient management plans Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Community resource coordination — connects patients with behavioral health, social services, and community health resources, coordinating across organizational boundaries to address social determinants of health O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Team conflict navigation — addresses professional disagreements about diagnosis or treatment within the care team through evidence-based dialogue and mutual respect for scope boundaries Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Collaborative practice model design — develops and implements collaborative practice agreements and team-based care protocols that optimize role integration and patient outcomes across provider types Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Cross-system care continuity — architects care transition processes between inpatient, outpatient, and community settings, ensuring information continuity and accountability across providers and organizations Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
6Character9 statements
Emerging
  1. Scope awareness — practices within credentialed scope and acknowledges limitations, seeking supervision or consultation when clinical situations exceed current competency Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Patient confidentiality adherence — maintains HIPAA compliance and protects patient information in all documentation, communication, and care coordination activities Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Informed consent integrity — ensures patients receive complete, accurate information about diagnoses, treatment options, and risks before obtaining consent for clinical interventions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Documentation accountability — records clinical encounters with accuracy and completeness, avoiding omissions or alterations that could compromise patient safety or legal defensibility O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Ethical prescribing practice — resists inappropriate prescribing pressures from patients, industry, or system incentives, grounding all medication decisions in evidence, safety, and patient welfare Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Cultural humility — approaches patient care with respect for diverse cultural, religious, and personal health beliefs, integrating patient values into treatment planning without imposing clinical bias Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Error disclosure — transparently communicates clinical errors or near-misses to patients and care teams, initiating corrective action and supporting a culture of safety Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Professional ethics leadership — guides colleagues through ethically complex cases—including end-of-life decisions, resource allocation, and dual-role conflicts—using structured ethical reasoning frameworks Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Health equity advocacy — identifies and actively addresses systemic barriers to equitable care within practice settings, integrating social justice principles into clinical and policy decisions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
7Creativity8 statements
Emerging
  1. Patient engagement adaptation — experiments with alternative explanations, analogies, or visual aids to improve patient understanding of complex diagnoses or treatment plans Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Problem reframing — considers non-obvious contributing factors—behavioral, social, environmental—when standard diagnostic approaches do not yield clear answers Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Individualized care plan design — crafts treatment approaches that creatively integrate patient preferences, cultural context, and social determinants when standard protocols are insufficient or contraindicated Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Workflow innovation — identifies inefficiencies in clinical workflows and proposes novel process improvements that enhance patient throughput without compromising care quality Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Novel diagnostic hypothesis generation — synthesizes cross-specialty knowledge to generate creative diagnostic hypotheses for presentations that do not conform to textbook patterns Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Health behavior change strategy design — develops individualized, creative behavior change interventions for patients resistant to conventional health promotion approaches Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Clinical program innovation — conceives and pilots new care delivery models, disease management programs, or preventive health initiatives that address unmet population health needs Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Educational content creation — develops original case studies, simulation scenarios, or clinical training curricula that translate complex NP practice competencies into engaging learning experiences Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
8Growth Mindset8 statements
Emerging
  1. Feedback receptivity — accepts constructive feedback from supervising physicians and preceptors on clinical assessments and incorporates corrections into subsequent patient encounters Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Clinical learning commitment — pursues understanding of unfamiliar diagnoses, medications, or procedures encountered in practice through independent study and consultation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Scope expansion — proactively pursues training in new clinical competencies—procedural skills, specialty areas, or population groups—to expand practice capability Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Diagnostic setback processing — analyzes missed diagnoses or treatment failures as learning opportunities, identifying modifiable factors in clinical reasoning or decision-making Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Continuing education integration — maintains current clinical practice by actively engaging with professional development, certifications, and emerging evidence in areas of specialization Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Patient complexity embrace — pursues increasingly complex patient panels and challenging clinical presentations as vehicles for professional growth rather than sources of avoidance Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Learning culture cultivation — fosters a team environment where clinical errors, diagnostic uncertainty, and knowledge gaps are treated as shared learning opportunities rather than individual failures Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Practice transformation ownership — drives adoption of new clinical technologies, EHR capabilities, or evidence-based protocols by modeling openness to change and supporting peer adaptation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
9Mindfulness8 statements
Emerging
  1. Attention regulation — maintains focused clinical attention during patient interviews and examinations, minimizing distraction in high-volume or fast-paced care environments Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Emotional recognition — identifies personal emotional reactions—frustration, anxiety, compassion fatigue—that arise during difficult patient encounters and names them without immediate reaction Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Presence in clinical encounters — demonstrates full attentiveness to patient verbal and non-verbal cues during consultations, resisting cognitive preoccupation with prior or subsequent cases Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Stress response management — applies grounding or regulation strategies between high-acuity patient encounters to maintain clinical judgment quality across full shift demands Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Intentional diagnostic pacing — deliberately slows clinical reasoning during complex or ambiguous presentations to reduce premature closure and ensure thorough evidence evaluation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Therapeutic presence — maintains calm, regulated emotional demeanor during patient crises, end-of-life conversations, or diagnostic disclosures to support patient psychological safety Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Mindful team environment modeling — demonstrates and teaches present-moment awareness and emotional regulation practices to clinical teams operating under sustained high-stress conditions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Systemic burnout prevention — identifies and advocates for structural practice changes—scheduling, workload distribution, debrief protocols—that support sustained mindfulness and clinician well-being across the NP workforce Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
10Fortitude8 statements
Emerging
  1. Diagnostic uncertainty tolerance — sustains clinical engagement and continues systematic workup when initial diagnostic results are inconclusive or contradictory Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. High-acuity exposure — remains functionally composed during initial encounters with emergency or rapidly deteriorating patients, executing learned assessment protocols under pressure Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Sustained complex case management — maintains engagement and clinical rigor across longitudinal management of patients with multiple chronic conditions requiring repeated treatment adjustments O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Difficult patient navigation — persists in building therapeutic alliance with patients who are non-adherent, hostile, or emotionally dysregulated, without withdrawing clinical effort Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. High-stakes decision-making under pressure — executes sound clinical judgments for unstable or emergency patients in resource-constrained or time-critical environments without deferring to avoidance Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Adverse outcome resilience — processes poor patient outcomes, including unexpected deterioration or death, without allowing grief or self-doubt to chronically impair subsequent clinical performance Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Systemic adversity navigation — sustains clinical excellence and professional integrity during prolonged organizational dysfunction, resource scarcity, or public health emergencies such as pandemic conditions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Courageous advocacy — challenges unsafe clinical practices, institutional policies, or provider behaviors that compromise patient safety, accepting professional risk in service of patient welfare Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Show O*NET source anchors71 anchors · skillscrosswalk.com

O*NET enrichment · skillscrosswalk.com

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Source anchors that ground each statement

Related titles
ACNP (Acute Care Nurse Practitioner) · Adult Nurse Practitioner · Advanced Practice Nurse (APN) · Advanced Practice Provider · Advanced Practice Registered Nurse (APRN) · ARNP Specialist (Advanced Registered Nurse Practitioner Specialist) · Cardiology Nurse Practitioner · Certified Nurse Practitioner · Certified Registered Nurse Practitioner · CPNP (Certified Pediatric Nurse Practitioner) · Dermatology Nurse Practitioner · Electrophysiology Nurse Practitioner
RAPIDS apprenticeships
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O*NET skills
Complex Problem SolvingActive ListeningCritical ThinkingReading ComprehensionMonitoringSocial PerceptivenessActive LearningWritingSpeakingJudgment and Decision MakingService OrientationScienceCoordinationLearning StrategiesTime ManagementPersuasionSystems EvaluationInstructingMathematicsNegotiationOperations AnalysisSystems AnalysisManagement of Personnel Resources
Knowledge domains
Medicine and DentistryEnglish LanguageBiologyPsychologyCustomer and Personal ServiceTherapy and CounselingEducation and TrainingSociology and AnthropologyMathematicsChemistryAdministration and ManagementComputers and ElectronicsPublic Safety and SecurityCommunications and MediaLaw and Government
Abilities
Written ComprehensionInductive ReasoningProblem SensitivityDeductive ReasoningNear VisionWritten ExpressionOral ExpressionInformation OrderingOral ComprehensionSpeech Clarity
Work styles
Attention to DetailDependabilityIntegrityEmpathyCooperationCautiousness
Technology
Medical softwareData base user interface and query softwareSpreadsheet softwareInternet browser softwareOffice suite softwareElectronic mail softwarePresentation softwareDocument management softwareWord processing software
Tasks · seed anchors for statements
  1. Maintain complete and detailed records of patients' health care plans and prognoses.
  2. Develop treatment plans, based on scientific rationale, standards of care, and professional practice guidelines.
  3. Provide patients with information needed to promote health, reduce risk factors, or prevent disease or disability.
  4. Analyze and interpret patients' histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses.
  5. Diagnose or treat complex, unstable, comorbid, episodic, or emergency conditions in collaboration with other health care providers as necessary.
  6. Prescribe medication dosages, routes, and frequencies, based on such patient characteristics as age and gender.
  7. Diagnose or treat chronic health care problems, such as high blood pressure and diabetes.
  8. Prescribe medications based on efficacy, safety, and cost as legally authorized.
CIP education codes
51.380251.380351.380551.380651.380851.380951.381051.381151.381251.381351.381451.381551.381651.381851.381951.382051.382151.382251.382451.389960.070160.070260.070360.070460.070560.070660.070760.070860.070960.071060.071160.071260.071360.071460.071560.071660.071760.071860.071960.072060.072160.072260.072360.072460.072560.072660.072760.072860.072960.073060.073160.073260.073360.073460.073560.073660.073760.073860.073960.074060.074160.074260.074360.074460.074560.074660.074760.074860.074960.075060.075160.0799

Sources: O*NET v30.2 (CC BY 4.0), SkillsCrosswalk.com, LER.me, Anthropic Economic Index, SAFI (Jadhav & Danve, 2026), WEF Skills Taxonomy 2021, Pathsmith Durable Skills Framework. © 2026 EBSCOed.