Development of entrustable professional activities for novice nurses: A modified Delphi study

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2024-11-01 DOI:10.1016/j.nepr.2024.104181

Zhang Meng , Cheng Haidan , Tian Junye , Lu Qian , Qi Xin , Wang Cheng

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引用次数: 0

Abstract

Aim

This study aimed to develop a tailored EPA framework for novice nurses to support their integration and performance in hospital settings.

Background

Novice nurses often struggle with the transition from education to practice due to the gap between theoretical knowledge and practical skills. EPAs help bridge this gap by defining and assessing key competencies, but a framework specific to novice nurses is needed to address their unique challenges.

Design

A modified Delphi method was used.

Methods

Conducted from October 2023 to March 2024, the study followed a four-stage process: team formation, identification, revision and evaluation of EPAs. Initial EPAs were identified through literature reviews, clinical guidelines and focus groups, then refined using the EQual rubric. Two Delphi rounds were conducted for validation. Experts rated the importance of EPAs in the first round, followed by online discussions, with the second round focusing on dimensions including Focus, Observable, Realistic, Generalizable and Multiple competencies.

Results

The final framework included 12 EPAs: 1) Manage Admission and Discharge, 2) Provide Basic Care, 3) Collect Specimens, 4) Administer Medications, 5) Perform Non- Medication Therapies, 6) Monitor Conditions, 7) Respond to Emergencies, 8) Educate Patients, 9) Prevent Adverse Events, 10) Conduct Handovers, 11) Document Care and 12) Operate Equipment.

Conclusion

This EPA framework integrates theory and practice to improve training and assessment. Future research should focus on its implementation and refinement in diverse clinical settings to ensure broader applicability.

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为护士新手开发可委托的专业活动：经修改的德尔菲研究

背景由于理论知识与实践技能之间存在差距，新手护士在从教育向实践过渡的过程中经常会遇到困难。EPA通过定义和评估关键能力来弥补这一差距，但需要一个专门针对新手护士的框架来解决他们面临的独特挑战.DesignA modified Delphi method was used.MethodsConducted from October 2023 to March 2024, the study followed a four-stage process: team formation, identification, revision and evaluation of EPAs.最初的 EPAs 是通过文献回顾、临床指南和焦点小组确定的，然后使用 EQual 标准进行完善。进行了两轮德尔菲验证。专家们在第一轮中对 EPA 的重要性进行评分，然后进行在线讨论，第二轮侧重于重点、可观察性、现实性、可推广性和多重能力等方面：1) 入院和出院管理，2) 提供基本护理，3) 采集标本，4) 给药，5) 执行非药物治疗，6) 监测病情，7) 应对紧急情况，8) 教育病人，9) 预防疾病，10) 提供基本护理，11) 提供基本护理服务，12) 提供基本护理服务，13) 提供基本护理服务，14) 提供基本护理服务，15) 提供基本护理服务。该 EPA 框架将理论与实践相结合，以改进培训和评估。未来的研究应重点关注其在不同临床环境中的实施和完善，以确保其更广泛的适用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.