護理政策與管理的重要研究議題——醫療體系的觀點

Critical Research Issues in Nursing Policy and Management: A Healthcare System Perspective

本文的目的在探討護理政策管理領域，現階段比較急迫的研究發展議題，而且主要以醫療體系的角度進行討論，分別為人力資源、方案組織、服務提供、管理、經濟支持五個組成。其中護理人力的研究包括人力數量規劃、國家層級的人力供需監測、人力研究方法學、職涯餘命政策規畫四個議題。護理組織與服務的研究包括全責照護計畫與技術混合、任務交付、護理工作內容調查、護理人力結構與運用四個議題。護理政策與社會保險議題則包括醫療機構設置或評鑑標準中有關護理人力標準的訂定，以及健保支付制度對護理專業的衝擊與政策規畫。本文最後並針對護理專業研究議題創新的阻礙與挑戰提出建議。

This study explores critical research issues in nursing policy and management in Taiwan from a healthcare system perspective that considers resources, programmes and organisations, service delivery, policy and management, and economic support. Findings suggest the following: In terms of resources, priority issues include quantity planning, active surveillance, planning methodology, and estimation of work life expectancies for nursing manpower. In terms of programmes / organisations and delivery, priority issues include skill mix, task shifting, nationwide nursing work surveys, and nursing manpower structure and utilization. In terms of policy/management and economic support, priority issues included minimum nursing manpower requirements by law or medical institution standards and the relationship between the social insurance payment system and development of the nursing profession. The last section of this paper makes suggestions on practical ways to improve nursing policy and management research in Taiwan.