可信賴專業活動（EPAs）及建構兒科護理專業能力評估工具

Entrustable Professional Activities (EPAs) and Construction of Pediatric Nursing Ability Assessment Instruments

林素雯(Su-Wen Lin) ； 李銘櫻(Ming-Ying Lee) ； 江金英(Ching-Ying Chiang) ； 林秋子(Chiu-Tzu Lin)

《長庚護理》 31卷4期 (2020/12) Pp. 488-502

https://doi.org/10.6386/CGN.202012_31(4).0004

摘要

可信賴專業活動（entrustable professional activities, EPAs）是以能力為導向之醫學教育（competency-based medical education, CBME）。本文目的為探討EPAs於以能力為導向的醫學教育及建構EPAs於兒科第一年基層護理師護理專業能力的評估工具。包括描述EPAs架構、評量尺度，運用於兒科護理EPAs架構及其於兒科護理之建置與臨床運用。發展兒科第一年基層護理師護理專業能力的評估工具，共有四個主題執行兒童靜脈注射照護、執行兒童口服給藥照護、執行兒童生命徵象測量及照護、執行兒童家庭評估照護，兒科第一年基層護理師護理專業能力的評估工具評定，具有良好的專家效度、內在一致性信度及評分者間一致性。EPAs運用於建置兒科第一年基層護理師護理專業能力的評估工具，可運用於兒科新進人員訓練計畫。

關鍵字

可信賴專業活動 ； 兒科護理 ； 新進人員

並列摘要

Entrustable professional activities (EPAs) is a competency-based medical education (CBME). The purpose of this article was to explore EPAs in CBME and apply EPAs in constructing Pediatric Nursing Ability Assessment Instruments (PNAAI). The contents of this article included EPAs conceptual framework, levels of scale, and application in constructing PNAAI. PNAAI included 4 themes (making pediatric intravenous injection care, making pediatric oral administration care, taking pediatric vital sign, and making pediatric family assessment). PNAAI had satisfactory content validity, content reliability, and inter-rater reliability. EPAs can be applied in constructing the PNAAI and this instrument can be used for new nursing staffs during the first training program.

並列關鍵字

entrustable professional activities ； EPAs ； pediatric nursing ； new nursing staffs

參考文獻

邱淑瑜、周家欣、吳佩真、夏曉風、陳淑賢(2017)．提升某區域教學醫院新進護理人員的 留任 率．長庚 護理，28(1)，60-71。[Chiu, S. Y., Chou, C. H., Wu, P. C., Hsia, H. F., Chen, S. H. (2017). Promoting the retaining rate of new nurses in a district teaching hospital. Chang Gung Nursing, 28(1), 60-71.] https://doi.org/10.3966/102673012017032801006

陳玉枝 (2010)．護理人員應具備的專業核心能力．護理 雜誌，57(5)，12-17。[Chen, Y. C. (2010). Essential professional core competencies for nurses. The Journal of Nursing, 57(5), 12-17.] https://doi.org/10.6224/ JN.57.5.12

陳美容、歐淑華、廖如文、曾文琦 (2012)．某醫學中心接受「二年期護理師 ( 護士 ) 訓練」學員主觀護理能力之探討．護理雜誌，59 (4)，54-61。[Chen, M. J., Ou, S. H., Liao, R. W., Tzeng, W. C. (2012). Nurse, self-perceptopn of nursing competence after completing a 2-year training program at a medical center. The Journal of Nursing, 59(4), 54-61.] https://doi.org/10.6224/JN.59.4.54

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

楊志偉、周致丞、蕭政廷(2018b)．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, C. C., Hsiao, C. T. (2018b). From medical competencies to competent medical professionals: Application and implementation of entrustable professional activities. Formosan J Med, 22(1), 46-54.] https://doi.org/10.6320/FJM.201801_22(1).0005