Practice Scope of Nurse Specialists in Medical Centers:A Comparsion Between Current and Expected Status

• Main Authors: Wang,Pein, 汪蘋
• Other Authors: Lu, Meei-Shiow
• Format: Others
• Language: zh-TW
• Published: 2003
• Online Access: http://ndltd.ncl.edu.tw/handle/37343928946920665475

碩士 === 臺北醫學大學 === 護理學系 === 91 === Abstract Title of Thesis: Exploration of the role boundaries of the sub-clinical nurse specialists in medical center: Differences in actuality and expectation Institution: Graduate Institute of Nursing, Taipei Medical University Author：Wang,Pein. Thesis directed by:：Lu,Meei-Shiow,RN, MS, Professor The purposes of the study are to explore sub-clinical nurse specialists, nurses, and specialized doctors recognized perspectives on the role boundaries of the sub-clinical nurse specialists, and to compare the differences in actuality and expectation. A cross-sectional and descriptive correlational design was used in this study. Four hundred participations were recruited at two medical centers in the North area of Taiwan. The research instruments contain four categories of role boundaries: care patients, develop nursing specialty, general medical service, and special medical service. The major findings of this study were as follows: (1) Overall, in actuality, the most frequency of performance is ‘care patients’, and the other followings are ‘general medical care’, ‘develop nursing specialty’, ‘special medical service’. (2) In expectation, the highest level of subscription is ‘care patients’ and ‘develop nursing specialty’, and the other followings are ‘general medical service’ and ‘special medical service’; especially, the invasive treatments in special medical service are rated as ‘disapproval’ or ‘very disapproval’. (3) Difference between the three groups in actuality is that sub-clinical nurse specialists and special doctors perspective higher frequency of performance than nurses on care patients, develop nursing specialty, and general medical service, but there is no difference on special medical service. (4) Difference between the three groups in expectation is that nurses perspective higher level of subscription than on sub-clinical nurse specialists on special nursing specialty, special doctors perspective higher level of subscription than sub-clinical nurse specialists and nurses on special medical service, but there is no difference on care patients. The results of this study provide important implications for nursing education, administration management, clinical service, and research in future. Key Words: role boundaries, actuality, expectation, nurse specialist.