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[高级护理教育中的可托付专业活动:对课程设计和临床能力发展的启示]

[Entrustable Professional Activities in Advanced Nursing Education: Implications for Curriculum Design and Clinical Competency Development].

作者信息

Chang Lilu

机构信息

Center for Advancement of Nursing Education, Koo Foundation Sun Yat-Sen Cancer Center, Taiwan, ROC.

出版信息

Hu Li Za Zhi. 2025 Aug;72(4):23-30. doi: 10.6224/JN.202508_72(4).04.

Abstract

Entrustable professional activities (EPAs) represent a structured framework for competency-based assessment that operationalizes clinical competencies into observable and measurable clinical activities or tasks. Thus, delineating the activities considered core or critical to practice in a particular profession is critical, with the expectation that trainees will achieve a level of competence sufficient to perform each activity independently and with a high degree of trust. In the context of advanced nursing education, developing EPAs involves identifying the key responsibilities and critical tasks that advanced practice nurses (APNs) must carry out autonomously in specific clinical settings. These tasks are aligned with relevant core competencies to inform the design of educational curricula and assessment standards. EPAs thus provide a practical, competency-oriented approach to evaluating clinical performance in professional training. Integrating EPAs into advanced nursing education not only helps define the roles and scope of APNs but also clarifies the core competencies needed to meet the demands of clinical practice. This alignment helps bridge the gap between education and clinical practice, offering a structured pathway for the professional development of APNs. However, the use of EPAs in nursing education remains in its early stages. In this article, the author reviews key concepts of competency-based education and explores strategies for developing EPAs, with a focus on the anticipated advantages and challenges associated with implementing this framework to advance nursing education.

摘要

可托付专业活动(EPAs)代表了一个基于能力评估的结构化框架,该框架将临床能力转化为可观察和可测量的临床活动或任务。因此,明确特定专业实践中被视为核心或关键的活动至关重要,期望学员能够达到足以独立且高度可靠地执行每项活动的能力水平。在高等护理教育背景下,制定可托付专业活动涉及确定高级实践护士(APNs)在特定临床环境中必须自主开展的关键职责和关键任务。这些任务与相关核心能力相一致,以为教育课程设计和评估标准提供依据。因此,可托付专业活动提供了一种实用的、以能力为导向的方法来评估专业培训中的临床绩效。将可托付专业活动纳入高等护理教育不仅有助于界定高级实践护士的角色和范围,还能明确满足临床实践需求所需的核心能力。这种一致性有助于弥合教育与临床实践之间的差距,为高级实践护士的专业发展提供一条结构化途径。然而,可托付专业活动在护理教育中的应用仍处于早期阶段。在本文中,作者回顾了基于能力教育的关键概念,并探讨了制定可托付专业活动的策略,重点关注与实施该框架以推进护理教育相关的预期优势和挑战。

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