現行台灣專科護理師學會病例報告之書寫規範及歷程

The Guidelines of Writing a Case Report: Taiwan Association of Nurses Practitioners

陳金凰(Chin-Huang Chen) ； 卓惠伶(Hui-Ling Cho) ； 陳煒(Wei Chen)

《台灣專科護理師學刊》 7卷1期 (2020/11) Pp. 18-24

摘要

鑑於台灣專科護理師（Nurse Practitioner, NP）（簡稱專師）角色偏重醫療照護，於2017年4月台灣專科護理師學會開始推動NP3進階之病例報告，其目的是藉由病例報告之架構，強化專師在病史收集、理學檢查、實驗數據與影像判讀與鑑別診斷過程之邏輯性，與實證搜尋及整彙能力，以彰顯專師角色與功能。台灣專師學會所推出之病例寫作架構則以全球最優質的期刊為參考版本，使專師能追隨國際病例寫作脈絡前進，同時也依據各醫院及審查委員共識，調整及創造出屬於本土專師病例寫作模式，其最終目的在於訓練專師能完成一篇有一定比重的專師角色參與、具邏輯性、且對臨床有教育性的病例報告。

關鍵字

專科護理師 ； 病例報告

並列摘要

Based on the fact that the role of Nurse Practitioners (NPs) in Taiwan mainly focus on the medical care, the Taiwan Association of Nurses Practitioner (TANP) has begun to promote the recognition system for NP3 since April 2017. The purpose of NP3 recognition is to strengthen the logic of the medical history collection, physical examination, experimental data, image interpretation and differential diagnosis process, as well as to improve the ability to implement evidence-based review and integration by writing a case report. The guidelines of TANP case report follows the world’s top journals as the reference, ensuring our NPs to match the international medical record writing standard. For better applicability on local practice, the context of case report is also adjusted through the consensus of the review committee of our association. In conclusion, the goal of the NP3 recognition is to train the NPs to write a case report with a certain proportion of NPs participation, logical thinking and clinically relevant education.

並列關鍵字

nurse practitioner ； case report

參考文獻

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Anwar, R., Kabir, H., Botchu, R., Khan, S. A., & Gogi, N. (2004). How to write a case report. British Medical Journal, 328(Suppl S2), 040260. https://doi.org/10.1136/sbmj.040260

Cohen, H. (2006). How to write a patient case report. American Journal of Health-System Pharmacy, 63(19), 1888-1892. https://doi.org/10.2146/ajhp060182

Khan, K. S., & Thompson, P. J. (2002). A proposal for writing and appraising case reports. BJOG - An International Journal of Obstetrics & Gynaecology, 109(8), 849-851. https://doi.org/10.1111/j.1471-0528.2002.01017.x

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