因應國際進階護理之發展,台灣護理界積極發展能與國際接軌的本土化進階護理制度,除了爭取立法保障工作職稱,於2000年增訂專科護理師入法,建立國家認證制度,因為此法並未涵蓋其他進階護理角色,許多護理專業團體持續發展且積極倡議特殊領域的進階照護角色,然而其執業範疇、學歷資格、認證標準、教育訓練、及證照展延規定不一。為促進進階護理之發展,台灣護理學會於2012年正式成立進階護理委員會,由歷屆主任委員及委員們接棒合力完成並推動進階護理師之認證及繼續教育。本文紀錄委員會成立至今的工作過程,包括任務及工作編組、共識會及公聽會的意見整合、與基層護理人員進階制度的銜接與分野、進階護理師執業範疇及執業能力的評估依據、自2016年起的認證成果;同時借鏡國際經驗,反思台灣進階護理制度的發展與困境,並提出專業、執業、教育及法律層面的建言。
The nursing society in Taiwan is making active effort to develop a regional system that aligns with international standards on advanced practice nursing practice. In 2000, the Nurse Act established Nurse Practitioner as a legal title of advanced practice nurse and the national certification process; however, the Act did not include other advanced nursing practices. Various nursing professionals in Taiwan continued to develop and advocate other specialty advanced practice roles and functions. Each has their specific advanced practice scope, academic qualifications, certification standards, education and training, and license extensions. In 2012, the Taiwan Nurses Association officially established the Advanced Nursing Practice Committee to promote development of advanced practice, establish the regulations of certification and required continuing education of advanced practice nurses. This article describes the history and efforts of the committee, including group tasks and accomplishments, the collaborated integrative process and public hearings, the bridging between advanced practice and current nursing clinical ladder system, the practice scope and competence appraisals, and the past certification results. This article references international experiences and reflects on the development and predicament of Taiwan's advanced nursing system and proposes suggestions for professional, practice, education, and legislation.