護理師基本照護工作可以授權給照顧服務員嗎?

Can Basic Nursing Care Tasks be Delegated to a Care Attendant?

近年來，我國因少子化與高齡化導致人口結構改變，使疾病型態快速轉變，平均壽命延長進一步提升醫療與照護需求。為應對挑戰，政府於2022年推行全民健保住院整合照護服務試辦計畫，以混合照護模式結合全責護理師與輔助人員（如照顧服務員）共同提供病人照護，並強化感控機制，以降低院內感染風險及減輕家屬經濟負擔（衛生福利部中央健康保險署，2023）。計畫實施後，面臨輔助人力不足、人員配置不均及工作內容缺乏一致性等問題，尤其照顧服務員素質參差不齊，影響照護品質，增加護理人員負擔。為解決這些問題，我們整合照顧服務員培育學程，分析其角色與工作差異，並透過專業問題研討課程進行辯論。正方認為照顧服務員能節省護理時間、提升護理師滿意度；反方則強調照顧服務員素質不一影響照護品質，需額外教導。我們期望透過深入探討，促進病房團隊的分級分工，提升住院照護品質。

In recent years, demographic changes in our country which included declining birth rates and an aging population have rapidly shifted disease patterns and increased the demand for healthcare services. To address this issue, the government launched the National Health Insurance Inpatient Integrated Care Pilot Program in 2022, adopting a mixed-care model where registered nurses and auxiliary personnel (such as care attendants) jointly provide patient care while enhancing infection control measures to reduce hospital infection risks and ease the economic burden on families (Ministry of Health and Welfare, 2023). Post-implementation challenges include insufficient auxiliary staff, uneven personnel distribution, and inconsistent job roles, especially with varying quality among care attendants, impacting care quality and burdening nurses. In this article, we analyzed care attendant training programs and their roles through discussions in professional courses. Proponents highlighted time savings and improved nurse satisfaction, while opponents raised concerns about quality inconsistency. This study aims to facilitate clearer role differentiation within care teams and improve inpatient care quality.