專科護理師碩士專班國際合作經驗分享

International Collaboration to Develop a Nurse Practitioner Master's Program

為因應住院醫師人力短缺及提昇醫療品質，各醫療院所紛紛自行培訓專科護理師（nurse practitioner, NP），在課程缺乏統一標準及師資參差不齊的情況下，多數NP扮演醫療替代者（medical substitute）的角色，和國外NP獨立的角色功能相去甚遠，因此有必要將NP教育回歸高等教育體系。長庚大學護研所透過國際合作模式於2003年成立國內第一所NP在職專班，以培養臨床進階護理人才為目標，課程中強調臨床推理（clinical reasoning）與實務訓練之重要性，期能真正落實NP所應扮演的治療與照顧多重角色。本專班延攬國內外進階護理及臨床醫學專家共同授課，學生有機會利用暑期到姐妹校－－美國奧勒崗健康科學大學（Oregon Health and Science University）修習NP專業課程並做臨床參訪，成果廣受好評。國際合作需建立在雙方互信關係下，其成敗取決於相關性的配套措施及參與人員的國際視野和能力。文章中呈現本校透過國際合作模式發展NP碩士專班的經驗與其中的利弊，願與各界分享。

Because of the shortage of resident doctors and in order to raise standards, hospitals and medical centers have trained their own nurse practitioners (NPs). Given the absence of standard training criteria and an unevenness of faculty quality, however, many NPs play the role of medical substitute, which is far from the independent role performed by NPs in foreign countries. It is therefore necessary to include NP training within higher education. The Graduate Institute of Nursing at Chang Gung University established the first NP in-service training program in 2003 through international collaboration, with the purpose of cultivating advanced clinical nursing talents. The program emphasizes the importance of clinical reasoning and practical training, in order to enable students to perform the multiple roles of treatment and caring undertaken by NPs. Experts in advanced nursing and clinical medicine from Taiwan and abroad were invited to serve as lecturers. The students also had the opportunity to take NP courses at Oregon Health and Science University (USA) and participate in clinical visits. The results have been widely praised. International collaboration is built upon the mutual trust of the parties, and its success is determined by the measures that it involves, as well as by the global vision and competence of participants. This paper shares the advantages and disadvantages of the NP master's program through international collaboration.