臨床護理專家之專業架構及認證資格敘論

Clinical Nurse Specialists: Professional Framework and Qualifications

進階護理師中的臨床護理專家（clinical nurse specialists, CNSs）其核心專業價值在整合提升跨領域醫療團隊照護品質及提供專科性精準護理方面的角色運用，於醫療健康照護領域裡是為關鍵。臺灣CNSs發展尚在初步階段，台灣護理學會對進階護理的專業架構及執業範疇已有一定的規範，而且針對CNSs的定義、資格條件及照護指標等亦有初步的共識與規劃。其專業核心價值的臨床應用、角色職稱，以及認證資格條件，則有待護理專業團體持續共同研商及發展。本文是以歐美及澳洲等國在CNSs的專業角色架構及認證資格上之實證研究結果為依據，進而推論出台灣進階護理專業在於CNSs的教育訓練發展上可參考引用之模式，角色及專業架構的基本組成以及可行之資格評核認證制度。

Achieving enhanced healthcare quality by participating in cross-disciplinary medical teams and providing specialized, precision nursing are core professional values of clinical nurse specialists (CNSs). Although CNSs are crucial in the healthcare field, the development of CNSs in Taiwan remains in its infancy. The Taiwan Nurses Association has already announced regulations related to professional frameworks and scope of practice for advanced practice nurses and has reached a preliminary consensus and plans on the definition, qualifications, and indicators of care for CNSs. The clinical application, job titles, and certification of the professional core values of CNSs require continuous and joint deliberation and development by professional nurse organizations. In this study, the results of empirical research into professional organizational frameworks and certification of CNSs in Europe, the United States, and Australia were used to derive a reference model for CNS education and training development for advanced practice nurse specialties in Taiwan. The fundamental elements of the roles and professional frameworks and feasible qualification certification systems were also explored.