「可信賴專業活動」模式於護理教育之運用與建議

醫學教育近10年來開始以能力為導向進行住院醫師能力訓練，導入的評量方式稱為「可信賴專業活動」（entrustable professional activities, EPAs）。EPAs的架構包括學習任務、核心能力及里程碑，它強調以能力為導向（competency-based）來訓練學習者，同時在學習過程中，教學者應多次評量學習者的學習成效並給予回饋，以利學習者修正學習內容。EPAs已廣泛應用於臨床醫學教育，然而，在護理養成教育中，EPAs尚處於發展階段。本文旨在介紹EPAs的概念、內涵、發展步驟及國外護理教育應用現況，進而對國內護理教育推動EPAs可能遇到之困境提出具體建議。

關鍵字

可信賴專業活動；以能力為導向；核心能力；里程碑

並列摘要

The competency-based approach has been advocated in medical education in recent years to strengthen the professional competencies and skills of medical professionals entering their residency. Entrustable professional activity (EPA), which consists of clinical tasks, core competencies, and milestones, is a recommended competency-based training program focused on the learning process of trainees. EPA emphasizes that trainers evaluate their trainees' learning repeatedly and provide feedback so that these trainees have an opportunity to correct their behaviors. However, EPAs have not yet been widely implemented in school-based nursing education. The purpose of this essay was to introduce the concept, connotations, development stage, and application of EPAs. The dilemmas and recommendations of EPA development in Taiwan are also presented.

並列關鍵字

entrustable professional activities ； competency-based ； core competency ； milestone

參考文獻

吳貞錠、謝素英、許麗齡（2013）．護理學生核心能力自評及其相關因素之研究．護理雜誌，60（1），48–59。[Wu, C.-T., Hsieh, S.-I., & Hsu, L.-L. (2013). Self-evaluation of core competencies and related factors among baccalaureate nursing students. The Journal of Nursing, 60(1), 48–59.] https://doi.org/10.6224/JN.60.1.48

陳孟君、洪嫦巧、朱翠萍（2021）．「可信賴專業活動」於臨床護理教育之探討與實務應用．高雄護理雜誌，38（2），31–39。[Chen, M.-C., Hung, C.-C., & Chu, T.-P. (2021). Practical application of entrustable professional activities (EPAs) in clinical nursing education. The Kaohsiung Journal of Nursing, 38(2), 31–39.] https://doi.org/10.6692/KJN.202108_38(2).0003

陳祖裕（2017）．可信賴專業活動的疑惑與理解．彰化醫學，15（2），104–113。[Chan, C.-Y. (2017). Entrustable professional activities – Doubts and understanding. The Changhua Journal of Medicine, 15(2), 104–113.] https://doi.org/10.6501/CJM.1502.007

楊志偉、周致承、蕭政廷（2018）．從「醫療勝任能力」到「勝任醫療任務」：可信賴專業活動（EPAs）之實務應用．台灣醫學，22（1），46–54。[Yang, C.-W., Chou, F. C.-C., & Hsiao, C.-T. (2018). From medical competencies to competent medical professionals: Application and implementation of entrustable professional activities (EPAs). Formosan Journal of Medicine, 22(1), 46–54.] https://doi.org/10.6320/FJM.201801_22(1).0005

Anthamatten, A., Pfieffer, M. L., Richmond, A., & Glassford, M. (2020). Exploring the utility of entrustable professional activities as a framework to enhance nurse practitioner education. Nurse Educator, 45(2), 83–87. https://doi.org/10.1097/NNE.0000000000000679

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「可信賴專業活動」模式於護理教育之運用與建議

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