護理教育品質管理危機－－建構實務能力評價策略提升護理執業品質

The Challenge Facing Nursing Education: To Develop Clinical Performance Examination Strategies in Nursing Practice

健康專業產業為確保服務品質，要求執業人員需通過專業實務能力甄審與認證之策略已成必然之驅勢。考量目前健保給付制度中未給予護理人員充分的執業空間與機會，護理產業界與教育界專家應攜手積極推動護理實務能力為導向的評價與培育機制，以驗證護理人員或學生之專業能力品質與效能，藉此提升護理專業之能見度與存在利機。護理實務能力評價策略主要以臨床實境或模擬情境考核護理學生或執業人員融合其護理信念、知識與技能所展現之實務能力。因護理實務能力評價機制不同於傳統之紙筆測試，研發與執行的工作也挑戰護理教育者與產業界專家。期待護理界能持續推動之，以提升護理服務之品質與認同度，因應護理執業之危機與挑戰。

The clinical performance examinations of qualified health professionals have become a central professional and corporate issue. Nursing experts have to face trends in nursing care delivery toward a clinical competence-based care model that assesses the professional skills and efficacy of nursing professional and students. Objective, structured clinical examination standards and strategies can be effective vehicles for nursing education and practice, promoting the mastery of clinical nursing skills and fostering an evidenced-based practice approach to clinical care.