"Activity" (in Bq) is the number of nuclei that decay per second.
"Energy" is defined as the energy per nucleus released. As defined in the answer here, the units after the conversion will be in joules (MeV * 1.6 × 10-19 = Joules).
Hence,
(number of nuclei / second)*(joules / number of nuclei) = (joules / second) = watts