目的构建八年制临床医学专业学生(以下酌情简称八年制医学生)置信职业行为(entrustable professional activities,EPAs)框架,以解决传统的临床胜任力评价抽象、模糊的问题,并弥合胜任力导向教育与临床实践之间的差距。方法基于EPAs理论...目的构建八年制临床医学专业学生(以下酌情简称八年制医学生)置信职业行为(entrustable professional activities,EPAs)框架,以解决传统的临床胜任力评价抽象、模糊的问题,并弥合胜任力导向教育与临床实践之间的差距。方法基于EPAs理论模型,采用文献分析方法和德尔菲专家咨询方法确定八年制医学生EPAs框架核心指标,运用SPSS 26.0软件进行统计学处理。结果选择28名临床教学专家和教学管理专家,针对八年制医学生EPAs框架各项指标进行2轮德尔菲函询。2轮专家函询的有效问卷回收率均为100.0%(28/28)。第1轮专家函询针对置信职业行为重要性和可行性评分的W值分别为0.127和0.164(均P<0.05),第2轮专家函询的置信职业行为重要性和可行性评分的W值分别为0.228和0.140(均P<0.05)。经过2轮专家函询后,初步构建了八年制医学生EPAs框架,具体包括19项指标和67个指标内涵的观测评价要点。结论本研究初步构建了八年制医学生EPAs框架,实现了临床任务与能力标准的精准映射,为八年制医学生临床能力培养提供了可量化、可追踪的评价标准,对深化医学教育改革具有参考价值。展开更多
目的本研究旨在构建助产本科毕业生置信职业行为(entrustable professional activities,EPAs)指标体系,为高等院校助产教育改革提供参考,为未来助产教育研究提供方法论指导。方法通过文献研究和专家小组会议,形成助产本科毕业生EPAs指...目的本研究旨在构建助产本科毕业生置信职业行为(entrustable professional activities,EPAs)指标体系,为高等院校助产教育改革提供参考,为未来助产教育研究提供方法论指导。方法通过文献研究和专家小组会议,形成助产本科毕业生EPAs指标体系初稿。2024年2—5月,采用德尔菲法对18名助产领域专家进行2轮专家函询,构建EPAs指标体系。结果2轮问卷的有效回收率分别为100%和94%,2轮函询的专家权威系数分别为0.876和0.882,2轮函询的肯德尔和谐系数分别为0.157和0.222(P<0.001)。最终确定的EPAs指标体系包含孕前保健、孕期保健、分娩期保健、产褥期保健、新生儿保健、公共卫生保健6个一级指标,24个二级指标和75个三级指标,并确定了不同实习阶段各项指标的预期置信级别。结论构建的助产本科毕业生EPAs指标体系具有科学性、全面性、适用性,可为助产教育提供可靠依据。展开更多
Objective:Entrustable professional activities(EPAs)is a newly emerging concept.This paper aims at analyzing the concept of"EPAs"to clarify the meaning and to identify its components for optimum understanding...Objective:Entrustable professional activities(EPAs)is a newly emerging concept.This paper aims at analyzing the concept of"EPAs"to clarify the meaning and to identify its components for optimum understanding of the concept for use in nursing education and future research.Method:Three databases-ProQuest,Ovid,and PubMed-were retrieved,and Walker and Avant's concept analysis approach was used to analyze the concept of EPAs.Results:Based on the analysis,three attributes of EPAs were defined,namely (1)EPAs should be restricted to a limited number of tasks;(2)reflect the experience curve;and (3)include acceptance of responsibility and accountability.The antecedent of EPAs is a holistic and integrated assessment approach.This will eventually lead to anticipated consequences such as a mastery of core competencies and an increase in the level of autonomy.Conclusion:The study may contribute to a reduction in the ambiguity of this concept to better apply it in nursing practice.展开更多
This paper makes use of statistical tools of parameter correlation, multi-parameter regression, and does experimental analysis on issues of risk diversification of portfolios entrusted by National Social Security Fund...This paper makes use of statistical tools of parameter correlation, multi-parameter regression, and does experimental analysis on issues of risk diversification of portfolios entrusted by National Social Security Fund (NSSF). The issues are industry related investment fields distribution, the trend of capitalization movement, and investment style factors in stock selection. The results show that there are risk problems with portfolios entrusted by NSSF, which include similar investment fields distribution trend, little difference among portfolios, and high risk preference degree.展开更多
目的探讨置信职业行为(entrustable professional activities,EPAs)的教学评价体系在甲状腺外科住院医师规范化培训(简称住培)中的可行性及效果。方法选取2022年9月至2023年12月于浙江大学医学院附属第一医院甲状腺外科参加住培的30名...目的探讨置信职业行为(entrustable professional activities,EPAs)的教学评价体系在甲状腺外科住院医师规范化培训(简称住培)中的可行性及效果。方法选取2022年9月至2023年12月于浙江大学医学院附属第一医院甲状腺外科参加住培的30名外科住院医师开展EPAs教学及置信等级评估。比较住院医师每项EPA初末两次预期置信等级评估达标率,以及不同年级整体EPA项目达标率,分析EPAs调查问卷表。结果住院医师总体末次EPAs评估达标率高于初次EPAs评估达标率(P<0.05)。住院医师分层置信评估表明,不同年级住院医师初末两次评估结果比较差异有统计学意义(P<0.05),且住院医师的年级越高,EPAs预期置信等级的整体达标率越高。调查问卷结果表明,绝大部分住院医师对EPAs教学效果表示肯定。结论EPAs的教学评估模式能综合提高甲状腺外科住院医师的预期置信等级以及核心胜任力水平,可为基于胜任力导向的住培与评价提供一定的理论依据。展开更多
文摘目的构建八年制临床医学专业学生(以下酌情简称八年制医学生)置信职业行为(entrustable professional activities,EPAs)框架,以解决传统的临床胜任力评价抽象、模糊的问题,并弥合胜任力导向教育与临床实践之间的差距。方法基于EPAs理论模型,采用文献分析方法和德尔菲专家咨询方法确定八年制医学生EPAs框架核心指标,运用SPSS 26.0软件进行统计学处理。结果选择28名临床教学专家和教学管理专家,针对八年制医学生EPAs框架各项指标进行2轮德尔菲函询。2轮专家函询的有效问卷回收率均为100.0%(28/28)。第1轮专家函询针对置信职业行为重要性和可行性评分的W值分别为0.127和0.164(均P<0.05),第2轮专家函询的置信职业行为重要性和可行性评分的W值分别为0.228和0.140(均P<0.05)。经过2轮专家函询后,初步构建了八年制医学生EPAs框架,具体包括19项指标和67个指标内涵的观测评价要点。结论本研究初步构建了八年制医学生EPAs框架,实现了临床任务与能力标准的精准映射,为八年制医学生临床能力培养提供了可量化、可追踪的评价标准,对深化医学教育改革具有参考价值。
文摘目的本研究旨在构建助产本科毕业生置信职业行为(entrustable professional activities,EPAs)指标体系,为高等院校助产教育改革提供参考,为未来助产教育研究提供方法论指导。方法通过文献研究和专家小组会议,形成助产本科毕业生EPAs指标体系初稿。2024年2—5月,采用德尔菲法对18名助产领域专家进行2轮专家函询,构建EPAs指标体系。结果2轮问卷的有效回收率分别为100%和94%,2轮函询的专家权威系数分别为0.876和0.882,2轮函询的肯德尔和谐系数分别为0.157和0.222(P<0.001)。最终确定的EPAs指标体系包含孕前保健、孕期保健、分娩期保健、产褥期保健、新生儿保健、公共卫生保健6个一级指标,24个二级指标和75个三级指标,并确定了不同实习阶段各项指标的预期置信级别。结论构建的助产本科毕业生EPAs指标体系具有科学性、全面性、适用性,可为助产教育提供可靠依据。
文摘Objective:Entrustable professional activities(EPAs)is a newly emerging concept.This paper aims at analyzing the concept of"EPAs"to clarify the meaning and to identify its components for optimum understanding of the concept for use in nursing education and future research.Method:Three databases-ProQuest,Ovid,and PubMed-were retrieved,and Walker and Avant's concept analysis approach was used to analyze the concept of EPAs.Results:Based on the analysis,three attributes of EPAs were defined,namely (1)EPAs should be restricted to a limited number of tasks;(2)reflect the experience curve;and (3)include acceptance of responsibility and accountability.The antecedent of EPAs is a holistic and integrated assessment approach.This will eventually lead to anticipated consequences such as a mastery of core competencies and an increase in the level of autonomy.Conclusion:The study may contribute to a reduction in the ambiguity of this concept to better apply it in nursing practice.
文摘This paper makes use of statistical tools of parameter correlation, multi-parameter regression, and does experimental analysis on issues of risk diversification of portfolios entrusted by National Social Security Fund (NSSF). The issues are industry related investment fields distribution, the trend of capitalization movement, and investment style factors in stock selection. The results show that there are risk problems with portfolios entrusted by NSSF, which include similar investment fields distribution trend, little difference among portfolios, and high risk preference degree.
文摘目的探讨置信职业行为(entrustable professional activities,EPAs)的教学评价体系在甲状腺外科住院医师规范化培训(简称住培)中的可行性及效果。方法选取2022年9月至2023年12月于浙江大学医学院附属第一医院甲状腺外科参加住培的30名外科住院医师开展EPAs教学及置信等级评估。比较住院医师每项EPA初末两次预期置信等级评估达标率,以及不同年级整体EPA项目达标率,分析EPAs调查问卷表。结果住院医师总体末次EPAs评估达标率高于初次EPAs评估达标率(P<0.05)。住院医师分层置信评估表明,不同年级住院医师初末两次评估结果比较差异有统计学意义(P<0.05),且住院医师的年级越高,EPAs预期置信等级的整体达标率越高。调查问卷结果表明,绝大部分住院医师对EPAs教学效果表示肯定。结论EPAs的教学评估模式能综合提高甲状腺外科住院医师的预期置信等级以及核心胜任力水平,可为基于胜任力导向的住培与评价提供一定的理论依据。
