北部醫學中心專科護理師對自身角色的看法

Northern Taiwan Nurse Practitioners' Perceptions of Their Roles

本質性研究之目的在探討北部醫學中心專科護理師對自身角色的看法。經立意取樣，共有8位專科護理師參與本研究，透過深入訪談與錄音來收集資料，並以內容分析法來分析資料，資料分析與資料收集同步進行。結果呈現角色困境、角色曙光、角色功能及角色要求四個主要概念。研究發現專科護理師面臨專業間及專業內之角色衝突和密醫風險之角色困境。但因專科護理師的臨床效益受到肯定，對自我角色的認同，加上近年來相關法規的進展，使角色露出一線曙光。臨床上專科護理師扮演醫療輔助者、衛教諮詢者、溝通協調者、及教學指導者的角色。研究參與者強調專科護理師至少應具備大學學歷、5年內外科經歷、N3護理職級及ACLS證照，才能勝任此進階護理角色。以上研究結果，可提供未來專科護理師政策制定之參考。

The purpose of this qualitative research was to explore northern Taiwan nurse practitioners' perceptions of their roles. Eight nurse practitioners participated in this research, which used purposive sampling. Data were collected by in-depth audio-taped interviews, and analysed by qualitative content analysis. For qualitative research, data analysis and data collection go hand in hand. Four themes were evolved from data analysis, which were roles dilemma, roles daybreak, roles function and roles requirement. According to findings, nurse practitioners confront roles dilemma in both intra-professional and inter-professional conflicts and risk of illegal practice. However, nurse practitioners find daybreak from clinical effectiveness, positive role recognition and the progress of related regulations. They conceive their role capability as that of medical subordinate, coach, counselor, and coordinator. They emphasize important requirements for being a nurse practitioner, such as a Bachelor's degree, 5 years medical-surgical practice experience, achieving level 3 on the nursing clinical ladder and possessing an ACLS license. The above research findings might be used to support decision making for NP policy in the future.