二十一世紀台灣護理面對的挑戰
The Challenges the Nursing Profession in Taiwan is Facing
in the 21st Century
高靖秋(Ching-Chiu Kao)
摘要
面對總額預算實施以來，醫療院所在健保給付壓力下，大幅縮減護理人力，加上
整體護理人力供需失衡，讓護理人員的薪酬與工作壓力不成比例，一連串嚴重的
醫療疏失與新興傳染病的肆虐，讓護理人員的執業風險受到前所未有的衝擊。如
果危機就是轉機，我們可以從幾個層面來討論，藉由回顧過去、檢視現在、放眼
未來，再創造護理專業的價值：(1)護理教育問題：培養具備對生命尊重的價值
觀與高尚的職業倫理道德，以及主動關懷社會與志工服務的精神。(2)護理人力
供需問題：以護理專業角色為基礎，促進人力資源政策與計畫，收集資料與監控
護理人力供需狀況。(3)護理人員對政治的意識不足：主動爭取讓護理界有權參
與制訂有關護理薪酬、福利的諮詢及決策權，還要有權參與分配有關醫療資源與
參與制訂有關護理的教育及服務的政策。(4)護理專業能力的提升：改善及增加
繼續教育的品質與機會，建立一個對護理人員實行臨床工作審核的系統管制、採
取適當的督導、監察及評估措施，以促進護理的發展和提高護理素質。(5)護理
專業的不可取代性：思考我們的核心價值是哪些？以新思維拓展專業角色與功
能。
Abstract
Since the implementation of the national budget-based reimbursement plan by Taiwan's National Health Insurance, nursing manpower has largely reduced across all medical facilities. The problem was further exacerbated by the fact that there had been an oversupply of nurses in the labor market. As a result, nurses in Taiwan today are facing a situation where the salary scale and the workload are disproportionate. In addition, recent highly publicized malpractice incidents and deliberate epidemics of emerging infectious diseases have made the nurse's job risk subject to unprecedented impact. The most important question that nurses face now is how to turn this crisis into an opportunity. This paper will discuss how to recreate the
professional value of nursing for the 21st century by reviewing the past, examining the current situation, and visualize the future. The author addresses five major issues that the nursing profession needs to tackle and provides insights into strategies that can help deal with these issues. The five major issues are: (1) the nursing education problem, (2) the supply and demand problem of nursing manpower, (3) the lack of political sensitivity among nurses, (4)
increasing the professional capability of nurses, and (5) the irreplaceability of the nursing profession.
