Medical Team Satisfaction with Nurse Practitioner Clinical Performance

某醫學中心醫療團隊人員對專科護理師臨床專業能力滿意度調查

鄭秀貞(Hsiu-Chen Cheng) ； 陳世堅(Shih-Chien Chen)

《The Journal of Nursing Research》 16卷1期 (2008/03) Pp. 26-36

摘要

專科護理師制度主要是要提昇醫療照護品質、預防及減少醫療照護上的失誤、落實醫療團隊合作精神。國內外研究報告專科護理師制度在病患或家屬之整體滿意度高，可是在醫療團隊成員中，對於專科護理師臨床實務能力的期待與表現的滿意度尚未明確是促成此研究主要動機。本研究以便利取樣，於某醫學中心共收案255名，包含醫師、護理師、及其它醫療團隊人員。採單次自填式問卷調查，研究問卷內容包含「專科護理師制度」、「臨床實務內容」、「臨床專業能力表現」等三個構面，問卷之專家表面效度(CVI)值爲.8981，問卷內容之內在一致性檢測，三個構面的Cronbach's α係數分別爲.88/.94/.89。研究結果發現：醫師與護理師對於「專科護理師制度」、「臨床實務內容」、「臨床專業能力表現」之看法有顯著差異。醫師在「專科護理師制度」、「臨床專業能力表現」較護理師認同與滿意；而護理師在「臨床實務內容」較醫師認同度高。專科護理師之外的醫療團隊人員對專科護理師制度朝向正面支持，但認爲專科護理師之臨床實務表現有再加強的空間。

關鍵字

專科護理師 ； 醫療團隊 ； 臨床專業能力

並列摘要

The nurse practitioner (NP) system aims to enhance medical care quality, prevent and reduce human errors in medical care, and instill a cooperative spirit in medical teams. Nationally and international studies indicate a high level of satisfaction with the NP system from patients and their family. However, the expectations and satisfaction of medical teams with NP clinical performance have not yet been clearly delineated. In this research, a sample of 255 physicians, nurses, and other medical staff were recruited from a medical center in central Taiwan. Questionnaires given to this sample addressed the three major aspects of: ”NP System”, ”clinical practice content”, and ”performance of clinical professional competency”. The Content Validity Index (CVI) of the questionnaire was .8981, and Cronbach's reliability values for the three aspects were .88, .94, and .89, respectively. Results indicate that physicians and nurses have a significant difference of opinions with regard to the three aspects addressed. Physicians have higher recognition and satisfaction of the ”NP system” and ”performance of clinical professional competency”. Nurses tend to see ”clinical practice content” as the major aspect. In conclusion, physicians and other medical staff had very positive attitudes towards the NP system and believed the clinical competency performance could be improved.

並列關鍵字

nurse practitioner ； medical team ； clinical competency performance

參考文獻

Barnett, S. J(2005).An emerging role for nurse practitioners-Preoperative assessment.AORN Journal.82(5),825-834.

Byrne, G.,Richardson, M.,Brunsdon, J.,Patel, A(2000).Patient satisfaction with emergency nurse practitioners.Journal of Clinical Nursing.9(1),83-92.

Chen, K. H.,Lee, S.,Chang, C. W(2005).Nursing clinical ladder: The current situation and future development.Tzu Chi Nursing Journal.4(3),14-20.

Regulations governing specialties and examination of nurse practitioner

Fleissig, A.,Jenkins, V.,Catt, S.,Fallowfield, L(2006).Multidisciplinary teams in cancer care: Are they effective in the UK.The Lancet Oncology.7(11),935-943.