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摘要


Family nurse practitioners (FNPs) have the potential to provide holistic and family-centered care in Taiwan. This article aims to apply complexity science and systems thinking to the lack of FNPs in Taiwan. The complex problem of having no FNPs and its associated contributing factors are described and visualized through various causal links, patterns, the "fixes that fail" archetype, and the mental model. Based on the authors' analysis of the problem, a multifaceted intervention is recommended.

參考文獻


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Barnes, H. (2015). Exploring the factors that influence nurse practitioner role transition. The Journal for Nurse Practitioners: JNP, 11(2), 178-183. https://doi.org/10.1016/j.nurpra.2014.11.004
Cabrera, D., & Cabrera, L. (2019). Complexity and systems thinking models in education: Applications for leaders. In M. J. Spector, B. B. Lockee, & M. D. Childress (Eds.), Learning, design, and technology: An international compendium of theory, research, practice, and policy (pp. 1-29). Springer. https://doi.org/10.1007/978-3-319-17727-4_101-1
Chiu, H. J., Tsay, S. L., & Tung, H. H. (2015). Scope of practice and legislation for nurse practitioners in Taiwan. Journal of the American Association of Nurse Practitioners, 27(9), 497-500. https://doi.org/10.1002/2327-6924.12248
Chiu, H. J., Tsay, S. L., & Tung, H. H. (2016). A giant leap in the development of nurse practitioners in Taiwan: From statute to regulation. Journal of the American Association of Nurse Practitioners, 28(11), 622-627. https://doi.org/10.1002/2327-6924.1240

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