Entrustable Professional Activities (EPAs) on the Residency in Obstetric Nursing: an emerging concept

Abstract

Introduction: the residency curriculum is based in specific competencies, that compose the syllabus and the complexity of evaluations. The Residency Program in Obstetric Nursing search clarity in the processes and utilize the Entrustable Professional Activities (EPAs) for it. Objective: identify the professional’s activities that the resident performs in the different scenarios encountered during the time of the Uniprofessional Residency in Obstetric Nursing. Method: semi-structured questionnaires were applied to instructors-in-residency to map scenarios. The data was collected on Microsoft Office Excel 360 and realized a simple statistical analysis. The initial qualitative data analyses were to identify errors and grouped together as to the scenarios of the instructors-in-residency. The data was analyzed by frequency of similar words with nos: 01) General activities; 02) Specific activities performed by the resident professional on obstetrics. Results: from the answers received from the instructors-in-residency as titles from the program EPAs: Work assistance at the parturition, birth and post childbirth immediate; Development on the
medical records based on the Nursing Assistance Systematization – SAE; Patient admission with the nursing
history records, physical exam and the obstetric risk classification; Newborn reception on the obstetrics center
and immediate care made; Puerperal evaluation; Receiving/Passing of duty; Monitoring of the patients during the labor; The evaluation/monitoring of risk factors to the help obstetric assistance; and the discussion capacity
of the cases with multiprofissional health group. Conclusion: there is a necessity for more cooperative studies coordinated with the program for the construction of EPAs and others residency programs with different realities.