Entrustable professional activities for quality and patient safety

Laura M. Wagner, Mary A. Dolansky, Robert Englander

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Background: Further efforts are warranted to identify innovative approaches to best implement competencies in nursing education. To bridge the gap between competency-based education, practice, and implementation of knowledge, skills, and attitudes, one emerging approach is entrustable professional activities (EPAs). Purpose: The objective of this study was to introduce the concept of EPAs as a framework for curriculum and assessment in graduate nursing education and training. Methods: Seven steps are provided to develop EPAs for nurses through the example of a quality and safety EPA. The example incorporates the Quality and Safety Education for Nurses (QSEN) patient safety competencies and evidence-based literature. Findings: EPAs provide a practical approach to integrating competencies in nursing as quality and safety are the cornerstones of nursing practice, education, and research. Discussion: Introducing the EPA concept in nursing is timely as we look to identify opportunities to enhance nurse practitioner (NP) training models and implement nurse residency programs.

Original languageEnglish (US)
Pages (from-to)237-243
Number of pages7
JournalNursing outlook
Issue number3
StatePublished - May 1 2018


  • Competency based education
  • Curriculum
  • Entrustable professional activity
  • Graduate nursing
  • Quality improvement


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