可信賴專業活動在臨床護理教學之應用

Application of Entrustable Professional Activities in Clinical Nursing Education

隨著臨床護理教育的不斷發展，傳統的能力本位教育模式已難以滿足實務訓練的需求。可信賴專業活動（entrustable professional activities, EPAs）的概念被引入，以彌補理論知識與臨床實務之間的落差。EPAs提供一個以任務為基礎、整合核心能力的教學與評量架構，能將抽象的能力轉化為可觀察且可評估的臨床任務。本文探討EPAs的起源與理論基礎、其結構化組成，以及在臨床護理教育中的實際應用。研究指出，EPAs能夠提升教學品質與臨床學習成果，同時增進學習者的專業自主性與責任感。建議護理教育者發展以EPA為基礎的教學設計訓練，並建立標準化的評量工具與信賴授權機制，以支持專業發展並強化護理教育與臨床實務之間的連結。

Traditional competency-based education models are no longer adequate to address the practical training needs of nursing education. The concept of entrustable professional activities (EPAs) has been introduced to bridge the gap between theoretical knowledge and clinical practice. EPAs offer a task-based, competency-integrated framework for both instruction and assessment, transforming abstract competencies into observable and assessable clinical tasks. This paper explores the origin and theoretical foundation of EPAs, their structured components, and their practical application in clinical nursing education. Evidence suggests EPAs enhance teaching quality and clinical learning outcomes while fostering professional autonomy and sense of responsibility in learners. It is recommended nursing educators develop training in EPA-based instructional design and that standardized assessment tools and trust-based decision-making mechanisms be developed. These efforts can support professional growth and enhance the alignment between nursing education and clinical practice.