二年期護理師（護士）訓練計畫實施之現況與我見

The Two-Year Post Graduate Training Program for Nurses: Implementation Status and Personal Perspectives

「教學醫院教學費用補助計畫」旨在協助各類醫事專業建立畢業後之臨床訓練制度，係由衛生署委託醫院評鑑暨醫療品質策進會所推動，「二年期護理師（護士）訓練計畫」為十一類訓練計畫之一。本計畫分為三階段實施，第一階段（三個月）定位為基礎課程訓練，第二階段（九個月）定位為核心課程訓練，第三階段（十二個月）定位為專業課程訓練。本文除闡明「二年期護理師（護士）訓練計畫」源起外，並就實施之現況、成效及問題，以筆者個人參與工作之經驗，與臨床護理人員互動及文獻查證所得，由新進護理師（士）、臨床教師及護理主管等方面來探討，並建議護理部應確實依照醫策會之計畫指引執行，培訓足夠有能力、有意願培養新人的臨床教師及主持人應定期收集臨床教師、學員的意見，瞭解計畫執行的進度與困難，以達本計畫推行的目標。

The Taiwan Joint Commission on Hospital Accreditation (TJCHA) authorized the Teaching Quality Improvement Program for Teaching Hospitals as a way for the Department of Health to plan and implement improvements. The program assists medical and paramedical professionals to establish a postgraduate clinical training system. The two-year postgraduate training program for nurses is one of the program's regular activities, divided into three phases that include location-based curriculum training (3 months), core curriculum training (9 months), and professional courses training (12 months). This paper describes the origin, current implementation status, and efficacy / key problems of this two-year post graduate training program, Information regarding the opinions of new nurses, preceptors, and nursing managers on the three aspects is drawn from the author's relevant professional experience, interactions with nurses, and a review of the literature. Findings include: (1) nursing departments should operate in accordance with TJCHA guidelines; (2) department training should be adequate to promote the ability and willingness of nurses to train a new generation of clinical preceptors; and (3) participant opinions on project execution progress and difficulties. Findings may be referenced to better achieve Teaching Quality Improvement Program for Teaching Hospital objectives.