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Development of an EPA-based clinical practicum syllabus for APN-oriented master of nursing specialist students in China
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Xuan DUAN1, Qian ZHANG2, Ruifang ZHU1, 3, Hongfang SHAO1, Dandan GUO1, Linping SHANG1, 3, Shifan HAN1, 3, 4, 5, 6
Chinese Nursing Research | 2026, 40(11) : 1826 - 1834
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Chinese Nursing Research | 2026, 40(11): 1826-1834
• Original Articles •
Development of an EPA-based clinical practicum syllabus for APN-oriented master of nursing specialist students in China
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Xuan DUAN1, Qian ZHANG2, Ruifang ZHU1, 3, Hongfang SHAO1, Dandan GUO1, Linping SHANG1, 3, Shifan HAN1, 3, 4, 5, 6
Affiliations
  • 1Nursing College of Shanxi Medical University, Shanxi 030001 China
  • 2Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University
  • 3First Hospital of Shanxi Medical University
  • 4Dietotherapy Science and Technology Research Center,Shanxi Medical University
  • 5Shanxi Province Food Therapy and Agricultural Products Prescription Industry Technology Innovation Strategic Alliance
  • 6Major Platform Carrier and Training Base for the Integration of Health Industry and Education in Shanxi Province
Published: 2026-06-10 doi: 10.12102/j.issn.1009-6493.2026.11.003
Outline
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Objective

To develop an entrustable professional activities(EPAs)-based clinical practicum syllabus for advanced practice nurse(APN)-oriented master of nursing specialist(MNS) students in China,thereby informing the training of advanced practice nursing talents.

Methods

A combination of literature review,expert meetings,and a modified Delphi method were used to construct the clinical practicum syllabus for APN-oriented MNS students in China.The feasibility of the syllabus was evaluated by using the CIPP framework.

Results

Two Delphi rounds were completed by 22 experts,with response rates of 81.48% and 100.00% and authority coefficients of 0.862 and 0.891.A 20-EPA-based clinical practicum syllabus was developed,featuring a progressive semester-by-semester structure that integrates theory,practice,and EPAs,along with a combined formative and summative evaluation system.

Conclusion

The developed clinical practicum syllabus demonstrates strong scientific validity,systematic coherence,and practical operability,and could serve as a reference for APN-oriented MNS training in China.

advanced practice nurse  /  master of nursing specialist  /  entrustable professional activities  /  clinical internship  /  nursing education
段璇, 张倩, 朱瑞芳, 邵红芳, 郭丹丹, 商临萍, 韩世范. 基于置信职业行为构建我国高级实践护士方向护理硕士专业学位研究生临床实习大纲. 护理研究, 2026 , 40 (11) : 1826 -1834 . DOI: 10.12102/j.issn.1009-6493.2026.11.003
Xuan DUAN, Qian ZHANG, Ruifang ZHU, Hongfang SHAO, Dandan GUO, Linping SHANG, Shifan HAN. Development of an EPA-based clinical practicum syllabus for APN-oriented master of nursing specialist students in China[J]. Chinese Nursing Research, 2026 , 40 (11) : 1826 -1834 . DOI: 10.12102/j.issn.1009-6493.2026.11.003
Appendix
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Year 2026 volume 40 Issue 11
36
16
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.11.003
  • Receive Date：2026-04-05
  • Online Date：2026-10-30
  • Published：2026-06-10
Article Data
Affiliations
History
  • Received：2026-04-05
  • Revised：2026-05-05
Affiliations
    1Nursing College of Shanxi Medical University, Shanxi 030001 China
    2Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University
    3First Hospital of Shanxi Medical University
    4Dietotherapy Science and Technology Research Center,Shanxi Medical University
    5Shanxi Province Food Therapy and Agricultural Products Prescription Industry Technology Innovation Strategic Alliance
    6Major Platform Carrier and Training Base for the Integration of Health Industry and Education in Shanxi Province
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https://castjournals.cast.org.cn/joweb/hlyj/EN/10.12102/j.issn.1009-6493.2026.11.003
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