社區衛生護理專業形象的提升與省思

Promotion of and Reflections on the Professional Image of Community Health Nurses

近年全球經濟環境惡化，醫療照護成本明顯緊縮，社區醫療體系過度醫療化與市場化，社區衛生護理人員角色受到邊緣化，亟需專家學者們共同努力重建社區衛生護理專業形象。本文之目的主要就台灣社區衛生護理專業形象的提升，參酌英美國家社區衛生護理現況和未來發展，提出四項建議方向：(1)深化社區衛生護理的內容與範疇(Enhancing levels and scopes ofcommunity nursing practice)、(2)提升專業自主性與獨立性(Promoting autonomous and independent practice)、(3)增強跨文化照護能力(Facilitating cultural competence)、以及(4)強化教育與訓練(Advancing education and in-service training)，期能提供護理學者專家們省思未來規劃與發展社區衛生護理專業角色時之參酌，以提升社區衛生護理形象，使台灣社會了解社區衛生護理的功能與重要性，並促進社區民眾認同與肯定社區衛生護理人員是推動社區照護以及落實國家基層衛生政策的關鍵專業人員。

Deteriorating global economic conditions, contractions in medical service budgets, and the excessive medicalization of community service systems have marginalized the role of the community health nurse. As such, community health nursing experts have a responsibility to do their best to reconstruct a positive and active image for community health nursing. This article provides four recommended actions to promote the image of community health nurses. These include: (1) Enhance community nursing practice level and scope; (2) Promote autonomous and independent practice; (3) Facilitate cultural competence and (4) Advance education and in-service training. It is hoped that information in this article may serve as a reference for nursing researchers in making relevant plans and encourage the development of a more specialized role for community health nursing. The ultimate goal of such should be successful promotion of the professional image of community nurses and of community nursing.