目的 对临床护士置信职业行为（entrustable professional activities,EPAs）框架研究进行系统的范围审查，为规范构建临床护士EPAs框架提供参考依据。方法 按照范围综述研究范式，本研究从中国知网、万方、维普及Sinomed、Web of Science、PubMed、Embase和Chochrane library数据库中检索相关研究，检索时限为建库至2025年6月30日。结果 共纳入18篇文献，包含7个护士通用框架和11个专科护士框架。EPAs框架的构建方法主要为文献回顾、小组讨论和德尔菲法，仅部分研究进行指标质量评价和应用验证，指标数量在4~20之间，指标报告完整性在1/8~5/8之间，并对映射的胜任力框架以及指标内容进行分析。结论 现有临床护士EPAs框架构建研究处于起步阶段，框架构建方法较规范，指标内容契合临床护士的培训和评估需求，但是指标质量评价和应用验证有待完善，指标报告完整性有待进一步提高。未来需进一步明确EPAs概念，充分报告指标内容，为临床护士胜任力评估提供更为科学、可行的方法。

Objective To conduct a systematic scoping review of research on Entrustable Professional Activities (EPAs) frameworks for clinical nurses,so as to provide a reference for its standardization.Methods Following the scoping review methodology,this study retrieved relevant research from databases including CNKI,Wanfang,VIP,Sinomed,Web of Science,PubMed,Embase,and Cochrane Library,with the search time from their inceptions to June 30,2025.Results A total of 18 articles were included,comprising 7 and 11 frameworks for general nurses and specialized nurses respectively.The primary methods for constructing the frameworks were literature review,group discussions,and the Delphi method.Only some studies conducted quality evaluation and application validation of the indicators.The number of indicators ranged from 4 to 20,and the completeness of indicator reporting ranged from 1/8 to 5/8.The mapped frameworks of competency and indicator content were analyzed.Conclusions Current research on the construction of EPAs frameworks for clinical nurses is in its early stages,with the methods relatively standardized and the indicator content in accordance with the training and assessment needs.However,the quality evaluation and application validation of indicators need improvement,and the completeness of indicator reporting requires further enhancement.Future efforts should focus on clarifying the concept of EPAs and thoroughly reporting indicator content to provide a more scientific and feasible method for assessing the competency of clinical nurses.

R47

山东省研究生教育教学改革研究项目(SDYJSJGC2024058)