护理学报 ›› 2022, Vol. 29 ›› Issue (3): 35-39.doi: 10.16460/j.issn1008-9969.2022.03.035
鹿笑寒, 宋洁, 王晋芳, 刘霖, 陈海雯, 姜倩倩
摘要: 目的 综述置信职业行为的定义、内涵及其在护理教育中的研究现状,为开展我国护理领域置信职业行为研究,提升护理教育质量提供借鉴和参考。方法 检索国内外护理领域置信职业行为相关文献,从开发领域、开发方法、开发内容和应用效果方面进行分析。结果 开发领域主要涉及护士继续教育、本科护生教育和研究生教育3个方面;开发方法有德尔菲法、质性访谈和专家会议等;开发内容展现了反映学习者核心胜任力的实际临床活动;应用效果显示,应用核心置信职业行为框架开展教学能够提升学习者的核心胜任力。结论 置信职业行为在护理教育中的研究主要集中于国外,在我国的发展尚不充分。我国护理教育者需借鉴国外的研究经验,结合具体国情,开发适合我国护士或护生的核心置信职业行为框架或教学方案。
中图分类号:
[1] Aps G, Beresin EV, Balon R, et al.The Competency Movement in Psychiatric Education[J]. Acad Psychiatry,2017,41(3):312-314. DOI:10.1007/s40596-017-0712-6. [2] Frank JR, Snell LS, Ten CO, et al.Competency-based Medical Education: Theory to Practice[J]. Med Teach,2010,32(8):638-645. DOI:10.3109/0142159X.2010.501190. [3] Ten CO.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. [4] 钟雪怡,徐学虎,黎敏仪,等.粤港澳大湾区护理本科临床实践教学现状及启示[J].护理学报,2021,28(20):16-21.DOI:10.16460/j.issn1008-9969.2021.20.016. [5] 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. [6] 顾秋茜,嵇艳.可信赖专业活动在护理领域的应用研究进展[J].护理学杂志,2020,35(11):105-109. DOI:10.3870/j.issn.1001-4152.2020.11.105. [7] 范佩贞,徐宇侬,李文凯,等.胜任力导向医学教育简介[J].中国毕业后医学教育,2018,2(4):264-269. DOI:2096-4293(2018)04-264-06. [8] Ten CO.AM Last Page: What Entrustable Professional Activities Add to a Competency-based Curriculum[J]. Acad Med,2014,89(4):691.DOI:10.1097/ACM.0000000000000161. [9] Van Houwelingen CT, Moerman AH, Ettema RG, et al.Competencies Required for Nursing Telehealth Activities: A Delphi-study[J].Nurse Educ Today,2016,39:50-62. DOI:10.1016/j.nedt.2015.12.025. [10] Van Houwelingen CT, Ettema RG, Bleijenberg N, et al.Educational Intervention to Increase Nurses' Knowledge, Self-Efficacy and Usage of Telehealth: A Multi-setting Pretest-Posttest Study[J].Nurse Educ Pract,2021,51:102924.DOI:10.1016/j.nepr.2020.102924. [11] Meade LB, Suddarth KH, Jones RR, et al.Patients,Nurses,and Physicians Working Together to Develop a Discharge Entrustable Professional Activity Assessment Tool[J].Acad Med,2016,91(10):1388-1391. DOI:10.1097/ACM.0000000000001189. [12] Cronenwett L, Sherwood G, Pohl J, et al.Quality and Safety Education for Advanced Nursing Practice[J].Nurs Outlook,2009,57(6):338-348.DOI:10.1016/j.outlook.2009.07.009. [13] Wagner LM, Dolansky MA, Englander R.Entrustable Professional Activities for Quality and Patient Safety[J]. Nurs Outlook, 2018, 66(3):237-243.DOI:10.1016/j.outlook.2017.11.001. [14] Anthamatten A, Pfieffer ML, Richmond A, et al.Exploring The Utility of Entrustable Professional Activities as a Framework to Enhance Nurse Practitioner Education[J]. Nurse Educ,2020,45(2):83-87.DOI:10.1097/NNE.0000000000000697. [15] Lau ST, Ang E, Samarasekera DD, et al.Development of Undergraduate Nursing Entrustable Professional Activities to Enhance Clinical Care and Practice[J]. Nurse Educ Today,2020,87:104347.DOI:10.1016/j.nedt.2020.104347. [16] 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. [17] Al-moteri M, Youssef HAM, Elryah AAI, et al.Development of Undergraduate Nursing Entrustable Professional Activities Through Using a Participatory Design Approach[J].J Prof Nurs,2021, 37(4):741-748.DOI:10.1016/j.profnurs.2021.04.009. [18] Ten CO, Scheele F.Competency-based Postgraduate Training: Can We Bridge the Gap Between Theory and Clinical Practice?[J]. Acad Med,2007,82(6):542-547.DOI:10.1097/ACM.0b013e31805559c7. [19] Carraccio C, Englander R,Gilhooly J,et al.Building a Framework of Entrustable Professional Activities, Supported by Competencies and Milestones, to Bridge the Educational Continuum[J]. Acad Med, 2017,92(3):324-330.DOI:10.1097/ACM.0000000000001141. [20] Lomis K, Amiel JM, Ryan MS, et al.Implementing An Entrustable Professional Activities Framework in Undergraduate Medical Education: Early Lessons from the Aamc Core Entrustable Professional Activities for Entering Residency Pilot[J].Acad Med,2017,92(6):765-770.DOI:10.1097/ACM.0000000000001543. [21] Moore J, Hawkins-walsh E. Evaluating Nurse Practitioner Student Competencies:Application of Entrustable Professional Activities[J].J Nurs Educ,2020,59(12):714-720.DOI:10.3928/01484834-20201118-11. [22] NP Core Competencies Content Work Group. Nurse Practitioner Core Competencies Content[EB/OL].[2021-03-07]https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreComps_with_Curric.pdf. [23] Surjadi M, Stringari-murray S, Saxe JM.Entrustable Professional Activities in Nurse Practitioner Education[J]. J Nur Pra,2019,15(5).DOI:10.1016/j.nurpra.2018.12.030. [24] American Association of Colleges of Nursing website. Advanced Practice Adult Gerontology Andbaccalaureate Competencies[EB/OL].[2021-03-07].http://www.aacnnursing.org/Teaching-Resources/Advanced-Practice-Competencies. [25] Dewey CM, Jonker G, Ten CO, et al.Entrustable Professional Activities (Epas) for Teachers Inmedical Education:Has the Time Come?[J].Med Teach,2017, 39(8):894-896.DOI:10.1080/0142159X.2016.1270447. [26] Al-moteri M.Entrustable Professional Activities in Nursing: A Concept Analysis[J].Int J Nurs Sci,2020,7(3):277-284.DOI:10.1016/j.ijnss.2020.06.009. [27] Shorey S, Lau TC, Lau ST, et al.Entrustable Professional Activities in Health Care Education: Ascoping Review[J].Med Educ,2019,53(8):766-777.DOI:10.1111/medu.13879. [28] 陈心航,吴红斌,江哲涵,等.国际置信职业行为研究在医学教育中的发展与启示[J].中华医学教育杂志,2020,40(12):945-950.DOI:10.3760/cma.j.cn115259-20201012-01447. [29] Giddens JF, Lauzon-clabo L, Morton PG, et al.Re-envisioning Clinical Education for Nurse Practitioner Programs:Themes from a National Leaders' Dialogue[J].J Prof Nurs,2014,30(3):273-278.DOI:10.1016/j.profnurs.2014.03.002. |
[1] | 杜易梅, 刘莉, 郭立丽, 卢吉, 付苗苗, 刘杰. 妇科恶性肿瘤患者性健康研究进展[J]. 护理学报, 2025, 32(4): 28-33. |
[2] | 李垚, 陈小敏, 夏敏, 吴茜, 张琳, 陈叡喆, 葛莉丽, 吴逸梅. 肿瘤患者衰弱评估工具应用的范围综述[J]. 护理学报, 2025, 32(4): 48-52. |
[3] | 王小叶, 安俊红, 刘倩, 任琴, 高瑞琴, 范丽红. 共享决策在糖尿病足患者中应用的研究进展[J]. 护理学报, 2025, 32(3): 32-37. |
[4] | 焦雪萍, 王志稳, 韩舒羽. ICU老年患者躁动行为的干预研究进展[J]. 护理学报, 2025, 32(3): 38-42. |
[5] | 陈恩琳, 莫丰菱, 庄泽明, 张明哲, 周佳坤, 黄丽芳, 纪龙飞, 张莉芳. 脑卒中单侧空间忽略评估工具的范围综述[J]. 护理学报, 2025, 32(3): 43-49. |
[6] | 朱天顺, 朱可可, 薛会元, 焦聪聪, 魏长慧, 王贺. 信息框架效应理论在健康管理领域应用的范围综述[J]. 护理学报, 2025, 32(2): 44-49. |
[7] | 陈燕华, 冯梅, 胡佩欣. 粤港联合个案管理师临床实践培训体验的质性研究[J]. 护理学报, 2025, 32(1): 24-28. |
[8] | 刘畅, 张维, 王翠雪, 岳鹏. ICU实施非限制性探视制度的影响因素研究进展[J]. 护理学报, 2025, 32(1): 34-38. |
[9] | 李珂, 贺雨琼, 李雨蔚, 常颖. 脑卒中患者跌倒恐惧干预研究的范围综述[J]. 护理学报, 2025, 32(1): 50-55. |
[10] | 全伊萍, 陈霞, 胡琼丹. 脑心健康管理师核心胜任力评价指标体系的构建[J]. 护理学报, 2024, 31(9): 5-9. |
[11] | 方雅婷, 王岩, 王哲芸, 余云, 徐婷婷. 经口气管插管患者口腔功能减退的研究进展[J]. 护理学报, 2024, 31(9): 28-31. |
[12] | 李丁丁, 王帅有, 朱杉杉, 郭鑫, 张会敏, 王宏茹, 潘勤. 脑卒中患者支持性照护需求评估工具的范围综述[J]. 护理学报, 2024, 31(9): 48-53. |
[13] | 郭俊晨, 刘超毅, 戴云云, 蒋思珊, 杨索, 谌永毅. 虚拟现实技术在生命末期患者中应用的范围综述[J]. 护理学报, 2024, 31(7): 40-45. |
[14] | 梅紫琦, 金胜姬, 李玮彤, 柏亚妹, 宋玉磊, 李伊婷, 王萌, 徐桂华. 智能机器人在护理健康教育领域中应用的范围综述[J]. 护理学报, 2024, 31(7): 57-62. |
[15] | 李婷婷, 刘丽萍. 护理硕士研究生教育质量评价研究进展[J]. 护理学报, 2024, 31(6): 47-50. |
|