護士荒時代的護理領導

The Role of Nursing Leaders during the Crisis of Nursing Workforce Shortage

近兩年來台灣的護士荒現象加重了臨床的照護負荷，導致護理人員壓力增加，護理人力不足與工作負荷成為惡性循環，進而影響對病患的照護品質，也成了對護理領導最嚴峻的挑戰。有鑒於此，本文先介紹目前台灣護士荒的現況與護理人員離職原因，再由中外文獻探討什麼是護理人員在乎的好工作？並從中探討現代的護理領導人該如何做？文中先建議過去在護理人力短缺時一個有效的「二C二S」照護理念，也強調所有護理領導人要具備有成為心靈導師的能力、與壓力共處的能力、及提升EQ的能力。藉著護理領導的自我變革與期許，或能協助護理人員客服工作與生活不平衡的危機，進而提升照護品質與護理人員留任率。

In the past two years, the shortage of nurses in Taiwan worsens clinical nurses' workload that causes increased stress for nurses. A vicious cycle between nursing shortage and workload increase not only negatively impacts quality of care, but also becomes one of the largest challenges that nurse leaders face. Therefore, this article discusses the current status of nursing shortage in Taiwan and causes of nurses' leaving their careers. Through literature review, the author probes what tasks nurses care about and what nurse leaders should do nowadays. This article suggests the 2 C 2S of caring philosophy that has been used effectively and successfully during nurse shortages in the past. It also emphasizes that nursing leaders have the abilities of being spiritual teachers, handling stress, and promoting emotional intelligence. Through self-change and self-expectation, nursing leaders may assist nurses in overcoming the crisis due to the imbalance between work and life, further promoting quality of care and retention rate of nurses.