專科護理師的新時代

專科護理師之執業範圍，法無明文規定，僅由衛生福利部以行政函釋界定，直到「護理人員法」第24條第3項與第4項規定之增訂以及「專科護理師於醫師監督下執行醫療業務辦法」制定後，始有法源依據。專科護理師執業範圍立法後，專科護理師於醫師監督下得執行醫療業務，亦得依醫師所預立之醫療流程執行醫療業務，且專科護理師之執業範圍更趨明確，即專師得以執行21項侵入性醫療業務與9項非侵入醫療業務，此為專科護理師專業領域上之重大里程碑。本文將介紹專科護理師執業範圍之新規定與其立法背景、立法過程，期待本文可協助護理人員瞭解專科護理師之執業範圍，並瞭解「推動立法或修法」對於護理人員執業權益之重要性。

關鍵字

專科護理師；醫療業務；監督；預立醫療流程

並列摘要

The scope of practice of nurse practitioners is not defined by law but by the administrative directives of the Ministry of Health and Welfare. Prior to promulgation of Article 24, Paragraphs 3 and 4 of the ＂Nursing Personnel Act＂ and of the ＂Regulation of the Scope of Practice of Nurse Practitioners＂, the scope of practice of nurse practitioners was defined in accordance with relevant laws and regulations. Since promulgation, nurse practitioners have been authorized to practice medical interventions under the supervision of physicians and in accordance with physician-established protocols. These changes have made the scope of practice of nurse practitioners clearer and more specific. Today, nurse practitioners are authorized to perform 21 invasive procedures and 9 non-invasive procedures, which represents a new milestone in establishing the professionalism of nurse practitioners. The purpose of this article is to describe these new regulations governing the scope of practice of nurses and their legislative background and process. It is hoped that nurses may better understand the scope of practice of nurse practitioners and the importance of legislation in promoting and protecting the rights of nurses.

並列關鍵字

nurse practitioners ； medical intervention ； supervision ； physician-established protocols

參考文獻

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蔡秀鸞（2014）．世紀回眸―臺灣護理專業的角色拓展．護理雜誌，61（4，附冊），69–77。[Tsay, S. L. (2014). Centennial retrospective on the role expansion of the nursing profession in Taiwan. The Journal of Nursing, 61(4, Suppl.), 69–77.] doi: 10.6224/JN.61.4S.69

邱慧洳（2015）．簡評專科護理師解釋病情與書寫醫療紀錄之法源―兼論兩刑事裁判．台灣專科護理師學刊，1（1），43–49。[Chiu, H. J. (2015). Discussion of nurse practitioners’ legal standing regarding explaining patient condition and writing medical records: With two examples of criminal judgments. Journal of Taiwan Nurse Practitioners, 1(1), 43–49.]

蔡秀鸞（2015）．賀台灣專科護理師學刊創刊．台灣專科護理師學刊，1（1），15–16。[Tsay, S. L. (2015). Congratulations on the launch of the Journal of Taiwan Nurse Practitioners. Journal of Taiwan Nurse Practitioners, 1(1), 15–16.]

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被引用紀錄

陳貞如、黃美智、陳亭均、高綺吟（2023）。專科護理師自主性之概念分析。長庚護理，34(2)，36-46。https://doi.org/10.6386/CGN.202306_34(2).0004

蕭棨文、童恒新、劉介宇、鄭夙芬（2022）。探討初階專科護理師職場壓力與教學行為之中介影響－以專業承諾為中介變項。護理雜誌，69(1)，41-50。https://doi.org/10.6224/JN.202202_69(1).07

林詩淳（2021）。虛擬互動實境輔助專科護理師批判性思考訓練之應用。護理雜誌，68(5)，18-23。https://doi.org/10.6224/JN.202110_68(5).04

衛素蓉、張曉雲、陳淑銘、葉淑惠、楊麗慧（2019）。比較專科護理師自覺重要角色能力與實際執行角色能力之看法：以Q方法探討。護理雜誌，66(6)，33-42。https://doi.org/10.6224/JN.201912_66(6).06

張黎露、張美娟（2023）。台灣進階護理教育的省思－可信賴的專業活動。領導護理，24(2)，1-12。https://doi.org/10.29494/LN.202306_24(2).0001

國際替代計量

專科護理師的新時代

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