Evidence map›Paper›PMID 41562497›Full record

ArticleInternational nursing review2026

Developing an Evaluation Framework Based on Entrustable Professional Activities for Advanced Practice Nurses in China.

Shifan Han, Wenjing Dong, Xuan Duan, Feng Chen, Gege Cao, Ruifang Zhu, Qian Zhang

Abstract read
In one paragraph

Article in International nursing review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shifan HanSchool of Nursing, Shanxi Medical University, Taiyuan, Shanxi, China.ORCID https://orcid.org/0000-0003-4448-1689
Wenjing DongSchool of Nursing and Rehabilitation, Xi 'an FanYi University, Xi'an, Shaanxi, China.ORCID https://orcid.org/0009-0001-3786-1651
Xuan DuanSchool of Nursing, Shanxi Medical University, Taiyuan, Shanxi, China.
Feng ChenDepartment of Nursing, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
Gege CaoSchool of Nursing, Shanxi Medical University, Taiyuan, Shanxi, China.
Ruifang ZhuSchool of Nursing, Shanxi Medical University, Taiyuan, Shanxi, China.
Qian ZhangDepartment of Nursing, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.ORCID https://orcid.org/0000-0003-1495-3374

Funding

Ministry of Education Humanities and Social Sciences Project 23YJA880011
6 · The paper itself

Abstract

aimTo address conceptual ambiguity, unclear scope, and regulatory gaps hindering advanced practice nurse role implementation in China, this study developed an evaluation framework based on entrustable professional activities to facilitate the introduction, implementation, and development of the advanced practice nurses while guiding policy formulation, educational design, and credentialing.

backgroundGlobally, advanced practice nurses are recognized for delivering high-quality, safe, and cost-effective care. Many countries have formalized this role, often marked by prescriptive authority. However, China lacks a clearly defined advanced practice nurse role and national evaluation standards, creating barriers to effective role integration.

methodsA scoping review identified international evaluation frameworks and their core components. A two-round Delphi study with 27 experts established relevant entrustable professional activities, and structured consensus meetings refined the framework.

resultsDelphi consensus was achieved on an entrustable professional activity framework consisting of 20 indicators across five domains: assisting in clinical assessment, diagnosis, and treatment; engaging in advanced nursing practice; communicating, consulting, coordinating, and collaborating; managing teaching and promoting research innovation; and preventing and managing chronic diseases. After two rounds of expert panel consultations, the final evaluation framework was established. DISCUSSION: This framework clarifies advanced practice nurse roles and offers a coherent structure linking education, competencies, and clinical practice to promote practice-ready development.

conclusionThis participatory framework provides an organized approach to evaluating advanced practice nurses' competencies and role readiness, supporting safe and effective advanced practice. IMPLICATIONS FOR NURSING: The framework supports competency-based education, workplace assessment, and continuing professional development for advanced practice nurses. IMPLICATIONS FOR NURSING POLICY: This evaluation framework offers a foundation for role legislation, credentialing, and evidence-informed policy development in China.

Indexed as

Advanced Practice NursingClinical CompetenceCredentialingNurse's RoleChinaDelphi TechniqueFemaleHumansadvanced practice nurseentrustable professional activitiesevaluation frameworkprescriptive authorityrole qualificationscope of practice

Identifiers

PMID41562497
PMCPMC12821572

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.