專科護理師執業現況與專業能力之探討

Exploration of the Professional Performance and Capibility of Nurse Specialists in a Medical Center

為促進護理專業之發展同時因應醫師人力不足之困境，各醫療機構均積極培育進階護理人員擔任專科護理師以輔助醫療照護服務，專科護理師制度自民國87年實施至今，有必要深入探討機構中執業專科護理師之執業現況與專業能力。本研究採橫斷式調查研究法，立意取樣選擇北部某醫學中心培訓並已執業半年以上之63位專科護理師，以結構式問卷調查其專業能力，包括臨床照護能力、輔助性醫療服務能力、行政管理能力、專業成長能力，並探討專科護理師臨床實務之執行程度。研究結果顯示1.執業現況之執行頻率以臨床照護能力最高，依次為輔助性醫療服務能力、行政管理能力與專業成長能力；2.專業能力方面，以輔助性醫療服務能力最高，其次為臨床照護能力、行政管理能力與專業成長能力；3.專科護理師執業現況頻次與其專業照護能力呈現正相關；4.外科組專科護理師，在輔助性醫療服務能力方面顯著高於內科組；但在行政管理能力和專業成長能力方面顯著低於內科組專科護理師；5.整體而言，專護理師的角色發展偏向於臨床照護與輔助性醫療服務，而行政管理及專業成長能力則自覺較為缺乏。

period, from May 18, 2003 to June 19, 2003, we collected the information through interviews , clinical observation, and physical assessment. According to the eleven criteria of Gordon, the patient had an infection, respiratory failure, anxiety and self-conflict. However, she built a good patient-nurse relationship with the author in a short period of time. In collaboration with the health care team and professional nursing knowledge, the patient's physical illness was eased while listening, experience sharing, and up-to-date information providing were mental cures for her. With SARS during pregnancy, the case was rare and showed different problems. Nurses played an important role in the caring.