臺灣專科護理師執業現況調查

Scope of Practice for Nurse Practitioner in Taiwan

目前國內專科護理師之臨床執業範圍界定不清，且缺乏現況之調查。本研究之目的為瞭解國內專科護理師執業現況。採橫斷性調查研究設計，以全國各級醫院領有專科護理師證照之專科護理師學會會員為研究對象進行自填問卷調查。問卷內容包含執業範疇及工作內容細項及人口學特性。資料收集以電子郵件方式寄送問卷，調查對象填寫完畢後以電子郵件回覆。本研究資料以SPSS15.0 中文版套裝軟體進行資料建檔與描述性統計分析。總計發出714 份，回收 300 份有效問卷，回收率42.02％。研究結果發現國內各醫院專科護理師實際執行之工作內容與衛生署所公告之執業範疇大多符合。各層級醫院專科護理師執行之自主性執業範疇皆較缺乏臨床教學，在侵入性治療之執行比例較其他非侵入性治療低。區域醫院與地區醫院之專科護理師在執行侵入性治療及安排病人床位比其他層級醫院來的高。此現況調查結果可作為相關單位及專業團體制定專科護理師政策及其培訓計畫之參考。

Currently, the scope of practice for nurse practitioner is not clearly understood and lack of research focused on this specific issue. The purpose of this study is to investigate the scope of practice of nurse practitioner (NP) practice in Taiwan. A cross section design and purpose sampling design were used in this study. The instruments include NP scope of practice questionnaire and demographic questionnaire. Descriptive statistics were used for the demography and data analysis was carried out using SPSS, version 15.0 statistical software. There were 714 questionnaires distributed, and 300completed and valid, giving a return rate 42.02%. The results showed the scope of practice in reality were mostly conformed to the scope of practice announcement from Department of Health. The study found nurse practitioners spend less time to play bedside educator role than other roles. In addition, nurse practitioners did more non –invasive procedure compare to invasive procedure. The nurse practitioner who work in local hospital spend more time carrying out invasive procedure and arrange patients to different units, compare to the nurse practitioner who work in medical center and teaching hospital. Professional association and governments might develop related policy and design training program based on the results from this study.