Development of an entrustable professional activity assessment tool for master of nursing specialist students: a study based on an electronic information platform

Li Jiaxuan; Ji Yan; Xu Qin; Wang Tingxuan; Chen Zhifei; Sun Hanyang; Yang Yang

doi:10.3760/cma.j.cn116021-20250201-02061

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Development of an entrustable professional activity assessment tool for master of nursing specialist students: a study based on an electronic information platform

Research on entrustable professional activities | 更新时间：2025-07-01

- Development of an entrustable professional activity assessment tool for master of nursing specialist students: a study based on an electronic information platform
- Chinese Journal of Medical Education Research Vol. 24, Issue 6, Pages: 744-750(2025)
- 作者机构：
  
  南京医科大学护理学院，南京 211166
- 作者简介：
  
  Ji Yan, Email: yanji@njmu.edu.cn
- 基金信息：
  
  National Natural Science Foundation of China(72204122);Jiangsu Province Education Planning Key Subjects(B/2023/01/132);Project of "Nursing Science" Funded by the 4th Priority Discipline Development Program of Jiangsu Higher Education Institutions (SJYH 〔2023〕 No. 11)(苏教研函〔2023〕11号)
- DOI：10.3760/cma.j.cn116021-20250201-02061
  CLC： R-05
- Received：01 February 2025，
  
  Published：20 June 2025
- 稿件说明：
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李佳璇, 嵇艳, 许勤, 等. 基于电子信息平台的护理硕士专业学位研究生置信职业行为评价工具开发研究[J]. 中华医学教育探索杂志, 2025, 24(6): 744-750.

Li Jiaxuan, Ji Yan, Xu Qin, et al. Development of an entrustable professional activity assessment tool for master of nursing specialist students: a study based on an electronic information platform[J]. Chinese journal of medical education research, 2025, 24(6): 744-750.
李佳璇, 嵇艳, 许勤, 等. 基于电子信息平台的护理硕士专业学位研究生置信职业行为评价工具开发研究[J]. 中华医学教育探索杂志, 2025, 24(6): 744-750. DOI： 10.3760/cma.j.cn116021-20250201-02061.

Li Jiaxuan, Ji Yan, Xu Qin, et al. Development of an entrustable professional activity assessment tool for master of nursing specialist students: a study based on an electronic information platform[J]. Chinese journal of medical education research, 2025, 24(6): 744-750. DOI： 10.3760/cma.j.cn116021-20250201-02061.

摘要

目的

开发基于电子信息平台的护理硕士专业学位（master of nursing specialist，MNS）研究生置信职业行为（entrustable professional activities，EPAs）评价工具。

方法

采用内容分析法构建评价工具初稿，通过专家会议法形成终稿。基于评价工具开发电子信息平台，运用焦点小组访谈法优化平台功能。

结果

基于前期MNS研究生EPA框架研究成果，形成EPAs评价工具，包括评价表和评价方案。评价表由EPAs描述、置信级别和叙述性反馈三部分构成。评价方案涵盖评价对象、评价启动策略、评价实施-做出置信决策、评价周期和质量控制。电子信息平台涵盖电脑端与移动程序端，设有临床指导教师、研究生、项目管理者等用户角色，实现评价申请、评价启动、历史评价查看及评价信息管理等功能。

结论

本研究开发MNS研究生EPAs评价工具，依托电子信息平台便捷性和高效性，助力临床指导教师观察MNS研究生多项能力的综合表现，促进研究生专业成长。未来将进一步探索该评价工具在MNS研究生临床实践能力评价中的应用效果，以推动EPAs在护理硕士教育中的实践。

Abstract

Objective

To develop an electronic information platform-based assessment tool for entrustable professional activities (EPAs) of master of nursing specialist (MNS) students.

Methods

The study used the content analysis method to construct the draft of the assessment tool

which was finalized using the expert meeting method. An electronic information platform was developed based on the assessment tool. The functions of the platform was optimized using the focus group interview method.

Results

Based on previous research on the EPA framework for MNS students

an EPA assessment tool was developed

including an assessment form and an assessment protocol. The assessment form consisted of three parts: description of the EPAs

supervision level

and narrative feedback. The assessment protocol covered the assessment objects

assessment initiation strategy

assessment implementation-entrustment decision making

assessment cycle

and quality control. The electronic information platform includes both web-based and mobile app interfaces

with user roles for clinical instructors

graduate students

and project administrators

and with functions such as assessment application

assessment initiation

historical assessment review

and assessment information management.

Conclusions

The study developed an EPA assessment tool for MNS students. The tool relies on the convenience and efficiency of the electronic information platform

facilitates clinical instructors in observing the comprehensive performance of MNS students in multiple competencies

and promotes postgraduate students' professional development. Future research will further explore the effectiveness of this tool in assessing clinical practice competencies of MNS students

with the aim of advancing the practice of EPAs in nursing masters' education.

关键词

Keywords

references

中共中央，国务院 . 教育强国建设规划纲要（ 2024 － 2035 年）[EB/OL ] . （ 2025-01-19 ）[ 2025-01-23 ] . https://www.gov.cn/zhengce/202501/content_6999913.htm https://www.gov.cn/zhengce/202501/content_6999913.htm .

国家卫生健康委 . 《“健康中国2030”规划纲要》 [EB/OL ] . （ 2020 - 01 - 06 ） [2025-01-23] . http://www.otcmoh.org.cn/info/183.html http://www.otcmoh.org.cn/info/183.html .

国务院学位委员会 . 国务院学位委员会关于印发金融硕士等19种专业学位设置方案的通知 [EB/OL ] . （ 2010-05-13 ）[ 2025-01-23 ] . http://www.moe.gov.cn/srcsite/A22/moe_833/201005/t20100513_92739.html http://www.moe.gov.cn/srcsite/A22/moe_833/201005/t20100513_92739.html .

中国学位与研究生教育学会 . 研究生教育学科专业简介及其学位基本要求 [EB/OL ] . [ 2025-01-23 ] . https://www.acge.org.cn/encyclopediaFront/enterEncyclopediaIndex https://www.acge.org.cn/encyclopediaFront/enterEncyclopediaIndex .

马秋平，曹汝汝，陈玲 . 护理硕士专业学位研究生核心能力的研究热点及前沿分析 [J ] . 军事护理， 2023 ， 40 （ 1 ）： 94 - 97 .

王章安，黄宝芹，韦艳华 . 护理核心能力的概念分析 [J ] . 中华护理杂志， 2012 ， 47 （ 6 ）： 562 - 564 .

李海潮 . 我国医师胜任力模型的形成性评价：设计、实施与思考 [J ] . 中华医学教育探索杂志， 2024 ， 23 （ 1 ）： 7 - 11 . DOI: 10.3760/cma.j.cn116021-20231215-01607 http://dx.doi.org/10.3760/cma.j.cn116021-20231215-01607 .

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 http://dx.doi.org/10.1111/j.1365-2929.2005.02341.x .

齐心 . 置信职业行为的演进、内涵与实践 [J ] . 中华医学教育探索杂志， 2024 ， 23 （ 9 ）： 1153 - 1160 . DOI: 10.3760/cma.j.cn116021-20240201-01830 http://dx.doi.org/10.3760/cma.j.cn116021-20240201-01830 .

王维民 . 置信职业行为在本科医学教育阶段的应用 [J ] . 中华医学教育杂志， 2024 ， 44 （ 12 ）： 886 - 889 . DOI: 10.3760/cma.j.cn115259-20241008-01034 http://dx.doi.org/10.3760/cma.j.cn115259-20241008-01034 .

AAMC . Core entrustable professional activities for entering residency Guide [EB/OL ] .( 2022-10-30 )[ 2025-01-23 ] . https://www.aamc.org/about-us/mission-areas/medical-education/cbme/core-epas https://www.aamc.org/about-us/mission-areas/medical-education/cbme/core-epas .

Zhou W , Poh CL , Chan HL , et al . Development of entrustable professional activities for advanced practice nurses education [J ] . Nurse Educ Today , 2022 , 116 : 105462 . DOI: 10.1016/j.nedt.2022.105462 http://dx.doi.org/10.1016/j.nedt.2022.105462 .

Lau ST , Ang E , Samarasekera DD , et al . Evaluation of an undergraduate nursing entrustable professional activities framework: an exploratory qualitative research [J ] . Nurse Educ Today , 2020 , 87 : 104343 . DOI: 10.1016/j.nedt.2020.104343 http://dx.doi.org/10.1016/j.nedt.2020.104343 .

Surjadi M , Stringari-Murray S , Saxe JM . Entrustable professional activities in nurse practitioner education [J ] . J Nurse Pract , 2019 , 15 ( 5 ): e97 - e102 . DOI: 10.1016/j.nurpra.2018.12.030 http://dx.doi.org/10.1016/j.nurpra.2018.12.030 .

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 .

齐殿君，孙玮，荆志鸿，等 . 临床医学专业本科生置信职业行为框架的构建 [J ] . 中华医学教育探索杂志， 2023 ， 22 （ 10 ）： 1446 - 1450 . DOI: 10.3760/cma.j.cn116021- 20230511-01438 http://dx.doi.org/10.3760/cma.j.cn116021-20230511-01438 .

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 .

Yang Y , Han Y , Xu H , et al . Development of the core competency-based entrustable professional activities for Master of Nursing Specialist (MNS) graduates in China [J ] . Med Teach , 2024 , 46 ( 10 ): 1328 - 1336 . DOI: 10.1080/0142159X.2024.2308074 http://dx.doi.org/10.1080/0142159X.2024.2308074 .

Marty AP , Linsenmeyer M , George B , et al . Mobile technologies to support workplace-based assessment for entrustment decisions: Guidelines for programs and educators: AMEE Guide No. 154 [J ] . Med Teach , 2023 , 45 ( 11 ): 1203 - 1213 . DOI: 10.1080/0142159X.2023.2168527 http://dx.doi.org/10.1080/0142159X.2023.2168527 .

Marty AP , Braun J , Schick C , et al . A mobile application to facilitate implementation of programmatic assessment in anaesthesiatraining [J ] . Br J Anaesth , 2022 , 128 ( 6 ): 990 - 996 . DOI: 10.1016/j.bja.2022.02.038 http://dx.doi.org/10.1016/j.bja.2022.02.038 .

Lee CW , Chen GL , Lee YK . User experience evaluation of the EPAs-based e-portfolio system and an analysis of its impact [J ] . J Acute Med , 2020 , 10 ( 3 ): 115 - 125 . DOI: 10.6705/j.jacme.202009_10(3).0003 http://dx.doi.org/10.6705/j.jacme.202009_10(3).0003 .

Ten Cate O , Taylor DR . The recommended description of an entrustable professional activity: AMEE Guide No. 140 [J ] . Med Teach , 2021 , 43 ( 10 ): 1106 - 1114 . DOI: 10.1080/0142159X.2020.1838465 http://dx.doi.org/10.1080/0142159X.2020.1838465 .

董文静，韩世范，张倩，等 . 置信职业行为在高级实践护士培养中的应用进展 [J ] . 护理研究， 2024 ， 38 （ 4 ）： 624 - 629 . DOI: 10.12102/j.issn.1009-6493.2024.04.011 http://dx.doi.org/10.12102/j.issn.1009-6493.2024.04.011 .

Lee CW , Chen GL , Yu MJ , et al . A study to analyze narrative feedback record of an emergency department [J ] . J Acute Med , 2021 , 11 ( 2 ): 39 - 48 . DOI: 10.6705/j.jacme.202106_11(2).0001 http://dx.doi.org/10.6705/j.jacme.202106_11(2).0001 .

Shrivastava SR , Shrivastava PS . Qualitative study to identify the perception and challenges faced by the faculty of community medicine in the implementation of competency-based medical education for postgraduate students [J ] . Fam Med Community Health , 2019 , 7 ( 1 ): e000043 . DOI: 10.1136/fmch-2018-000043 http://dx.doi.org/10.1136/fmch-2018-000043 .

Beamer JC , Kromer RS , Jeffery AD . Imagining an orientation built on trust [J ] . J Nurses Prof Dev , 2020 , 36 ( 1 ): 2 - 6 . DOI: 10.1097/NND.0000000000000602 http://dx.doi.org/10.1097/NND.0000000000000602 .

Young JQ , McClure M . Fast, easy, and good: assessing entrustable professional activities in psychiatry residents with a mobile app [J ] . Acad Med , 2020 , 95 ( 10 ): 1546 - 1549 . DOI: 10.1097/ACM.0000000000003390 http://dx.doi.org/10.1097/ACM.0000000000003390 .

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