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護理研究 MEDLINEScopus

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篇名 衛生所護理師角色功能之探討--德爾菲研究
卷期 9:3
並列篇名 Role and Function of Registered Professional Nurses in the Health Station: A Delphi Study
作者 李淑婷謝臥龍邱啟潤
頁次 269-278
關鍵字 衛生所護理師角色功能德爾菲研究Health stationRegistered professional nurseRole and functionDelphi studyTSCIMEDLINEScopus
出刊日期 200106

中文摘要

     國內外文獻對衛生所公共衛生護理人員的角色功能都有所探討,但對護理師角色功能相關文獻卻付之闕如,護理師在國內已存在7—10年,沒有明確的角色界定,功能難以發揮,且也造成護理師的角色壓力,因此引發本研究探討的動機。本研究採德爾菲研究法,旨在整合參與研究產、官、學界專家對衛生所護理師具體角色功能的共識,並排列角色重要優先順序;本研究共進行三次德爾菲問卷,第一次問卷寄發產、官、學界150位專家,而完成三次問卷者,共有99位,其中產界36位(36.36%)、官界34位(34.34%)、學界29位(29.29%)。本研究專家認為護理師應由傳統A以個案健康為導向B的角色功能擴展至A以社區健康為導向B,並提昇照護的深度及廣度。專家認為在A服務面B護理師最優先重要的角色功能為A社區照護提供者B及A家庭健康管理者B;在A行政面B最優先重要的角色功能為A衛生計畫擬定者B;在A個人特質面B護理師需具有最重要的特質為A豐富的公共衛生與護理相關知能及實務經驗B。本研究結果促使社區衛生護理產官學各界對護理師角色功能的認知達一致性,並可依重要性優先順序擬定護理師職前、在職訓練,並在各衛生所視環境及資源參考使用。

英文摘要

     This research was motivated by the need for a specific role definition for Registered Professional Nurses in public health stations that will enable them to fulfil their full potential. An adapted Delphi technique was used to reveal areas of consensus among the views of experts from the practicing nursing profession, government and academia regarding the specific roles and functions of registered professional nurses, and to rank such roles and functions in order of importance. Three questionnaires were sent to 150 experts from the above sectors, of whom 99 completed all three questionnaires: 36 (36.36%) from nursing practice, 34 (34.34%) from government and 29 (29.29%) from academia. Respondents believed that the role of the Registered Professional Nurse should be extended from the traditional “case-oriented” role to a “community health-oriented” role, and that the depth and scope of care should be enhanced. Priority roles identified in the area of “service”were those of “Community care provider” and “Family health manager” and in the area of “administration” that of “health and hygiene planner” the most important personal qualities required were identified as “abundant knowledge, skills and practical experience in public health and nursing” It is believed that this study is conducive to esta-blishing a consistent view of the role and functions of the Registered Professional Nurse between the above sectors, and can also serve as a useful guide for curriculum design for Registered Professional Nurses' pre-vocational and in-service training.

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