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Integrated immediate postmortem and acute bereavement care: Competency-based entrustable professional activities for

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This study developed entrustable professional activities (EPAs) for nursing students in postmortem and bereavement care. These EPAs aim to improve essential nursing skills and bridge the gap between education and clinical practice in end-of-life care.

Keywords:
Acute bereavement careEntrustable professional activityEntrustment decisionsModified Delphi methodPostmortem care

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Area of Science:

  • Nursing Education
  • End-of-Life Care
  • Professional Competency Development

Background:

  • Effective immediate postmortem and acute bereavement care is crucial for alleviating patient distress but is often insufficient in nursing practice.
  • Integrating these skills into nursing education is essential to address this gap.
  • Entrustable Professional Activities (EPAs) offer a structured framework for developing these critical competencies.

Approach:

  • A modified Delphi method and a four-step consensus-building approach were employed.
  • Expert panels identified and revised EPA items based on literature and clinical experience.
  • The Queen's EPA Quality rubric was used to validate the quality of the developed EPAs.

Key Points:

  • Four major EPA components were identified: cultural/religious ritual assessment, death preparation, postmortem care, and acute bereavement care.
  • General clinical skills, communication/teamwork, and caring were identified as highly correlated essential competencies.
  • High consensus was achieved among experts, with validated EPA quality.

Conclusions:

  • Developed EPAs provide a framework for nursing curricula to enhance immediate postmortem and acute bereavement care education.
  • These EPAs can guide the planning of nursing education to better align competencies with clinical practice.
  • This initiative aims to improve the quality of end-of-life care provided by nurses.