專科護理師的新時代

The New Era of the Nurse Practitioner

專科護理師之執業範圍，法無明文規定，僅由衛生福利部以行政函釋界定，直到「護理人員法」第24條第3項與第4項規定之增訂以及「專科護理師於醫師監督下執行醫療業務辦法」制定後，始有法源依據。專科護理師執業範圍立法後，專科護理師於醫師監督下得執行醫療業務，亦得依醫師所預立之醫療流程執行醫療業務，且專科護理師之執業範圍更趨明確，即專師得以執行21項侵入性醫療業務與9項非侵入醫療業務，此為專科護理師專業領域上之重大里程碑。本文將介紹專科護理師執業範圍之新規定與其立法背景、立法過程，期待本文可協助護理人員瞭解專科護理師之執業範圍，並瞭解「推動立法或修法」對於護理人員執業權益之重要性。

The scope of practice of nurse practitioners is not defined by law but by the administrative directives of the Ministry of Health and Welfare. Prior to promulgation of Article 24, Paragraphs 3 and 4 of the ＂Nursing Personnel Act＂ and of the ＂Regulation of the Scope of Practice of Nurse Practitioners＂, the scope of practice of nurse practitioners was defined in accordance with relevant laws and regulations. Since promulgation, nurse practitioners have been authorized to practice medical interventions under the supervision of physicians and in accordance with physician-established protocols. These changes have made the scope of practice of nurse practitioners clearer and more specific. Today, nurse practitioners are authorized to perform 21 invasive procedures and 9 non-invasive procedures, which represents a new milestone in establishing the professionalism of nurse practitioners. The purpose of this article is to describe these new regulations governing the scope of practice of nurses and their legislative background and process. It is hoped that nurses may better understand the scope of practice of nurse practitioners and the importance of legislation in promoting and protecting the rights of nurses.