改善門診護理人員專業能力進階報告參與率

Improving Participation Rates in Competency Advancement Reports Among Outpatient Nurse Practitioner

護理人員能力進階制度旨在促進護理專業角色之認同，提升護理素質與自我肯定。2022年門診護理人員專業能力進階報告參與率僅22.2%，故引發成立本專案改善之動機。專案目的為改善門診護理人員專業能力進階報告參與率，經現況分析發現原因有：自覺撰寫報告困難、不清楚撰寫內容及文獻搜尋、單位缺乏輔導機制、撰寫風氣及參與撰寫獎勵、不熟悉電腦文書、報告撰寫課程及動機。運用ARCS動機模式設計多樣教材與推行改善方案，包括：宣導進階福利、成立撰寫LINE群組、舉辦撰寫課程、安排專人輔導。專案執行後人員專業能力進階報告參與率自22.2%提升至84.3%，顯示本專案有效提升護理人員參與專業能力進階報告意願與自我成就感。

The Nurse Practitioner Competency Advancement System is designed to foster professional role recognition, improve care quality, and support self-affirmation among nurses. In 2022, the participation rate in competency advancement reports among outpatient nurse practitioner was only 22.2%, prompting this project to improve the rate. The project aimed to increase participation in competency advancement reporting. Analysis identified several barriers: having trouble in report writing, lack of clarity on content and literature search, absence of support mechanisms from the department, lack of a culture and incentives for report writing, unfamiliarity with word processing, and insufficient training and motivation. Applying the ARCS motivation model, the project introduced diverse teaching materials and improvement strategies, including promoting advancement benefits, creating a LINE group for report-writing support, organizing writing courses, and assigning dedicated mentors. After implementation, the participation rate rose from 22.2% to 84.3%, demonstrating the project’s effectiveness in increasing nurse practitioner's willingness to participate in competency advancement reporting and enhancing their sense of accomplishment.