世紀回眸－－台灣護理專業的角色拓展

Centennial Retrospective on the Role Expansion of the Nursing Profession in Taiwan

因應民眾健康照護的需求，健康保險給付制度的改革和醫療體系之變動，因而需要拓展多元的護理進階專業角色，以提供民眾具有品質的健康照護。本文之論述包含護理師的角色、護理的角色拓展與發展、進階護理師、專科護理師制度、護理個案管理師、護理長期照護管理師、進階護理師執業現況與成效、專業的角色拓展與護理形象、和建議。期能提供護理界參考，以加速護理專業的發展。

Advanced practice nurses were introduced in Taiwan to address increasingly complex public healthcare needs, reimbursement reform in the National Health Care Insurance system, and healthcare organization changes and to ensure high-quality care for patients. This article discusses the role and the function of nurses; the expansion and extension of nursing responsibilities; the specific roles of the advanced practice nurse, the nurse practitioner, the case manager, and the care manager; the affect of advanced practice on nursing identity and effectiveness; and key current issues in advanced practice. Suggestions are provided to improve the professional development of nurses in the future.