Design, implementation and evaluation of novel work-based clinical assessment tool : An e-portfolio with embedded Entrustable Professional Activities

Journal article

Bramley, Andrea, Forsyth, Adrienne and McKenna, Lisa. (2021). Design, implementation and evaluation of novel work-based clinical assessment tool : An e-portfolio with embedded Entrustable Professional Activities. Nurse Education Today. 107, p. Article 105101. https://doi.org/10.1016/j.nedt.2021.105101
AuthorsBramley, Andrea, Forsyth, Adrienne and McKenna, Lisa
Abstract

Background
A new concept in work-based assessment, Entrustable Professional Activities (EPAs) describe key activities a work-ready practitioner can perform independently. EPAs are widely used in medicine to support competency-based education and are gaining acceptance in other professions such as nursing, pharmacy and dietetics. There is currently no widely accepted work-based assessment tool for student clinical placement assessment in dietetics and EPAs offer potential to address this gap.

Objectives
To design, implement and evaluate a work-based assessment tool using EPAs embedded in an e-portfolio for use in clinical dietetics.

Setting
An accredited dietetic training program in Australian university and affiliated metropolitan and rural hospitals.

Participants
Three consecutive cohorts of final year dietetic students (n = 126) and their professional placement supervisors (n = 101).

Methods
A working party consisting of dietetic academics with experience in clinical dietetics and education developed clinical dietetic EPAs and milestones that were mapped to the National Competency Standards for Dietitians in Australia. A design model incorporating multiple rounds of user feedback was used to create an e-portfolio with the EPAs embedded. Students and supervisors were invited to complete anonymous on-line surveys with Likert responses (1 = highly dissatisfied, 5 = highly satisfied) to evaluate the face validity, acceptability and feasibility of the tool.

Results
A total of 37 EPAs were developed with an accompanying four-point entrustment scale to measure performance. Evaluation survey response rates were high and ranged from 35 to 45% for students and 57-83% for supervisors across the study period. Both students and supervisors evaluated the tool positively with a mean overall satisfaction of 4.12 ± 0.69 and 4.03 ± 0.68, respectively. Survey items evaluating face validity, feasibility and acceptability scored >3.75 for both groups of users.

Conclusions
The EPA based e-portfolio demonstrated face validity, feasibility and acceptability and offers potential for a widely accepted tool for work-based assessment of clinical dietetic students.

KeywordsEntrustable Professional Activities; work-based assessment; competency-based education; dietetic education
Year2021
JournalNurse Education Today
Journal citation107, p. Article 105101
PublisherElsevier Ltd
ISSN0260-6917
Digital Object Identifier (DOI)https://doi.org/10.1016/j.nedt.2021.105101
Scopus EID2-s2.0-85114141379
Page range1-7
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online19 Aug 2021
Publication process dates
Accepted13 Aug 2021
Deposited22 Nov 2022
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