幼兒園基礎評鑑託藥措施的落實與挑戰：教保人員觀點之探討

Implementation and Challenges of Medication Administration Measures within Basic Preschool Evaluation: Perspectives of Early Childhood Educators

本研究旨在探討幼兒園基礎評鑑中指標5.2.3「應建立幼兒託藥措施，並告知家長」的實務落實情況與面臨挑戰。採質性研究方法，訪談四位具評鑑經驗之教保人員。
結果發現：託藥制度普遍被認為有助於保障幼兒用藥安全並釐清責任，但在執行上，教保人員面臨高工作負荷、家長配合度低、中藥與保健食品爭議、處方箋資訊不清、失誤與延誤風險等挑戰。餵藥工作為班級教師負責，行政人員協助，實習生不參與，特殊情況專業人員介入。評鑑與佐證準備過程亦受委員評鑑標準不一與電子資料接受度低所困。
本研究建議：主管機關應明訂非處方藥餵食規範與法律保障、統一評鑑標準、推動具法規效力的電子系統；幼兒園應強化家長宣導、優化人力配置、評估專人餵藥可行性、善用輔助工具落實「三讀五對」、導入電子託藥系統；教保人員則應精進專業知能，強化同儕支持。此研究可作為政府政策規劃與幼兒園實務改進之參考。

This study aims to explore the implementation and challenges of Indicator 5.2.3, ''A medication administration system should be established and communicated to parents,'' within the framework of basic preschool evaluation. Adopting a qualitative research approach, in-depth interviews were conducted with four early childhood educators with evaluation experience. The findings reveal that the medication administration system is generally perceived as beneficial in ensuring the safety of medication use among young children and clarifying responsibilities. However, several challenges persist in practice, including heavy workloads of teaching staff, low parental cooperation, controversies surrounding traditional Chinese medicine and health supplements, unclear prescription information, and risks of errors and delays. Medication administration is primarily handled by classroom teachers, with administrative staff providing support; interns are excluded from this responsibility, and professional personnel intervene under special circumstances. The evaluation process and the preparation of supporting documents are further hindered by inconsistent standards among evaluators and limited acceptance of digital documentation.
This study proposes the following recommendations: Authorities should formulate clear regulations and legal protections regarding the administration of non-prescription medications, standardize evaluation criteria, and promote the implementation of legally recognized electronic systems. Preschools should strengthen parent education, optimize staffing structures, assess the feasibility of assigning designated personnel for medication administration, utilize tools to support the ''Three Checks and Five Rights'' procedure, and introducedigital medication request systems. Educators are encouraged to enhance their professional competencies and cultivate peer support networks. The findings of this study may serve as a valuable reference for government policy planning and improvements in preschool practices.