篇名

臺灣專科護理師是NP還是CNS?   免費試閱

並列篇名

Is Nurse Specialist in Taiwan a Nurse Practitioner or Clinical Nurse Specialist?

作者
中文摘要

臺灣專科護理師法制之架構係於2000年參考專科醫師法制之設計,立法者不另立「專科護理師法」,而在原護理人員法第24條加訂專科護理師條文。專科護理師執業資格不依憲法第86條由考試院依法考選銓定,而係由主管機關自行審定,顯見專科護理師並非新興的專門職業。專科護理師制度建立的背景起因於醫師人力之短缺,而護理界反對醫師助理的設立,故行政院衛生署(現為衛生福利部)乃推動專科護理師制度之建置,將其定位為可執行部分醫療業務的「護理執業師」,而非專業於護理業務的「臨床護理專家」。主管機關為了讓專科護理師可以執行部分醫療業務,已於2015年修訂護理人員法,讓專科護理師可在醫師監督下執行醫療業務,但此項修法似仍無法逸脫於醫師法第28條護理人員可在醫師指示下執行醫療行為的但書規定,本文將就臺灣專科護理師於醫療體系中之地位進行分析。

英文摘要

Taiwan nurse specialist system was established in 2000, under the structure exactly the same as that of physician specialist system in 1986. The legislators did not stipulate a new nurse specialist act; instead they provide a new provision of nurse specialist under section 24 of the Nursing Personnel Act. In this way the licensure of a nurse specialist practitioner shall not be determined by the Examination Yuan in accordance with Article 86 of the Constitution, which articulates that a professional license qualification shall be examined and approved by the Examination Yuan. Nurse specialist license will be approved by the competent authority as physician specialists. It is obvious that nurse specialist is not new specialized profession regulated by the Constitution. The background of the establishment of the nurse specialist profession was the shortage of physicians in those years and the establishment of medical assistants to help physisins was refused by the legislators. Therefore, the nurse specialist system promoted by the Ministry of Health is based on the American nurse practitioner or NP system, which practices medine in addition to nursing practice. It is not based on American clinical nurse specialist or CNS system, which practices only nursing practice. In order to allow the nurse specialist to carry out part of medical practice, the Administration revised the Nursinf Personnel Act in 2015 to allow nurse specialist to practice medicine under the supervision of a physician. However, this amendment seems not beyond the regulations of the proviso of Article 28 of the Physicians Act, which provides that nurses can perform medical procedures under the direction of medical practitioners.

起訖頁

051-076

出版單位
DOI

10.3966/241553062017050007004  複製DOI  DOI查詢

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