| Summary: | 碩士 === 輔英科技大學 === 護理系碩士班 === 104 === The advanced roles of nurse practitioner is generated in responses to the shortage of physicians and health care costs considerations, with clinical practice more oriented toward auxiliary medical work in cooperation with physicians, but such practice lacks clear specifications and role. in particular, the parties involved exhibit a perception gap concerning the level of ability of the clinical nurse practitioner, the lead nurse practitioner's own expectations, and clinical development capability to produce practical difficulties. In this study, the author(s) investigated serving nurse practitioner views on the importance of clinical ability and actual ability to perform synchronized and proportionate clinical duties, in order to find differences in the nurse practitioner capacity in ideal and practical modalities through cross-sectional study design, descriptive analysis and correlation. A questionnaire developed by Tang (2007) the proposed "Nurse Practitioner Role Capacity Questionnaire" was used along with the Q method to collect information, with two major research questions being separated by two weeks of investigation - the final result enabled the case to be closed with licensing conditions for the nurse practitioner. In stratified charge by funding, 40 medical and surgical personnel were enrolled. The results show the importance of nurse practitioner and clinical ability to perform duties in proportion had significant differences. Analysis follows Medical assistance (t:5.62, p<.001), Clinical Research (t:4.14, p<.001), Professional consultation (t: 2.29, p<.005) and Direct Care (t: 2.21, p<.005). The Nurse Practitioner individual external factors showing differences between the importance of the implementation of clinical competence is reported as the ratio of Education (t:-2.17, p<.005) and whether competency is demonstrated to enable joining the Nurse Practitioner Society (t:-2.36, p<.005). In conclusion, the nurse practitioner’s ideal and actual clinical duties differs most significantly in the medical assistance. In situ, many hospitals still have many nurse practitioners performing medical auxiliary services such as place of residency manpower gap, subsidiary health services and cumbersome difficult-to-implement rooted nurse practitioner training of in-service education also makes it difficult for the nurse practitioner to provide direct care, carry out research and give professional consultation of advanced nursing roles, even with a master's degree, and in addition, the specialist care nurse practitioner division of the Institute of Clinical Competence holds expectations for higher clinical implementation capacity. This result is expected to provide a reference for health authorities or the Society of Nursing, for extensive development of the advanced roles of a nurse such as nurse practitioners, clinical nurse specialists or case manager in advanced and unique clinical capabilities, to allow nurses to truly become irreplaceable with advanced nursing roles and status in medical institutions.
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