Development of the core competency-based entrustable professional activities for Master of Nursing Specialist (MNS) graduates in China
Bibliographic Data
| ID | 21447798 |
|---|---|
| Authors | Yang Yang (0000-0002-3705-7612, Nanjing Medical University), Yue Han (0000-0002-5181-9230, Nanjing Medical University), Huan Xu (0000-0003-4260-8711, Wenzhou Medical University), Tingxuan Wang (0000-0002-4560-0339, School of Nursing, The University of Hong Kong), Zhuoling Li (0009-0006-5190-5098, Nanjing Medical University), Ke Huang (0000-0002-5924-7062, Nanjing Medical University), Xiaoman Jiang (0000-0001-8148-4307, The first affiliated hospital, Zhejiang University School of Medicine), Yan Ji (0000-0002-6801-4666, Nanjing Medical University, corresponding author), Xu Qin (0000-0002-5506-0399, Nanjing Medical University, corresponding author), Qin Xu (0009-0004-5916-9828, Nanjing Medical University) |
| Year | 2024 |
| Volume | 46 |
| Issue | 10 |
| Pages | 1328-1336 |
| Publication date | 2024-10-02 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Teacher (JOURNAL) |
| Journal identifiers | ISSN: 0142-159X • E-ISSN: 1466-187X |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/0142159x.2024.2308074 |
| PMID | 38295767 |
| OpenAlex | W4391378260 |
| Language | EN |
| References cited | 32 |
BACKGROUND: Advanced nursing practice and education with a Master's degree as the necessary preparation, is viewed as a major strategy to cultivate senior nursing talents. Competencies are central to advanced nursing practice and education, but how can competencies be measured? Entrustable professional activities (EPAs) have been used widely in medicine as a practical approach for bridging the gaps between competency and clinical practice. Considering the paucity of research in EPAs for nursing graduates in China, it is needed to develop EPAs specifically for Chinese Master of Nursing Specialist (MNS) graduates to improve patient safety and quality patient care. OBJECTIVES: To develop and evaluate a core competency-based EPAs framework for Chinese MNS graduates. METHODS: A four-stage approach was adopted for the EPAs development, including: (1) forming a research team, (2) drafting an initial EPAs framework, (3) reviewing EPAs framework, and (4) conducting EPAs consensus assessment. RESULTS: A framework containing twelve EPAs was developed, including: 1) perform health assessments, 2) identify and prioritize nursing diagnoses, 3) formulate and implement care plan, 4) perform basic and specialized care operations, 5) recognize and manage medication needs of patients, 6) assess and manage patients with mental health problems, 7) recognize and assist in rescuing critically ill patients, 8) perform transition and handover, 9) participate in multidisciplinary team collaborative care, 10) provide health education and nursing consultation, 11) formulate and implement discharge plans, and 12) instruct nursing students in a clinical setting. The I-CVI score for the two rounds of Delphi ranged from 0.92 ∼ 1.00 and 0.96 ∼ 1.00, respectively. The mean of Equal's score for the three domains ranged from 4.20 ∼ 4.47, 4.25 ∼ 4.51, and 4.23 ∼ 4.37, respectively. CONCLUSION: The developed EPAs framework in this study is a reliable tool to assess the core competencies of Chinese MNS graduates in clinical practice and assist with their curricula design
China · Clinical Practice · Core competency · Medical education · Nursing practice · Patient care · Innovations in Medical Education · Medicine · Nursing · Nursing education and management · Psychology · Simulation-Based Education in Healthcare
Competency-based medical education
Curriculum development for the workplace using Entrustable Professional Activities (EPAs)
Determination and Quantification Of Content Validity
EQual Rubric Evaluation of the Association of American Medical Colleges’ Core Entrustable Professional Activities for Entering Residency
| Highly cited | No |
|---|