Entrustable professional activities in nursing education: a scoping review protocol

Alexander, Nicholas; Maaz, Asja; Peters, Harm; Kottner, Jan

doi:10.1136/bmjopen-2022-061451

Cited by 10 publications

(6 citation statements)

References 22 publications

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“…The development and creation of entrustable professionalism activity is one of the suggested assessment and evaluation models that are used in some medical fields (primarily medicine) ( 33 , 48 ). Unfortunately, the two professions that we used, nursing and respiratory therapy students, are in the early stages of using EPA as an assessment and evaluation method in their profession ( 49 – 51 ). Thus, based on our findings, we think that mostly likely the reasons for WMG having a higher competency score was due to having more realistic experience with the settings of the simulation, having a patient actor.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of tracheostomy suctioning procedure among nursing and respiratory therapy students: wearable manikin vs. standard manikin

Lumowa,

Lui,

Daher

et al. 2023

Front. Med.

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IntroductionThis study aims to evaluate cognitive load (CL), emotional levels (EL), and stress levels (SL) of students when using a wearable manikin vs. a standard manikin for tracheostomy suctioning (TS).MethodsThis study was approved by the Institutional Review Board. Subjects were recruited by email. Subjects completed a baseline demographics questionnaire, then they were randomized into two groups: wearable manikin group (WMG) or standard manikin group (SMG). For the WMG, an actor simulated a patient by wearing the device. In phase I, both groups were educated on how to perform TS by video and offered hands-on practice. Then I put through a tracheostomy suctioning clinical simulation and completed a post sim-survey. In phase II, the same survey was repeated after encountering a real patient as part of their clinical rotation.ResultsA total of 30 subjects with a mean age 26.0 ± 5.5 years participated. 20 (66.7%) were respiratory care students and 10 (33.3%) were nursing students. In the WMG, the median stress level dropped significantly post phase II compared to post phase I [2(1,4) vs.3(1,5), p = 0.04]. There were no significant changes in median CL, confidence, and satisfaction levels between post phase II and post phase I (p > 0.05). In the SMG, the satisfaction level increased significantly post phase II compared to post phase I [5(4,5) vs.4(2,5), p = 0.004], but there were no significant changes in CL, SL, and confidence levels between post phase I and phase II. There was no significant difference in mean EL scores over time and these changes did not differ by group. Subjects in the WMG showed a higher mean competency score than those in the SMG (85.5 ± 13.6 vs. 78.5 ± 20.8, p = 0.14, Cohen’s d = 0.4), yet not significant.ConclusionOur results showed that the WMG is beneficial in helping bridge the gap of learning TS from the sim setting to the real-world clinical setting. More studies with higher sample size and use of other CL scales that assesses the different types of CL are needed to validate our findings.

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Section: Discussionmentioning

confidence: 99%

Evaluation of tracheostomy suctioning procedure among nursing and respiratory therapy students: wearable manikin vs. standard manikin

Lumowa,

Lui,

Daher

et al. 2023

Front. Med.

View full text Add to dashboard Cite

show abstract

“…There have been implementations of EPAs in professional training such as pharmacy (Abeyaratne and Galbraith, 2023;Haines et al, 2017Haines et al, , 2018, nursing (Alexander et al, 2022;Corrigan et al, 2022;Spies and Feutz, 2023), physician assistant studies (Mulder et al, 2010;Acker et al, 2021), dentistry (Arunachalam et al, 2023;Cully et al, 2023;Ehlinger et al, 2023) and dietetics (Bramley et al, 2021(Bramley et al, , 2023. As almost all these implementations are relatively new, there have been few studies regarding the effectiveness of these programs.…”

Section: Developing Entrustable Professional Activitiesmentioning

confidence: 99%

“…There have been implementations of EPAs in professional training such as pharmacy (Abeyaratne and Galbraith, 2023; Haines et al. , 2017, 2018), nursing (Alexander et al. , 2022; Corrigan et al.…”

Section: Developing Entrustable Professional Activitiesmentioning

confidence: 99%

Entrustable professional activities: a model for job activity competency framework with microcredentials

Ma¹,

Cate

2023

IJILT

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PurposeJob competency frameworks are based on the listing skills required for a job. The assumption is that if a candidate is presumed to have the skills, then the candidate should be able to do the job. Thus, employers hope to identify prospective employees having the required skills. However, this may differ from knowing whether the employee is ready to be trusted to do the job activities with minimal or no supervision. The authors pose the question how employers might know about the capability of prospective employees to perform the job activities for which the employees are being hired.Design/methodology/approachIn health professions education, a job activity-based framework has been developed called “entrustable professional activities” (EPAs, activities to be entrusted). This paper reviews the job activity framework and EPAs used in medical education, considering how this might support preparation for work in other sectors of the labor market.FindingsThe authors describe the EPA framework, some implementation issues and how EPAs lead to a type of microcredential being awarded to individuals as the individuals demonstrate that the individuals can be entrusted with specific job activities.Originality/valueThe focus of this paper is to demonstrate that a medical education model could potentially be adopted by other industries to provide employers with information regarding the ability of a prospective employee in performing the job activities required. Such an approach would address employer's concerns about the job readiness of potential employees.

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“…Published by Francis Academic Press, UK -64-grasping of teaching materials and cultivation of learning interest. Teaching in classroom could play the most important role in acquiring knowledge for the physicians receiving resident training, and advocate the initiative and improve the exploration ability of trainees to learn [6].…”

Section: Fourthly Summary Through Teaching With Affection and Inspiri...mentioning

confidence: 99%

Evaluation of the Application of Voluntary Cooperation Inquiry Method in Stimulating Interest in Resident Training Classes

2022

IJNDE

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Objective: To explore the application and effect of small group-based voluntary cooperation inquiry method in resident training teaching. Methods: A total of 50 physicians receiving resident training in the First Affiliated Hospital of Nanjing Medical University from September 2016 to July 2021 were randomly divided into two groups for research. Trainees in the test group (group A, n = 25) adopted voluntary cooperation inquiry method; and those in the control group (group B, n = 25) applied the teaching method. The teaching effect was evaluated through questionnaires, theoretical knowledge tests and practical skills assessment. Results: (1) The results of the questionnaire showed that the residents in the test group were significantly better than those in the control group in terms of active preview (p < 0.001), whole-process concentrating on participating in the questionnaire (p < 0.001), searching for points of interest (p < 0.001), proposing high-quality questions (p < 0.001), and different teaching methods (p < 0.001). ( 2) The theoretical knowledge test results revealed that the results of physicians receiving resident training in the test group were significantly better than those in the control group (p < 0.001). ( 3) The results of practical skill assessment indicated that the scores of physicians receiving resident training in the test group were obviously superior to those in the control group (p < 0.001). Conclusion: There is positive application effect of voluntary cooperation inquiry method in resident training teaching, and it greatly improves trainees' learning interest and learning ability.

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Entrustable professional activities in nursing education: a scoping review protocol

Cited by 10 publications

References 22 publications

Evaluation of tracheostomy suctioning procedure among nursing and respiratory therapy students: wearable manikin vs. standard manikin

Evaluation of tracheostomy suctioning procedure among nursing and respiratory therapy students: wearable manikin vs. standard manikin

Entrustable professional activities: a model for job activity competency framework with microcredentials

Evaluation of the Application of Voluntary Cooperation Inquiry Method in Stimulating Interest in Resident Training Classes

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