Entrustable Professional Activities in Nurse Practitioner Education

Surjadi, Miranda; Stringari-Murray, Suzan; Saxe, JoAnne M.

doi:10.1016/j.nurpra.2018.12.030

Cited by 13 publications

(20 citation statements)

References 14 publications

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“…: student interns prepared to do essential work without direct supervision. EPAs assessment approach permits the evaluation of a number of competencies through the lens of activities that nursing students are expected to perform in clinical practice [ 23 ]. The approach aligns with workplace training and provides clinical instructors and students with clear guidance regarding their roles.Further, there is an obvious interest in working with EPAs to ease student transition from undergraduate to the graduate level [ 24 ].Indeed, the approach reflects a gradual increase of mastering of core competencies to perform an EPA independently.…”

Section: Resultsmentioning

confidence: 99%

“…Once activities that are core and expected to be entrusted at the end of the program have been identified and listed, each core EPA should be formulated and described briefly in a way that clarifies what is expected of the students. The following steps are suggested to adequately formulate an EPA [12,23, 24, 25, 26]: After identifying the core EPAs [ 23 , 24 ], all smaller activities that must be practiced and mastered to perform the core EPAs should be identified. For example, the nursing health assessment, “Core EPA 1”, requires that nursing students to be familiar with the activities of history-taking and physical examination, including vital signs and laboratory results.…”

Section: Resultsmentioning

confidence: 99%

“…After identifying the core EPAs [ 23 , 24 ], all smaller activities that must be practiced and mastered to perform the core EPAs should be identified. For example, the nursing health assessment, “Core EPA 1”, requires that nursing students to be familiar with the activities of history-taking and physical examination, including vital signs and laboratory results.…”

Section: Resultsmentioning

confidence: 99%

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Entrustable professional activities in nursing: A concept analysis

Al‐Moteri

2020

International Journal of Nursing Sciences

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Objective Entrustable professional activities (EPAs) is a newly emerging concept. This paper aims at analyzing the concept of “EPAs” to clarify the meaning and to identify its components for optimum understanding of the concept for use in nursing education and future research. Method Three databases – ProQuest, Ovid, and PubMed– were retrieved, and Walker and Avant’s concept analysis approach was used to analyze the concept of EPAs. Results Based on the analysis, three attributes of EPAs were defined, namely 1) EPAs should be restricted to a limited number of tasks; 2)reflect the experience curve; and 3) include acceptance of responsibility and accountability. The antecedent of EPAs is a holistic and integrated assessment approach. This will eventually lead to anticipated consequences such as a mastery of core competencies and an increase in the level of autonomy. Conclusion The study may contribute to a reduction in the ambiguity of this concept to better apply it in nursing practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Entrustable professional activities in nursing: A concept analysis

Al‐Moteri

2020

International Journal of Nursing Sciences

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“…As a result, rather than writing a curated competency list, the research team created EPAs based on areas of broad agreement in the original sets. This shift in focus from competencies to EPAs is in line with current thinking and practice in medical, dental, 28,29 nurse practitioner, 30 and physician assistant education 31 as it enables the description of observable units of activity that encompass several competencies for purposes of assessment. 32 The smaller number of EPAs reflects the complexity of these activities and a refined focus on activities that can be readily observed and demonstrated.…”

Section: Data Extraction and Analysismentioning

confidence: 72%

Entrustable Professional Activities in Oral Health for Primary Care Providers Based on a Scoping Review

Goodell

Ticku

Fazio

et al. 2019

Journal of Dental Education

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Despite advances in oral health care, inequalities in oral health outcomes persist due to problems in access. With proper training, primary care providers can mitigate this inequality by providing oral health education, screening, and referral to advanced dental treatment. Diverging sets of oral health competencies and guidelines have been released or endorsed by multiple primary care disciplines. The aim of this study was to transform multiple sets of competencies into Entrustable Professional Activities (EPAs) for oral health integration into primary care training. A scoping review of the literature between January 2000 and December 2016 was conducted according to PRISMA methodology to identify all existing sets of competencies. The following primary care disciplines were included in the search: allopathic/osteopathic medical schools and residency programs in family medicine, internal medicine, and pediatrics; physician assistant programs; and nurse practitioner programs. Competencies were compared using the Health Resources and Services Administration Integration of Oral Health and Primary Care Practice competencies as the foundational set and translated into EPAs. The resulting EPAs were tested with a reactor panel. The scoping review produced 1,466 references, of which 114 were selected for full text review. Fourteen competencies were identified as being central to the integration of oral health into primary care. These were converted to seven EPAs for oral health integration into primary care and were mapped onto Accreditation Council for Graduate Medical Education residency competency domains as well to the Association of American Medical Colleges EPAs for graduating medical students. The resulting EPAs delineate the essential, observable work required of primary care providers to ensure that oral health is treated as a critical determinant of overall health.

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“…When a learner has attained the EPA, they are trusted to perform independently with post hoc or distant supervision. EPAs are becoming increasingly adopted by European and American medical schools and are gaining acceptance in disciplines outside medicine, including nursing and pharmacy (Giddens et al, 2014; Haines et al, 2017; Surjadi, Stringari‐Murray, & Saxe, 2019). The appeal of EPAs to entry level medicine, nursing, and allied health professions lies in overcoming some challenges associated with CBA as EPAs describe familiar, observable, work‐based activities that a new graduate could be expected to do without direct supervision (Chen, van den Broek, & ten Cate, 2015).…”

Section: Introductionmentioning

confidence: 99%

E‐portfolios and Entrustable Professional Activities to support competency‐based education in dietetics

Bramley

Thomas

Kenna

et al. 2020

Nursing & Health Sciences

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The concept of Entrustable Professional Activities, recently pioneered in medical education, has emerged to support the implementation of competency-based education. Although competency-based frameworks are widely used in healthcare professional education to develop outcomes-based curricula, assessment of student competency in professional placement settings remains challenging. The novel concept of Entrustable Professional Activities together with established methods of competency assessment, namely e-portfolios and self-assessment, was implemented in the "[La Trobe University Dietetic program in 2015-2016. This study aimed to appraise the e-portfolio and evaluate the use of Entrustable Professional Activities to assess competence. A mixed-methods evaluation, using qualitative and quantitative surveys with follow-up structured consultations, was conducted with final year dietetics students and their supervisors. Dietetics students were comfortable with Entrustable Professional Activities and competency-based assessment, whereas supervisors preferred Entrustable Professional Activity based assessment. All stakeholders valued student self-assessment and the ongoing use of structured eportfolios to develop and document competency. The use of structured e-portfolios, student self-assessment, and the emerging concept of Entrustable Professional Activities are useful tools to support dietetics student education in professional placement settings.

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Entrustable Professional Activities in Nurse Practitioner Education

Cited by 13 publications

References 14 publications

Entrustable professional activities in nursing: A concept analysis

Entrustable professional activities in nursing: A concept analysis

Entrustable Professional Activities in Oral Health for Primary Care Providers Based on a Scoping Review

E‐portfolios and Entrustable Professional Activities to support competency‐based education in dietetics

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