Summary: | 碩士 === 元智大學 === 管理碩士在職專班 === 100 === The DRG assignment determines the payment level the hospital will receive. Because of cost control and shortage of surgeons at the hospital, nurse practitioners were initially introduced to address the shortage of residency positions and resulted in undefined role identification. In May 2007, they have now become institutionalized in many academic health science centers. In this study the role of the nurse practitioners at a regional teaching hospital and mind control are discussed. Due to undefined roles problems developing may influence work performance, quality of medical care, and intention of resignation.
This research is a qualitative in-depth interview-based. The point of view from five physicians and five nurse practitioners serving at a district teaching hospital in southern Taoyuan as well as two patients are analyzed. The main purpose of this study was to investigate the impact of nurse practitioners’ self-identification, factors of their roles, understanding the opinions of physicians and patients to them for any differences so that they can make adjustments and help other new nurse practitioners clearly define their authority, responsibility and accountability at work.
This study found that the system of the nurse practitioners is to provide educational
opportunities to professional nurses learning knowledge, contributing the nursing profession, to fully utilize human resources, and to deliver a better medical quality and care. However, there are a few suggestions including (1) The establishment of a specialist care department, a set of reasonable standards for the care of employees, career planning and standards of human resources, (2) Adequate job training and education pipeline, (3) Well-written job specification, (4) The Clinical Alert Call System and Emergency Response Program, early detection of patients with deteriorating diseases, (5) The skill development in Nurse Practitioner Clinical Education.
|