台灣專科護理師服務現況調查～2014年結果

The Facilitation and Prospects of Schematization of Skill-Mixed Nursing Care Model in Taiwan

研究發現專科護理師人力八成以上集中於區域醫院（65.7%）與醫學中心（22.4%），僅一成服務於地區醫院（11.8%）。48.1%的醫院，專科護理師需值小夜班，23.1%的醫院，專科護理師需輪值大夜班；專科護理師平均每週工作時數為49小時，且區域醫院顯著高於醫學中心。專科護理師的工作班別、臨床業務與行政的工作負荷、工作執業範圍的不明確，醫院的薪資福利制度與專科護理師未來的職涯發展與規劃、直屬主管的領導方式、與工作夥伴的關係，皆是影響專科護理師留任的重要因素。

More than 80% of the NPs worked in the regional hospitals(65.7%) and the medical centers(22.4%), and only 11.8%worked in the local hospitals. There are about 46.8% of the hospitals to establish the promotion evaluation system for the NPs, and 26.1% of the hospitals built their own advanced grading system for the NPs, so each NP have to be on shift or on duty according to the common duty schedules in order to be evaluated well. This study found that every NP worked at least 49 hours each week, and the working hours of the NPs in the regional hospital are more than those in the medical centers. The key factors influencing the staff retention of NPs include work-shift, loading of clinical practices and administrative works, indefinite scope of medical practices, system of pay and benefits from the hospital, future career developments, leadership of the direct supervisor, and interactive relationships with co-workers.