英文摘要 |
Nurse practitioner (NP) is one of the advanced practice nursing, the expended nursing role. In the year 2000, nurse practitioners was officially included in the medical personnel regulations and the quality and efficiency of their clinical performance have been gradually recognized by the health care teams. Taiwan Nurse Practitioner Association (TNPA) has designed and developed a NP career ladder system to gradually improve the clinical competence of NP and to raise the recognition from the hospitals, in order to increase the feedback and the opportunities for job promotion. The ladder system was developed based on the Benner’s model. From novice to expert, there is five career levels, NP, NP I, NP II,NP III, NP IV. The core competencies of NP were represented in three domains for each level: clinical practice and efficacy, teaching ability, and ership/administration/research. Every level has the designated competency indicators of each domain. It is expected that the ladder system meets the needs of clinical nurse practitioners and leads the professional advancement in the future. After the NP career ladder system finalized, TNPA will announce it to medical institutions for their reference. It is expected that all medical institutions can apply this system to confirm the clinical competences of nurse practitioners; thereafter to improve the patient care quality, effectiveness, and efficiency, and lead to better medical outcomes. The feedback from the medical institutions with this system will enhance the performance of the nurse practitioners and be a positive motive for them. We believe that the nurse practitioners will be recognized by the health professional teams and communities and become the indispensable members of the healthcare teams in the future. |