臺灣學校護理之反思－－從學校護理專科化觀點出發

Rethinking School Nursing in Taiwan: the View of Professionalization

學校護理服務範疇非常廣泛，凡是會影響學生健康的人、事、物（環境）均與學校護理有關。學校護理工作是從個人健康延伸到整體學校健康環境營造，向外擴及校園，甚至進入家庭或社區。校護不僅提供師生個人健康照顧，更必須以宏觀的觀點走出健康中心，以跨領域的合作模式擴及學生的家庭、社區，更須創造一個適合師生工作、學習的健康環境。校護扮演一個持續而動態的角色，針對學校師生的健康與需求擔任健康評估者、教育者、諮詢者、管理者，運用公共衛生三段五級的概念、助人的技巧、系統化的過程整合學校、社區、醫療資源，並執行各項介入計畫擔任協調者、計畫執行者、評價者以爭取學校師生的最大健康利益，是一個需要長時間照護學生，以發展學生自我舒適的護理專業。為促使學校護理專業能更彰顯，本文提出學校護理專科化的四大面向，包括學校護理人員的專業核心價值、學校護理的範疇、學校護理核心能力、學校護理師認證的未來等四個方向，做為提升學校護理人員角色功能與專業形象之建議，期能提供護理學者及專家們未來規劃各次專科專業發展之參考，更期待拋磚引玉喚起實務工作者對學校護理專科化的省思。

The categories of school nursing are widespread, which is inclusive of everything about those people, matters and environment influencing student's health and those can be diffused from campus to menage and community. School nurses not only provide the health care to both of those in school and student's menage and community by means of cross-cutting cooperation but also create a healthy environment which is helpful to teachers and students. According to those, for the sake of teacher and student's health and the related needs, school nurse shall play a continuing and dynamic role including assessor, educator, counselor and manager, integrate the school, community and medical resources through the concept of three levels in public health, the aiding skill and systematic process and implement the various project for the sake of maximizing student and teacher's health interests; therefore, school nursing needed the long-time to care student is the sub-discipline under nurse. In order to stress the professionalization of school nursing, four dimensions of professionalization in school nursing will be draw out, including the core value of school nurse, the rage and competence of school nursing and the future of certificating school nurse-practitioner to suggest how to promote the professional function and image of school nurse and to ask the practitioners to rethink the professionalization of school nursing.