- 期刊
臺灣專科護理師進階制度的規劃
Development of Nurse Practitioner Career Ladder System in Taiwan
摘要
專科護理師屬於進階護理的一種，為護理角色拓展。專科護理師於2000年正式納入醫療人員管理法規中，其執業品質及效益也漸得到醫療團隊的肯定。為逐步增進專科護理師臨床專業能力，促使醫院的認同，增加回饋或晉升的機會，台灣專科護理師學會於2012年開始發展專科護理師臨床進階制度。進階制度建立於Benner從新手到專家的模式上，共分為NP、NPI、NPII、NPIII、NPIV五階，並將專科護理師的核心能力融入三大構面：臨床執業與成效、教學能力、領導／行政／研究。並針對各構面訂有能力評量指標。期望所發展的進階制度能切合臨床專科護理師的需求，未來能真正引導專業的進步。本進階制度於確認後，公告供各醫療機構參考，期望各醫療機構能比照執行，在確認專科護理師的專業能力後，能提升病人的照護品質、效能及效率，有更佳的治療成效，且能激發專科護理師向前的動力，使專科護理師的地位更能得到醫療專業團隊及社會的認同，成為醫療團隊中不可或缺的一員。
並列摘要
Nurse practitioner (NP) is one of the advanced practice nursing, the expended nursing role. In the year 2000, nurse practitioners was officially included in the medical personnel regulations and the quality and efficiency of their clinical performance have been gradually recognized by the health care teams. Taiwan Nurse Practitioner Association (TNPA) has designed and developed a NP career ladder system to gradually improve the clinical competence of NP and to raise the recognition from the hospitals, in order to increase the feedback and the opportunities for job promotion. The ladder system was developed based on the Benner’s model. From novice to expert, there is five career levels, NP, NP I, NP II, NP III, NP IV. The core competencies of NP were represented in three domains for each level: clinical practice and efficacy, teaching ability, and leadership/administration/research. Every level has the designated competency indicators of each domain. It is expected that the ladder system meets the needs of clinical nurse practitioners and leads the professional advancement in the future. After the NP career ladder system finalized, TNPA will announce it to medical institutions for their reference. It is expected that all medical institutions can apply this system to confirm the clinical competences of nurse practitioners; thereafter to improve the patient care quality, effectiveness, and efficiency, and lead to better medical outcomes. The feedback from the medical institutions with this system will enhance the performance of the nurse practitioners and be a positive motive for them. We believe that the nurse practitioners will be recognized by the health professional teams and communities and become the indispensable members of the healthcare teams in the future.
參考文獻
延伸閱讀
- 蔡秀鸞、童恒新（2021）。台灣專科護理師培訓及進階制度。醫學與健康期刊，10(3)，111-121。https://www.airitilibrary.com/Article/Detail?DocID=23046856-202111-202111220010-202111220010-111-121
- 林佳靜、曾翠華、蕭淑貞、王淑怡、盧美秀、鍾聿琳（2008）。臺灣護理教育專業人才培育的現況。醫護科技學刊，10(3)，145-158。https://doi.org/10.6563/TJHS.2008.10(3).1
- 洪愛琇（2005）。臺灣中醫門診護理人員之專業發展〔碩士論文，臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714550254
- 陳幼梅、王秀紅、高靖秋、張淑真、張澤芸、曾惠珍、黃怡靜（2016）。臺灣護理照護分級制度之規劃與推動。台灣專科護理師學刊，2(1)，5-12。https://www.airitilibrary.com/Article/Detail?DocID=P20150413001-201602-201604250034-201604250034-5-12
- 童恒新、蔡秀鸞、王采芷（2010）。Scope of Practice for Nurse Practitioner in Taiwan。台灣醫學，14(3)，264-271。https://doi.org/10.6320/FJM.2010.14(3).03