安全護衛護理專業與消費者－－淺談護理人員專業檢定

Safeguarding the Professionalism and Consumer- Nurse’s Certification

二十一世紀人口快速老化，慢性及住院重症病人相對增加，護理專業需要有能力、有責任的專業人員提供病人安全、高品質的護理服務。在國外，護理執照定時更新及檢定之制度，不僅安全護衛了消費者權益，更為醫療機構的品質作把關。反觀國內護理師執照未定期換證與檢定，而護理能力進階制度施行辦法各家醫院標準不一又彼此不認同，造成無法確保護理專業品質及維護消費者的安全。本文藉由分析護理環境的變遷、護理人員檢定制度之現狀及其重要性，來探討國內護理人員專業認證制度，並提出九點建議作為日後改革之參考。

Along with the rapid aging process of the elder population and the increase of chronic and critical patients in the 21st century, competent and responsible professionals to offer safe, quality patient care in the nursing science are needed. In other countries, license update and board certification are wellestablished systems. They not only protect the rights of the patients, but also provide a quality control mechanism for medical institutes. On the contrary, periodical review or qualification of the nursing board are absent in Taiwan. The nursing advance system varies across hospitals. Acceptable standard criteria to evaluate such courses are, as yet, non-existent, resulting in insufficient quality control of nursing profession and clients’ safety. By analyzing the transition of nursing environment, the present situation and the importance of nursing certification, this article discusses our licensure system. In addition, in order to apply the future revolution, nine suggestions were also provided.