Developing an Evaluation Framework Based on Entrustable Professional Activities for Advanced Practice Nurses in China.
Aim: To address conceptual ambiguity, unclear scope, and regulatory gaps hindering advanced practice nurse role implementation in China, this study developed an evaluation framework based on entrustable professional activities to facilitate the introduction, implementation, and development of the ad...
| Publicado en: | International Nursing Review Vol. 73; no. 1; pp. 1 - 15 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192505477&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192505477 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00208132 81B jtl: International Nursing Review issn: 00208132 maglogo: Y pubinfo: dt: Mar2026 vid: 73 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 192505477 192505477 192505477 10.1111/inr.70151 192505477 ppf: 1 ppct: 14 formats: tig: atl: Developing an Evaluation Framework Based on Entrustable Professional Activities for Advanced Practice Nurses in China. aug: au: Han, Shifan Dong, Wenjing Duan, Xuan Chen, Feng Cao, Gege Zhu, Ruifang Zhang, Qian affil: School of Nursing, Shanxi Medical University, Taiyuan Shanxi,, China sug: subj: Professionalism Task Performance and Analysis Conceptual Framework Advanced Practice Registered Nurses China Clinical Competence Evaluation Nursing Role China Human Semi-Structured Interview Nurse Practitioners Hospitals Community Health Centers Physicians Delphi Technique Faculty Interviews Surveys Questionnaires Kendall's tau Data Analysis Software Descriptive Statistics Chi Square Test Models, Theoretical Purposive Sample Audiorecording Patient Assessment Nursing Practice Communication Referral and Consultation Cooperative Behavior Work Research, Nursing Chronic Disease Prevention and Control Teaching Prescriptions, Non-Drug Competency Assessment Metaphor Prescriptive Authority Curriculum Certification Government Agencies Legislation Scope of Nursing Practice Funding Source ab: Aim: To address conceptual ambiguity, unclear scope, and regulatory gaps hindering advanced practice nurse role implementation in China, this study developed an evaluation framework based on entrustable professional activities to facilitate the introduction, implementation, and development of the advanced practice nurses while guiding policy formulation, educational design, and credentialing. Background: Globally, advanced practice nurses are recognized for delivering high‐quality, safe, and cost‐effective care. Many countries have formalized this role, often marked by prescriptive authority. However, China lacks a clearly defined advanced practice nurse role and national evaluation standards, creating barriers to effective role integration. Methods: A scoping review identified international evaluation frameworks and their core components. A two‐round Delphi study with 27 experts established relevant entrustable professional activities, and structured consensus meetings refined the framework. Results: Delphi consensus was achieved on an entrustable professional activity framework consisting of 20 indicators across five domains: assisting in clinical assessment, diagnosis, and treatment; engaging in advanced nursing practice; communicating, consulting, coordinating, and collaborating; managing teaching and promoting research innovation; and preventing and managing chronic diseases. After two rounds of expert panel consultations, the final evaluation framework was established. Discussion: This framework clarifies advanced practice nurse roles and offers a coherent structure linking education, competencies, and clinical practice to promote practice‐ready development. Conclusion: This participatory framework provides an organized approach to evaluating advanced practice nurses' competencies and role readiness, supporting safe and effective advanced practice. Implications for nursing: The framework supports competency‐based education, workplace assessment, and continuing professional development for advanced practice nurses. Implications for nursing policy: This evaluation framework offers a foundation for role legislation, credentialing, and evidence‐informed policy development in China. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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