專科護理師專業成效之評值

Professional Performance Evaluation of Nurse Practitioners

陳秋慧(Chiu-Hui Chen)

《台灣專科護理師學刊》 5卷1期 (2018/07) Pp. 12-19

摘要

個人專業成效評值是一個監測與組織相關的專案、系統與臨床照護服務的持續性過程。它是所有醫療組織對其員工管理中所不可缺乏的，對組織競爭力有絕對的影響。傳統性的專業成效評值多著重於員工教育的準備、專業積分的取得和年度的工作表現評值與會談。醫療照護環境與內涵的改變，已將個人專業成效評值視為照護品質一環，並納入個人照護成效的結果。目前，美國專科護理師必須以醫療專業角度做能力評估。聯合委員會同時建議採專業績效評估（OPPE）和重點專業實踐評估（FPPE）兩種方式做定期性的評值，許多研究也針對可代表專科護理師的成效指標做出建議。台灣專科護理師做為主要健康照顧提供者的一員，身負提升照護品質與個人專業的責任。我們必須建立屬於我們自己的績效評估方式，以期真正彰顯專科護理師的專業表現和對臨床照護品質的貢獻，同時可藉評值結果制定個人和組織的層面的品質改進計劃。

關鍵字

專業成效評值 ； 持續性專業績效評估 ； 焦點專業實踐評估

並列摘要

Evaluation of professional performance is a continuous process which enables a health organization to closely monitor programs, systems, and clinical service of the organization. It is essential for managing employees in all medical organizations and has an absolute influence on the competitiveness of the organization. Traditionally, performance evaluation is focused on educational training, review of professional credentials, and direct evaluation or interview from managers annually. This has failed to meet the contemporary and rapid changes of the healthcare sector. It is crucial to integrate performance evaluation into quality improvement projects so that individual contributions to the quality of care can be identified and measured. Currently, nurse practitioners in America are evaluated based on medical professional competence. The Joint Commission suggests that both the Ongoing Professional Performance Evaluation (OPPE) and the Focused Professional Practice Evaluation (FPPE) should be applied for regular evaluation. Several sensitive outcomes attributing to the practice of nurse practitioners could be found in studies. Nurse practitioners in Taiwan, as one of the major group of health care providers, have accountability for the quality of care and professional development. It is imperative to establish our own way of performance evaluation, which could truly present our daily performance and contributions to the quality of care. Furthermore, plans for quality improvement from the aspects of the individual and the organization can be developed accordingly.

並列關鍵字

Professional Performance Evaluation ； Ongoing Professional Performance Evaluation ； Focused Professional Practice Evaluation

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