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  • 期刊

世紀回眸-台灣護理專業的角色拓展

Centennial Retrospective on the Role Expansion of the Nursing Profession in Taiwan

摘要


因應民眾健康照護的需求,健康保險給付制度的改革和醫療體系之變動,因而需要拓展多元的護理進階專業角色,以提供民眾具有品質的健康照護。本文之論述包含護理師的角色、護理的角色拓展與發展、進階護理師、專科護理師制度、護理個案管理師、護理長期照護管理師、進階護理師執業現況與成效、專業的角色拓展與護理形象、和建議。期能提供護理界參考,以加速護理專業的發展。

並列摘要


Advanced practice nurses were introduced in Taiwan to address increasingly complex public healthcare needs, reimbursement reform in the National Health Care Insurance system, and healthcare organization changes and to ensure high-quality care for patients. This article discusses the role and the function of nurses; the expansion and extension of nursing responsibilities; the specific roles of the advanced practice nurse, the nurse practitioner, the case manager, and the care manager; the affect of advanced practice on nursing identity and effectiveness; and key current issues in advanced practice. Suggestions are provided to improve the professional development of nurses in the future.

參考文獻


鍾佳玲(2007).台灣區域醫院以上護理個案管理師之工作現況及其工作特性、工作壓力與工作承諾關係之探討(未發表的碩士論文).台北市:國立臺灣大學醫療機構管理研究所。[Chung, C. L. (2007). The current work conditions and relationships among job characteristics, job strain and job commitment in Taiwan’s regional hospital nurse case managers (Unpublished master’s thesis). National Taiwan University, Taipei City, Taiwan, ROC.]
郭鳳霞、徐南麗(2002).個案管理師的角色與必備能力.志為護理—慈濟護理雜誌,1(3),22-27。[Kou, F. S., & Hsu, N. (2002). The role of the case manager and requisite competencies. Tzu Chi Nursing Journal, 1(3), 22-27.]
廖美南、盧美秀(2000).應用個案管理於控制腦中風病患成本效益之成效探討.長庚護理,11(2),10-19。[Liao, M. N., & Lu, M. S. (2000). Application of case management on patients with stroke: Examining cost benefit. Chang Gung Nursing, 11(2), 10-19.]
Cesta, T. (2013). Back to basics: A day in the life of a hospital case manager. Hospital Case Management, 21(8), 103-110.
Harmer, V. (2010). Are nurses blurring their identity by extending or delegating roles? British Journal of Nursing, 19(5), 295-299.

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林幼麗、郭惠敏、李銘櫻、蘇綉雅、朱宗藍、余文彬(2019)。條碼資訊系統科技提升某病房醫療設備點班效率之專案健康科技期刊5(2),22-35。https://doi.org/10.6979/TJHS.201903_5(2).0003
陳幼梅、游顯妹、張淑真(2019)。台灣進階護理師認證制度的建立與國際接軌的展望源遠護理13(1),14-21。https://doi.org/10.6530/YYN.201903_13(1).0002
王采芷、郭裴翎(2019)。進階護理的發展與現況源遠護理13(1),5-13。https://doi.org/10.6530/YYN.201903_13(1).0001
林家弘、童恒新、鍾國彪、蕭淑芬、孫秀卿(2019)。專科護理師健康照護服務品質量表之發展及心理計量檢測護理雜誌66(5),54-64。https://doi.org/10.6224/JN.201910_66(5).08
林仁祥、蕭玄慈(2017)。護理人員的職場壓力諮商-社區諮商模式護理雜誌64(2),109-116。https://doi.org/10.6224/JN.000029

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