家庭專科護理師之賦能與社區健康永續發展

Empowering Family Nurse Practitioners for Sustainable Community Health

醫療自主權於現今醫療環境中日趨重要，以病人為中心照護的重要環節，就是鼓勵病患積極參與醫療決策，以提升照護品質與滿度度。台灣衛生福利部自2016年開始推行醫病共享決策（shared decision making, SDM），期望促使病人積極參與醫療決策，以提升醫病關係、醫療品質及病人安全。推動至今，共享決策已廣泛運用於臨床實務中。但是，偏鄉及高齡長者，其就醫習慣、喜好、價值觀和醫療新知取得與都市居民有極大的差異。傳統以「醫生」作決策的觀念深植，參與SDM之意願以及推廣策略，值得探討。因此，本文將從專科護理師之角色去探討共享決策於偏鄉醫院推動影響因素，推行過程所遇到困境與經驗，綜整考量偏鄉居民特質及觀念，因應出不同之SDM推行之道。

 

Various challenges, such as a nursing workforce shortage, an aging society, and health inequality,seriously affect the sustainable development of Taiwan. Although the specialized nursing system represents a significant milestone in nursing development in Taiwan, it is mainly focused on hospital training, neglecting community health needs. Community health care can be effectively enhanced by promoting the family nurse practitioner system, especially in rural areas. Family nurse practi-tioners provide medical care services, boost local economies, increase employment opportunities, and strengthen community cohesion. The cultivation and investment in family nurse practitioners are crucial for improving the efficiency and quality of medical services. With the adjustment of the med-ical training system in Taiwan, nurse practitioners could redefine their roles and responsibilities in a new environment, and eventually contribute to the sustainability of Taiwan’s primary health care and improve community health. Through the empowerment of family nurse practitioners, Taiwan will be better equipped to address challenges and achieve sustainable development goals