可委托的专业活动:这一框架能否应用于麻醉护士教育,以协助向基于能力的教学过渡?

Q3 Medicine
AANA journal Pub Date : 2023-04-01
Amy Yerdon, Kenneth Taylor
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引用次数: 0

摘要

可委托的专业活动(EPAs)是指可以委托给有能力胜任该任务的学习者的任务或职责,以便在无人监督的情况下进行实践。EPAs 的概念在医学教育文献中有详细记载,但最近才出现在护理教育中。关于 EPA 框架在麻醉护士中的具体应用的文献极少。基于 EPAs 在以能力为基础的医学和护理教育中的成功应用,我们认为这一框架也可用于麻醉护士学习者向以能力为基础的教育过渡。许多注册麻醉师临床带教者缺乏能力本位教育和教学方面的培训。EPAs的概念可以帮助临床带教者对学习者进行能力转换和绩效评估。EPAs 是针对麻醉护士临床教育环境而定义的。麻醉护士特有的 EPA 例子包括麻醉机检查、插管、有创管路置入、区域麻醉阻滞和术前评估。提供了 EPA 的标准、使用障碍和具体实例。临床带教者有意识地使用 EPA 框架可对学习者进行更有效的评估,从而有目的地提高能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Entrustable Professional Activities: Can this Framework be Applied to Nurse Anesthesia Education to Assist in the Transition to Competency-Based Teaching?

Entrustable professional activities (EPAs) are the tasks or responsibilities which can be entrusted to a learner competent in that task to allow for unsupervised practice. The concept of EPAs is well documented in medical education literature, but only recently in nursing education. A paucity of literature exists on the application of an EPA framework specifically in nurse anesthesia. Based on the successful application of EPAs in competency-based medical and nursing education, we are of the opinion that this framework may also be utilized in the transition to competency-based education for nurse anesthesia learners. Many certified registered nurse anesthetists clinical preceptors lack training in competency-based education and teaching. The concept of EPAs may assist clinical preceptors in the translation of competencies and performance evaluation of learners. EPAs are defined for the nurse anesthesia clinical education setting. Examples of EPAs specific to nurse anesthesia include anesthesia machine checks, intubation, invasive line placement, regional anesthesia blocks, and preoperative assessment. Criteria of EPAs, barriers to use, and concrete examples are provided. Deliberate use of the EPA framework by clinical preceptors may lead to a more effective evaluation of the learner, thus resulting in purposeful progression to competence.

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来源期刊
AANA journal
AANA journal Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
60
期刊介绍: Founded in 1931 and located in Park Ridge, Ill., the AANA is the professional organization for more than 90 percent of the nation’s nurse anesthetists. As advanced practice nurses, CRNAs administer approximately 32 million anesthetics in the United States each year. CRNAs practice in every setting where anesthesia is available and are the sole anesthesia providers in more than two-thirds of all rural hospitals. They administer every type of anesthetic, and provide care for every type of surgery or procedure, from open heart to cataract to pain management.
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