衛生所護理師角色功能之探討－德爾菲研究

Role and Function of Registered Professional Nurses in the Health Station: A Delphi Study

李淑婷(Sue-Ting Lee) ； 謝臥龍(Woh-Long Shieh) ； 邱啟潤(Chii-Jun Chiou)

《護理研究》 9卷3期 (2001/06) Pp. 269-278

https://doi.org/10.7081/NR.200106.0269

摘要

國內外文獻對衛生所公共衛生護理人員的角色功能都有所探討，但對護理師角色功能相關文獻卻付之闕如，護理師在國內已存在7-10年，沒有明確的角色界定，功能難以發揮，且也造成護理師的角色壓力，因此引發本研究探討的動機。本研究採德爾菲研究法，旨在融合參與研究産、官、學界專家對衛生所護理師具體角色功能的共識，並排列角色重要優先順序；本研究共進行三次德爾菲問卷，第一次問卷寄發産、官、學界150位專家，而完成三次問卷者，共有99位，其中産界36位(36.36%)、官界34位(34.34%)、學界29位(29.29%)。本研究專家認爲護理師應由傳統「以個案健康爲導向」的角色功能擴展至「以社區健康爲導向」，並提昇照護的深度及廣度。專家認爲在「服務面」護理師最優先重要的角色功能爲「社區照護提供者」及「家庭健康管理者」；在「行政面」最優先重要的角色功能爲「衛生計劃擬定者」；在「個人特質面」護理師需具有最重要的特質爲「豐富的公共衛生與護理相關知能及實務經驗」。本研究結果促使社區衛生護理産官學各界對護理師角色功能的認知達一致性，並可依重要性優先順序擬定護理師職前、在職訓練，並在各衛生所視環境及資源參攷使用。

關鍵字

衛生所 ； 護理師 ； 角色功能 ； 德爾菲研究

並列摘要

This research was motivated by the need for a specific role definition for Registered Professional Nurses in public health stations that will enable them to fulfil their full potential. An adapted Delphi technique was used to reveal areas of consensus among the views of experts from the practicing nursing profession, government and academia regarding the specific roles and functions of registered professional nurses, and to rank such roles and functions in order of importance. Three questionnaires were sent to 150 experts from the above sectors, of whom 99 completed all three questionnaires: 36(36.36%) from nursing practice, 34 (34.34%) from government and 29(29.29%) from academia. Respondents believed that the role of the Registered Professional Nurse should be extended from the traditional “case-oriented” role to a “community health-oriented” role, and that the depth and scope of care should be enhanced. Priority roles identified in the area of “service” were those of “community care provider” and “family health manager”, and in the area of “administration”, that of “health and hygiene planner”; the most important personal qualities required were identified as “abundant knowledge,1 skills and practical experience in public health and nursing”. It is believed that this study is conducive to establishing a consistent view of the role and functions of the Registered Professional Nurse between the above sectors, and can also serve as a useful guide for curriculum design for Registered Professional Nurses prevocational and in-service training.

並列關鍵字

health station ； Registered Professional Nurse ； role and function ； Delphi study

參考文獻

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