Chinese Journal of Medical Education

Chinese Journal of Medical Education >

2026 , Vol. 46 >Issue 3: 230 - 235

DOI: https://doi.org/10.3760/cma.j.cn115259-20240716-00748

Medical Education Assessment

Construction of entrustable professional activities index for new nurses

  • Cheng Haidan ,
  • Zhang Meng ,
  • Tian Junye ,
  • Lu Qian ,
  • Qi Xin ,
  • Wang Cheng
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  • 1Department of Nursing, Peking University First Hospital, Beijing 100034, China;
    2Division of Medical ＆ Surgical Nursing, School of Nursing, Peking University, Beijing 100191, China;
    3Department of Plastic Surgery ＆ Burns, Peking University First Hospital, Beijing 100034, China;
    4Department of Operating Room, Peking University First Hospital, Beijing 100034, China

Received date: 2024-07-16

  Online published: 2026-02-28

Supported by

Education and Teaching Research Project of Peking University First Hospital in 2023 (2023YJ28)

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Abstract

Objective To construct entrustable professional activity (EPA) indicators for new nurses. Methods From June 2023 to March 2024, preliminary indicators were developed through literature review, focus group interview, and group discussion. Two rounds of Delphi consultations were conducted with 20 experts, followed by an expert panel meeting to finalize the EPA indicators for new nurses. Results Twelve EPA indicators were established, and the expected entrustment levels at different training stages were defined. The experts' response rate was 100%. The authority coefficients were 0.830 and 0.821, and the coordination coefficients for the two rounds of expert consultation were 0.523 and 0.141, respectively (all P<0.001). Conclusions The constructed EPA indicators for new nurses are reliable, scientific, and comprehensive, providing a reference for optimizing their clinical training and assessment.

Key words： Entrustable professional activities; New nurse; Delphi method; Graduation education

Cite this article

Cheng Haidan , Zhang Meng , Tian Junye , Lu Qian , Qi Xin , Wang Cheng . Construction of entrustable professional activities index for new nurses[J]. Chinese Journal of Medical Education, 2026 , 46(3) : 230 -235 . DOI: 10.3760/cma.j.cn115259-20240716-00748

References

[1] 张川林,牟绍玉.我国新毕业护士规范化培训体系的现状及发展[J].中华护理教育,2014,11(8):631-633.DOI:10.3761/j.issn.1672-9234.2014.08.022.
[2] 张岩,秦元梅,邹小燕,等.岗位胜任力在我国新入职护士培训中的应用现状[J].护理研究,2023,37(3):488-491.DOI:10.12102/j.issn.1009-6493.2023.03.019.
[3] 李亚南,王文颖,曹逸,等.新入职护士规范化培训考核评价指标体系的构建[J].中华现代护理杂志,2021,27(13):1802-1807.DOI:10.3760/cma.j.cn115682-20200805-04734.
[4] 侯连英,邝旭环,曹美嫦,等.新入职护士规范化培训考核指标体系构建[J].湘南学院学报(医学版),2019,21(4):47-50.DOI:10.16500/j.cnki.1673-498x.2019.04.015.
[5] ten Cate O. Entrustability of professional activities and competency-based training[J].Med Educ,2005,39(12):1176-1177.DOI:10.1111/j.1365-2929.2005.02341.x.
[6] 金哲,齐心,李海潮,等.置信职业行为在临床医学教育中的应用[J].中华医学教育杂志,2019,39(4):314-320.DOI:10.3760/cma.j.issn.1673-677X.2019.04.018.
[7] 高未印,靳帅,路潜.置信职业行为在护理教育领域的研究进展[J].中华现代护理杂志,2022,28(21):2932-2935.DOI:10.3760/cma.j.cn115682-20211222-05760.
[8] 鹿笑寒,宋洁,刘霖,等.本科护理实习生老年护理置信职业行为评价指标体系的构建[J].中华护理教育,2022,19(9):779-785.DOI:10.3761/j.issn.1672-9234.2022.09.002.
[9] 穆莉,王琤,齐心,等.手术室新入职护士置信职业行为指标的构建研究[J].中华医学教育杂志,2023,43(3):226-230.DOI:10.3760/cma.j.cn115259-20220620-00805.
[10] 黄浩,焦雨晨,嵇艳.三级综合医院急诊科护士置信职业行为指标的构建与验证[J].中华护理杂志,2023,58(9):1096-1103.DOI:10.3761/j.issn.0254-1769.2023.09.011.
[11] 陈青青,孔玲,蒋珊,等.新入职护士置信职业行为指标的构建[J].护理学报,2023,30(23):18-22.DOI:10.16460/j.issn1008-9969.2023.23.018.
[12] ten Cate O, Chen HC, Hoff RG, et al. Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No.99[J].Med Teach,2015,37(11):983-1002.DOI:10.3109/0142159X.2015.1060308.
[13] 刘明,殷磊,马敏燕,等.注册护士核心能力测评量表结构效度验证性因子分析[J].中华护理杂志,2008,43(3):204-206.DOI:10.3761/j.issn.0254-1769.2008.03.004.
[14] 刘明, Wipada Kunaiktikul, Wilawan Senaratana,等.中国注册护士能力架构的质性研究[J].中华护理杂志,2006,41(8):691-694.
[15] Taylor DR, Park YS, Egan R, et al. EQual, a novel rubric to evaluate entrustable professional activities for quality and structure[J].Acad Med, 2017,92(11S):S110-S117.DOI:10.1097/ACM.0000000000001908.
[16] Meyer EG,Taylor DR,Uijtdehaage S,et al.EQual rubric evaluation of the association of american medical colleges' core entrustable professional activities for entering residency[J].Acad Med,2020,95(11):1755-1762.DOI: 10.1097/ACM.0000000000003504.
[17] 齐心,金哲,韩晓宁,等.住院医师置信职业行为指标的构建研究[J].中华医学教育杂志,2021,41(2):104-108.DOI:10.3760/cma.j.cn115259-20201117-01599.
[18] Post JA, Wittich CM, Thomas KG, et al. Rating the quality of entrustable professional activities: content validation and associations with the clinical context[J].J Gen Intern Med,2016,31(5):518-523.DOI:10.1007/s11606-016-3611-8.
[19] 周娜,张静,路潜,等.口腔护理硕士专业学位研究生置信职业行为指标的构建研究[J].中华医学教育杂志,2023,43(8):633-637.DOI:10.3760/cma.j.cn115259-20221031-01373.
[20] Association of American Medical Colleges. Core entrustable professional activities for entering residency: curriculum developers,guide[S/OL].[2024-07-10].https://store.aamc.org/downloadable/download/sample/sample_id/63/.
[21] American Association of Colleges of Nursing. Whitepaper: re-envisioning the clinical education of advanced practice[EB/OL]. (2015-03-01)[2024-07-10]. https://www.aacnnursing.org/Portals/42/News/White-Papers/APRN-Clinical-Education.pdf.
[22] 齐心.置信职业行为与住院医师胜任力关系探讨[J].中华医学教育杂志,2020,40(4):306-310.DOI:10.3760/cma.j.cn115259-20191008-00827.
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