A Critical Perspective on Hemodialysis Nursing Staffing Phenomenon in Taiwan

• Main Authors: Hui-Chu Chiang, 江慧珠
• Other Authors: Mutsu Hsu
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/40679503031576884871

博士 === 慈濟大學 === 醫學科學研究所 === 101 === In modern medicine, while nurses usually played a key role in patient care among most industrialized societies, the nursing system was developed along a fairly rugged path. This thesis portrays a scenario in which the characteristics of hemodialysis (HD) nurses in Taiwan have been a by-product of the indivisible relationships between governmental health authority and professional medical organizations. I interviewed with the people related to the development of HD nursing in Taiwan and examined historical documents to identify the sources of power responsible for the HD nurse staffing. The results illustrated that HD nurses in Taiwan was under multiple organizational structures and multi-tasking while the policies of nurse staffing had changed speedily and were closely tightened by medical payment system. More HD nurses worked in clinics and were with lower education and nursing license. In the process of compromising and sharing power with certain medical communities, the nursing communities remained silent and invisible.