Psychomotor Entrustable Professional Activities of Newly Graduated Nurse-Midwives: A Delphi study

Abstract

This research study aimed to study psychomotor activities that newly graduated nurse-midwives could practice with and without supervisors by using the entrustable professional activities framework (EPAs). The Delphi technique was used to gather information. A sample of 30 nursing experts was recruited. Fifteen of them were from nursing education, while the other 15 were from nursing services. One hundred and
forty-seven psychomotor activities with 5-point rating scales of newly graduated nurse’s practice ability were listed as a tool. Data were analyzed using median and interquartile range to get the consensus of experts. The research findings showed that the psychomotor activities, which newly graduated nurse-midwives could practice without supervisors as the expert consensus, included 23 activities. However, the psychomotor activities,which newly graduated nurse-midwives could practice with supervisors as the expert consensus, consisted of 1) 51 activities that could practice under available distancesupervision, 2) 49 activities that could practice under vision supervision, 3) 18 activities that could practice under close supervision, and 4) four activities that were not allowed to practice at all, but just observe outside with supervisor. These findings can be used as guidelines for teaching and learning of the bachelor of nursing science program to strengthen nursing students’ practice skills, according to the professional requirements.Also, these can be used as an agreement between educational institutions and employers of the nurse-midwives in clinics about entrustable activities of newly graduated nurses-midwives.