- 期刊
- OpenAccess
專科護理師證照制度看法之初探
Preliminary Study of View of the License System of Nurse Practitioner
摘要
Background: Because of the dwindling of insurance payment for medical treatment provided by the National Insurance Burean, the hospitals are forced to control the cost of medical care. Along this line, a shortage of surgeons ia also a general phenomenon existed in hospital everywhere. For this reason, a lot of hospitals have implemented a new system of using nurse practitioners (NPs) to replace the interns for the initial basic care of the patients. However, the suitability of this policy is still debatable. On May, 2007, NP system has officially become a licenced professional health care entity. The specific aim of this study is to assess their point-of-view on the licencing system for the NPs. Method: The subjects for this study were recruited from two medical centers and two district hospitals from Central Taiwan. We performed our studies using a cross sectional survey method and the sampling was carried out using randomized and lamination method. A total of 160 survey questionnaires were sent out, and a respond rate of 87% (139 of 160) was obtained. We then used Likert Scale Five Scoring method to assess the survey. To acquire the discrepany of these NPs on the view of licencing system, we used the descriptive analysis, the independent sample t test and variance analysis by the SPSS10.0 version. In terms of reliability of the survey, we obtained a Cronbach's alpha value of .84. As to validity of the survey, a CVI value of .96 was obtained. Result: The ranking of the five statement titles describing their point-of-view of NP system by these nursing staffs in the descending order are: (1) NP is capable of promoting the quality of health care (M=4.04; SD=0.81); (2) NP licencing system is enabling to protect the job security lawfully (M=3.98; SD=1.03); (3) NP licencing system is capable of preventing the confusing role between medical care and nursing care (M=3.86; SD=0.98); (4)NP licencing system can provide these NPs to perform their duties independently (M=3.72; D=0.88), and (5) NP licencing system can extend the life span of the career (M=3.72; SD=0.96). In terms of individual attribute is concerned, NPs with higher pay, age and seniority are demonstrated to be more Favorable for NP licencing system than their peers with lower pay, age and seniority status. In addition, these NPs from the large medical centers are shown to be more in favor of NP licencing system than these worked at the district hospitals. Conclusion: Thus far, the law-waking process of the NP licencing system is not yet completed. It is hoped that the conclusion drawn from this study can provide references for the supervisory executive of the hospitals as well as lawmarkers.
並列摘要
Background: Because of the dwindling of insurance payment for medical treatment provided by the National Insurance Burean, the hospitals are forced to control the cost of medical care. Along this line, a shortage of surgeons ia also a general phenomenon existed in hospital everywhere. For this reason, a lot of hospitals have implemented a new system of using nurse practitioners (NPs) to replace the interns for the initial basic care of the patients. However, the suitability of this policy is still debatable. On May, 2007, NP system has officially become a licenced professional health care entity. The specific aim of this study is to assess their point-of-view on the licencing system for the NPs. Method: The subjects for this study were recruited from two medical centers and two district hospitals from Central Taiwan. We performed our studies using a cross sectional survey method and the sampling was carried out using randomized and lamination method. A total of 160 survey questionnaires were sent out, and a respond rate of 87% (139 of 160) was obtained. We then used Likert Scale Five Scoring method to assess the survey. To acquire the discrepany of these NPs on the view of licencing system, we used the descriptive analysis, the independent sample t test and variance analysis by the SPSS10.0 version. In terms of reliability of the survey, we obtained a Cronbach's alpha value of .84. As to validity of the survey, a CVI value of .96 was obtained. Result: The ranking of the five statement titles describing their point-of-view of NP system by these nursing staffs in the descending order are: (1) NP is capable of promoting the quality of health care (M=4.04; SD=0.81); (2) NP licencing system is enabling to protect the job security lawfully (M=3.98; SD=1.03); (3) NP licencing system is capable of preventing the confusing role between medical care and nursing care (M=3.86; SD=0.98); (4)NP licencing system can provide these NPs to perform their duties independently (M=3.72; D=0.88), and (5) NP licencing system can extend the life span of the career (M=3.72; SD=0.96). In terms of individual attribute is concerned, NPs with higher pay, age and seniority are demonstrated to be more Favorable for NP licencing system than their peers with lower pay, age and seniority status. In addition, these NPs from the large medical centers are shown to be more in favor of NP licencing system than these worked at the district hospitals. Conclusion: Thus far, the law-waking process of the NP licencing system is not yet completed. It is hoped that the conclusion drawn from this study can provide references for the supervisory executive of the hospitals as well as lawmarkers.