Wei Fang-Chun, Chang Chia-Ting, Chung Jui-Yuan
Department of Nursing, Cathay General Hospital, Taiwan, ROC.
Emergency Department, Cathay General Hospital, Taiwan, ROC.
Hu Li Za Zhi. 2025 Aug;72(4):31-38. doi: 10.6224/JN.202508_72(4).05.
Traditional competency-based education models are no longer adequate to address the practical training needs of nursing education. The concept of entrustable professional activities (EPAs) has been introduced to bridge the gap between theoretical knowledge and clinical practice. EPAs offer a task-based, competency-integrated framework for both instruction and assessment, transforming abstract competencies into observable and assessable clinical tasks. This paper explores the origin and theoretical foundation of EPAs, their structured components, and their practical application in clinical nursing education. Evidence suggests EPAs enhance teaching quality and clinical learning outcomes while fostering professional autonomy and sense of responsibility in learners. It is recommended nursing educators develop training in EPA-based instructional design and that standardized assessment tools and trust-based decision-making mechanisms be developed. These efforts can support professional growth and enhance the alignment between nursing education and clinical practice.
传统的基于能力的教育模式已不足以满足护理教育的实践培训需求。可托付专业活动(EPA)的概念已被引入,以弥合理论知识与临床实践之间的差距。EPA为教学和评估提供了一个基于任务、能力整合的框架,将抽象的能力转化为可观察和可评估的临床任务。本文探讨了EPA的起源和理论基础、其结构化组成部分以及在临床护理教育中的实际应用。有证据表明,EPA提高了教学质量和临床学习成果,同时培养了学习者的专业自主性和责任感。建议护理教育工作者开展基于EPA的教学设计培训,并开发标准化评估工具和基于信任的决策机制。这些努力可以支持专业成长,并加强护理教育与临床实践之间的一致性。