Description of the Foundations of C.A.T.E.S.: An Instrument in Development

Creating an instrument for use in simulation for high-stakes evaluations requires multiple stages of research and development. Initially, the journey begins with the development of an intended construct and later progresses into a tool which produces valid and reliable results worthy of use in high-stakes evaluations. This article describes the initial groundwork completed for C.A.T.E.S., an instrument in development for the evaluation of multidimensional competency of neonatal nurse practitioners. The significance and background as well as a brief review of literature and definitions of competency are included. Current methods of competency evaluation in nursing and specifically for neonatal nurse practitioners are reviewed. The theoretical framework for C.A.T.E.S. is analyzed, and the implications for future research are detailed.