護理人力整備計畫十二項策略之鳥瞰與評析【月旦時論】 試閱
Overview and Analysis of the Twelve Strategies of the Nursing Manpower Preparation Plan
為解決護理人力流失之現象，行政院提出「護理人力政策整備十二項策略計畫」，十二項策略依序為：護理人力之培育（策略一）、國考制度之變革，即護理師國考次數由每年兩次增加為三次與應考科目題數由80題調降為50題（策略二）、三班護病比現況資料之蒐集（策略三）、三班護病比標準之訂定與落實（策略四）、智慧科技應用之鼓勵（策略五）、住院整合照護計畫之全面推動（策略六）、護理新手臨床教師制度之建置（策略七）、夜班費之獎勵（策略八）、公職護理師比例之調升（策略九）、三班護病比達標之獎勵（策略十）、護理友善職場典範之獎勵（策略十一）。此外，護理人力之培育（策略一）之主責單位為教育部，國考制度之變革（策略二）之主責單位為考選部，策略三至策略十一之主責單位為衛生福利部，故提出護理教考用跨部會整合平臺建立之策略（策略十二）。十二項策略可整合成四主題：一、「護理人力之挹注」、二、「工作負荷之緩解」、三、「薪資待遇之提升」與四、「醫院達標之獎勵」。本文擬說明與評析此十二項策略，並提出建言。
In order to solve the phenomenon of the loss of nursing manpower, the Executive Yuan proposed the “Twelve Strategic Plan for Nursing Manpower Policy Improvement”. The twelve strategies are as follows: the cultivation of nursing manpower (Strategy 1), the reform of the national examination system, that is, the number of exams has been increased from two to three times a year, and the number of test subjects has been reduced from 80 to 50 questions (Strategy 2). Collection of current data on the nurse-patient ratio in the three shift (Strategy 3), and the establishment of standards for the nurse-patient ratio in the three shift. (Strategy 4), encourage the application of smart technology (Strategy 5), comprehensively promote the mixed skill model (Strategy 6), establish a clinical teacher system for nursing novices (Strategy 7), and reward night shift fees (Strategy 8) , increase the proportion of public nurses (Strategy 9), reward for meeting the nurse-patient ratio in three shifts (Strategy 10), and reward for being a model of a nursing-friendly workplace (Strategy 11). In addition, the main responsible unit for the cultivation of nursing manpower (Strategy 1) is the Ministry of Education, the main responsible unit for the reform of the national examination system (Strategy 2) is the Ministry of Examination, and the main responsible unit for Strategies 3 to 11 is the Ministry of Health and Welfare, so a strategy for establishing a cross-department integration platform for nursing teaching and examination is proposed (Strategy 12). The twelve strategies can be integrated into four themes: (1) “Investment of nursing manpower”, (2) “Alleviation of workload”, (3) “Improvement of benefits and salaries” and (4) “Rewards for hospitals meeting standards”. This article intends to explain and analyze these twelve strategies and provide suggestions.
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