專科護理師執業現況與專業能力之探討

一爲促進護理專業之發展同時因應醫師人力不足之困境，各醫療機構均積極培育進階護理人員擔任專科護理師以輔助醫療照護服務，專科護理師制度自民國87年實施至今，有必要深入探討機構中執業專科護理師之執業現況與專業能力。本研究採橫斷式調查研究法，立意取樣選擇北部某醫學中心培訓並已執業半年以上之63位專科護理師，以結構式問卷調查其專業能力，包括臨床照護能力、輔助性醫療服務能力、行政管理能力、專業成長能力，並探討專科護理師臨床實務之執行程度。研究結果顯示(1)執業現況之執行頻率以臨床照護能力最高，依次爲輔助性醫療服務能力、行政管理能力與專業成長能力；(2)專業能力方面，以輔助性醫療服務能力最高，其次爲臨床照護能力、行政管理能力與專業成長能力；(3)專科護理師執業現況頻次與其專業照護能力呈現正相關；(4)外科組專科護理師，在輔助性醫療服務能力方面顯著高於內科組；但在行政管理能力和專業成長能力方面顯著低於內科組專科護理師；(5)整體而言，專科護理師的角色發展偏向於臨床照護與輔助性醫療服務，而行政管理及專業成長能力則自覺較爲缺乏。

關鍵字

專科護理師；執業現況；專業能力

並列摘要

A cross-section and descriptive correlation design was used in this study. The purpose of the study was to understand the professional performance and capability of nurse specialists in four dimensions, including clinical care capability, complementary medical service capability, administrative management capability, and profession developing capability. Purposive sampling method was used to select 63 nurse specialists. The research instrument was ”The performance and ability survey questionnaire” to serve the purpose of study. The major findings of this study were shown: (1) The highest frequency of self-perceived performance was ”clinical care ability”, coming next were ”complementary medical service ability”, ”administrative management ability”, and ”profession developing ability”; (2)In capability, the highest capability of performance was ”complementary medical service capability”, over ”professional care capability”, ”administrative management capability”, and ”profession developing capability”; (3) The higher performance frequency, the higher capability; (4)The surgical nurse specialists' performance in ”complementary medical service capability” was better than medical nurse specialists, but lower in ”administrative management capacity” and ”specialty profession developing capacity”; (5)Overall, the nurse specialist development focused on ”clinical care capability” and ”complementary medical service capability”, yet ”administrative management capability” and ”specialty profession developing capability” were limited.

並列關鍵字

nurse specialist ； professional performance ； professional capability

被引用紀錄

徐慧美（2012）。專科護理師角色認同之關聯探討- 以某醫院為例〔碩士論文，元智大學〕。華藝線上圖書館。https://doi.org/10.6838/YZU.2012.00188

梁挋（2009）。專科護理師工作現況內容、工作特性、社會支持與工作承諾之相關性研究〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2009.01319

張艾玲、許秀櫻、顏妃伶、張淑真（2015）。專科護理師人際溝通能力、組織溝通滿意程度與自我效能關係之探討。台灣專科護理師學刊，1(1)，17-29。https://www.airitilibrary.com/Article/Detail?DocID=P20150413001-201502-201504130023-201504130023-17-29

姚鳳秀、劉紋妙、沈慧萍、鐘淑英（2016）。專科護理師護理能力及其相關因素之探討。台灣專科護理師學刊，2(1)，22-34。https://www.airitilibrary.com/Article/Detail?DocID=P20150413001-201602-201604250034-201604250034-22-34

章瓊慧、唐婉如（2016）。臺灣專科護理師工作項目及時間分配之探討。台灣專科護理師學刊，2(1)，35-45。https://www.airitilibrary.com/Article/Detail?DocID=P20150413001-201602-201604250034-201604250034-35-45

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專科護理師執業現況與專業能力之探討

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