我國護理教育、考試制度與專業核心能力——從國際接軌角度探討

Perspectives on Nursing Education, Licensing Examinations and Professional Core Competence in Taiwan in the Context of Globalization

台灣近13萬執業的護理人員在全國各地不同的崗位，默默地為民眾與病人服務。優秀的護理人員是保障民眾健康與就醫安全的守護神。護理教育的改進，並在護理證照考試之確實把關，才能讓護理人員將此一守護神的角色繼續發揮盡致，也才能與先進國家的護理人員並駕齊驅，成為地球村之一份子。本文從國際接軌的角度，從我國護理教育、考試制度及專業核心能力的確認，分成三大重點進行探討，重點一：從我國護理教育學制、考試制度與教學品質之監督進行分析；重點二：比較各國護理教育學制、考試制度與教學品質之監督，作為我國未來繼續改進之參考；重點三：從國際接軌的角度，就我國護理教育改革、教育評鑑及證照考試制度，提出改進之芻議。我國的護理教育在國際接軌上，除了需將現有專科學校逐步改制，使護理基礎教育學制一致提升至學士教育外，還須透過專業評鑑制度，強化教學內涵與品質，並透過證照考試題內容的實務化，以引導我國基礎護理教育的成效，能以一定水準的專業核心素養與能力，扮演好社會大眾殷切期待之健康守護神的角色。

There are today some 130,000 nurses in Taiwan, practicing in different specialties and in various capacities and positions. Good nurses are society’s “guardian angels of health” who provide protection and safe healthcare for the people. Improving nursing education quality and ensuring nurse competency by licensure examination are essential to both helping nurses realize the full potential of their role and earning recognition for Taiwan healthcare as positive contributors to the global community of nations. Three themes were explored in this paper, including: (1) Issues and problems with the current nursing education, license examination and nursing education quality monitoring systems in Taiwan; (2) Comparing Taiwan’s situation with that in certain other countries; and (3) Recommending changes / revisions in Taiwan’s nursing educational system and license examinations based on comparative findings. In order to plug into the rapid pace of globalization, Taiwan should upgrade and limit its pre-licensure nursing programs at the bachelor level. Also, nursing education quality should be continuously improved through peer-review