台灣地區專科護理師與醫師助理實施現況

The current Status of Clnical Nurse Specialists and Physician Assistants in Taiwan

本研究之目的在探討臺灣地區各醫院之專科護理師和醫師助理實施之現況，並比較其間之差異。本研究乃以86年度衛生署醫院評鑑為地區教學醫院、區域醫院和醫學中心為對象，透過問卷調查瞭解。本研究共發出問卷120份，回收89份，回收89份，回收率74.17%， 回收之醫院中包括6家醫學中心、34家區域醫院、49家地區教學醫院。結果發現：回收的資料中有43家醫院，除了使用護士和護理師之職稱外，另設有醫師助理、專科護理師、高級臨床護理師、護理師執業等其他職稱。其中設專科護理師的有9家、醫師助理的有24家、其他職稱的各一、二家。醫師助理在最近半年呈現快速增加趨勢；專科護理師和醫師助理的遴選標準並未呈現顯著差異，同時其所屬管理單位、所接受之特別訓練、服務單位、服務科別、工作內容等都大致相同。

The purpose of this study was to explore the current state of clinical nurse specialists(CNSs)and physician assistants(Pas)in Taiwan. The study sample consisted of 120 teaching hospitals, including 6 medical centers, 34 regional teaching hospitals, and 49 district teaching hospitals. Survey questionnaires were sent to the directors of nursing departments of these 120 teaching hospital. 89 directors completed and returned the questionnaire, for a 74.1% response rate. The major results were as follows: (1)Forty-three of the 89 hospitals had the positions of PA, CNS, professional nurse, advanced clinical nurse, nurse practitioner, and various other in addition to registered nurse titles. Nine of these hospitals used the title of CNS and 24 used the title of PA. (2)The number of PAs increased during the past 6 months. (3)The selection criteria, roles, job discription, and training programs were similar for CNSs and PAs.