Entrustable Professional Activities (EPAs) for Newly Graduated Nurses: A Preliminary Study in Thailand

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Pitsini Mongkhonsiri
Jureerat Kitsomporn
Streerut Thadakant
Sulee Tongvichean
Soiy Anusornteerakul
Wacharee Amornrojanavaravutti
Kittiporn Nawsuwan
Penpak Luk-in
Krongkaew Rastsadondee
Ampicha Nawai
Nualyai Pitsachart
Chonnipha Jaidee


The purpose of this study was to establish a list of nursing psychomotor skills identified to be Entrustable Professional Activities (EPAs) for newly graduated nurses. Twelve nursing instructors from 8 nursing schools discussed and established 147 nursing activities taught in the nursing and midwifery curriculum in Thailand. The list of these activities was constructed to be a questionaire and approved by three experts. Each activity was classified into 5 levels of performance. Experts’ opinions were collected by the two-round Delphi technique from 240 registered nurses recruited by purposive sampling. The participants had been working in the nursing profession for 10-46 years in mixing fields of nursing education and services both in public and private institutes comprised of 119 nursing instructors from 8 nursing institutes and 121 registered nurses from various levels of service sectors. Data was analysed by frequency, percentage, mean and median. Results showed classification of the 147 nursing activities into 4 levels of EPAs which were 41 (27.89 %), 83 (56.46 %), 22 (14.97 %) and 1 (0.68 %) for EPA level’s 5, 4, 3, and 2, respectively. No activity determined to be EPA level 1. There was a total of 124 EPAs (84.35 %) classified to be EPAs level 4 and 5, which experts expected newly graduated nurses to perform entrustedly with distanced supervision or without supervision. The remaining 23 activities (15.65 %) were allowed for new nurses to perform but with close supervision. However, there were only 12 activities of EPAs considered to be level 5 that obtained over 80 % frequencies of the experts’ opinions. This research was the first study to identify EPAs for nurses newly graduated from the nursing and midwifery curriculum in Thailand. The result is useful for nursing pedagogy development, especially for concrete assessments.


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Mongkhonsiri P, Kitsomporn J, Thadakant S, Tongvichean S, Anusornteerakul S, Amornrojanavaravutti W, Nawsuwan K, Luk-in P, Rastsadondee K, Nawai A, Pitsachart N, Jaidee C. Entrustable Professional Activities (EPAs) for Newly Graduated Nurses: A Preliminary Study in Thailand. NJPH (วารสาร พ.ส.) [Internet]. 2021 Apr. 25 [cited 2023 Mar. 24];31(1):161-76. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/250662


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