台灣專科護理師角色發展已超過30年,角色發展起源於當時的住院醫生不足,當時的護理專業自主性不高、缺乏進階護理師的教育師資,因此培訓課程由醫生訓練。專科護理師名稱立法後,在政府及支持專科護理師教育的學者們努力之下,已經培育許多專科護理師臨床指導者,擔任醫院臨床指導者的重要角色。由於國內醫療體系對專科護理師人力的需求量大,目前仍以醫院培訓為主,這與國外的專科護理師培育以高等教育為主相去甚遠。專科護理師的培育課程設計需符合專師的核心能力,進階護理課程必須涵蓋3P:身體評估、病理學和藥理學,而短期的醫院培訓課程是否真能符合期待?因此,本文旨在先介紹台灣專科護理師醫院培訓制度之起源、課程內容和專科護理師的核心能力,希望引發讀者對於醫院培訓課程的進一步討論。
The development of nurse practitioner in Taiwan has been more than thirty years. Several reasons were behind the beginning of the nurse practitioner development, including the shortfall of resident doctors, lacking of nursing professional autonomy, and shortage of preceptor in advanced nursing. As a result, the doctors were responsible for the training program. After the laws were established to regulate the role of nurse practitioner with efforts from the government and scholars supporting the nurse practitioner education, many preceptors as trainees of nurse practitioner became important roles as instructors in hospitals. Taiwan's nurse practitioner education mainly provided in hospital because the demand for nurse practitioner is still increasing in medical system and this phenomenon is a far cry from the overseas nurse practitioner training programs, which are provided in the higher education. The design of the nurse practitioner training program should base on the core competencies, and the advanced nursing curriculum should include 3Ps, such are physical assessment, pathology and pharmacology. Can the short-term hospital training program meet the expectation? Therefore, this study aims to introduce the origins of the hospital training system for nurse practitioners in Taiwan, the content of the training curriculum and the core competencies of the nurse practitioner. By doing so, we hope the readers can extend the discussion on the hospital training program to a wider scope.