| Summary: | 碩士 === 國立陽明大學 === 護理學系暨研究所 === 98 === The development of the Nurse practitioner (NP) system in Taiwan was a challenge for the medical field that may promote professionalism and improve nursing standards. Moreover, medical practitioners had expectations for the new roles which have expectations by themselves. If these expectations in role were consistent with others including government policy, health co-workers, and clients, the role may result in positive perception in order to promote better cheer at work. Otherwise, if these expectations in role were not consistent with others, the role may result in negative perception.
The purposes of this paper were the following: (1) explores NPs’ expectations in Taiwan for these roles (2) explores the meaning of self perceptions (3) finds their relationship between expectations and perceptions in role (3) explores role struggles and solving methods (4) discovers the concepts which were held by Taiwan’s NPs in their own roles.
This paper uses qualitative method and content analysis. The samples were getting purposive. Subjects are NPs licensed by the Department of Health of the Executive Yuan. Ten cases were selected. The data was collected face to face by using semi-structured guideline.
After the data were analyzed inductively, they fell into four main categories. First, the roles in self-expectations of Taiwan NPs were appropriate characteristics, regression, and hopes for tomorrow. Second, the expectations in roles are consistent or not consistent between health professionals and NPs. Third, roles in self-perceptions of Taiwan’s NPs are negative and positive. Fourth, roles in struggles were included of unrealistic role in expectations, unclear roles definitions, indifference or resistance, and dangerous or unreasonable working requirements.
According to the results of research, solving methods are offered to enhance clinical, educational, and policy aspects for Taiwan’s NPs. In the future, attention should be paid to our people’s conventional habits and culture related to visit the doctor in order to develop NPs who are truly qualified to meet clinical demands. Roles should be clearly defined. Moreover, job descriptions should be clear and specific in order to have the greatest effectiveness of NPs. Work environments should be have growing potential with proper respect sharing within the whole medical team. Therefore, professionals can be promoted and cooperated to improve the quality of medical care.
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