Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
J Clin Nurs. 2021 Oct;30(19-20):2822-2831. doi: 10.1111/jocn.15788. Epub 2021 Apr 9.
To test the psychometric properties of the entrustable professional activity assessment tool for clinical procedures to be administered to clinical trainers and students.
Students' ability to perform clinical procedures professionally and safely is a key concern for healthcare educators. The assessment of professional activities, in which entrustment is a key outcome, is crucial for determining the level of training and supervision of work-based assessments. The entrustable professional activities for clinical procedures (EPA-CP) have been used among clinical trainers, but it needs more psychometric testing.
The psychometric study used a cross-sectional design.
Students' self-assessment (n = 302) and the supervisors' ratings on the students' performance in clinical procedures (n = 266) were used to evaluate the psychometric properties of the six-item EPA-CP assessment tool. Internal consistency and test-retest reliabilities of the assessment tool were examined. Convergent, known-groups, analysis of structural validity were conducted to investigate the tool's construct and factorial structure. The STROBE checklist for cross-sectional studies was followed.
The EPA-CP assessment tool demonstrated good reliability, satisfactory convergent validity and significant differences in the known-group comparison. The exploratory factor and confirmatory factor analyses indicated the cogent constructs of the assessment tool when administered to students and their supervisors.
The EPA-CP assessment tool is a valid, reliable and user-friendly tool for evaluating healthcare students' capability to perform clinical procedures. This tool makes it possible for the precise assessment of learners in performing procedures in busy and dynamic clinical settings.
Reliable instruments are needed to effectively assess healthcare students' ability to perform clinical procedures and enable trainers to entrust students with the tasks. The results indicate that the EPA-CP assessment is promising and may be used in the healthcare settings.
测试临床程序可委托专业活动评估工具的心理计量学特性，以对临床培训师和学生进行评估。
学生专业且安全地执行临床操作的能力是医疗保健教育者关注的关键。专业活动评估是确定基于工作的评估培训和监督水平的关键，其中委托是一个关键结果。临床程序的可委托专业活动（EPA-CP）已在临床培训师中使用，但需要更多的心理计量学测试。
使用横断面设计进行心理计量学研究。
使用学生的自我评估（n=302）和主管对学生在临床操作中的表现的评分（n=266）来评估六项目 EPA-CP 评估工具的心理计量学特性。检查了评估工具的内部一致性和重测信度。进行了收敛性、已知群体、结构有效性分析，以研究工具的结构和因子结构。遵循了横断面研究的 STROBE 清单。
EPA-CP 评估工具表现出良好的可靠性、令人满意的收敛有效性和已知群体比较中的显著差异。探索性因子和验证性因子分析表明，当对学生及其主管进行评估时，评估工具具有有力的结构。
EPA-CP 评估工具是一种评估医疗保健学生执行临床操作能力的有效、可靠和用户友好的工具。该工具使得在繁忙和动态的临床环境中对学习者进行精确评估成为可能。
需要可靠的工具来有效地评估医疗保健学生执行临床操作的能力，并使培训师能够将任务委托给学生。结果表明，EPA-CP 评估具有很大的潜力，可能在医疗保健环境中使用。
