蔡雅芳Yafang Tsai符淑貞SHU CHEN FU醫療產業科技管理學系2026-10-059999-12-312019https://handle.ncl.edu.tw/11296/g92542https://scholars.csmu.edu.tw/handle/123456789/20313台灣於2006年開始實施專科護理師認證考試，截至2018年已有12屆統計已有7376多位通過轉任專科護理師。但目前國內專科護理師教育訓練仍以醫院培訓為主，此與國際護理協會於2002年建議培育「專科護理師」的教育層級，宜以碩士學位為入門程度有所差異。本研究旨在探討護理人員轉任專科護理師面對角色轉換看法相關因素探討。採質性研究法，以立意取樣選取任職於中部某區域教學中心，護理人員轉任專科護理師3年以下工作經驗者，可以有未取得專科護理師證書訓練中專科護理師，且執行專科護理師工作內容，同意參加本研究並接受訪談且簽署同意書者。以一對一、半結構訪談收集研究資料，採內容分析法進行資料分析。共訪談 9 位個案，研究結果呈現，護理人員轉任專科護理師的歷程、經驗，以及影響因素有：（一）轉任動機（二）角色轉化的適應過程 (三)養成訓練過程(四)專科護理師執業現實面及未來發展。整過過程中需要持續的學習，希冀提升專業能力，成為成熟有能力的專科護理師，最重要是通過專科護理師證照考試。研究結果建議：(1)醫院管理層面可提供職前訓練如病歷書寫相關課程或影像基礎判讀基礎課程，且告知參與專科護理師受訓護理師未來實際執業內容。(2)專科護理師參與值班，應考量專科護理師所需學習過的科別才可開始輪值班，並將執行醫療照護品質監測之能力，應適當放在專科護理師訓練課程中。(3) 學校教育層面，應提昇護理專業、培養高階護理人才為導向，設立專科護理師學校教育學程，讓有意轉任專科護理師的護理人員有所了解，有助於勝任未來的專科護理師職涯。Taiwan began to implement the Nurse Practitioner Certification Exam in 2006 and more than 7,736 nurse practitioners have been licensed to practice over the 12-year period according to the available statistics. However, a significant portion of current educational training for nurse practitioners in Taiwan is still hospital training, which is different from the entry-level education, a master’s degree, for nurse practitioners suggested by the International Council of Nurses (ICN) in 2002. This study aims to explore factors relating to the views of the transition from nursing staff to nurse practitioner. This is a qualitative study and purposive sampling was used for selecting nursing staffs transitioned to nurse practitioners with less than 3 years of work experience in a teaching center in the central region, and the nurse practitioners who were in training without a license and performed the duties of a nurse practitioner were included provided that they agreed to participate in the study and interviews and signed the consent form. The research data was collected using one-on-one, semi-structured interviews, and content analysis was selected for data analysis. A total of 9 cases were interviewed and the results showed the views of the transition from nursing staff to nurse practitioner and the influencing factors were: (1) the motivation for job transition; (2) the adaptation process of role switching;(3) the process of preparatory training; and (4) the reality and future development of nurse practitioners. Continuous learning is required throughout the process with the hope to improve professional skills and become a mature and capable nurse practitioner, and the most important is to pass the Nurse Practitioner Certification Exam. The results suggested that (1) the hospital management level can provide pre-employment training, for example, medical record writing-related courses or basic imaging interpretation courses, and inform the nurses participating in the nurse practitioner training the content of future actual practice; (2) nurse practitioner specialty should be taken into account for nurse practitioners working in shifts prior to the beginning of their shift and the ability to monitor the quality of care should be included in the training courses for nurse practitioners; (3) in the aspect of education, education programs in schools for nurse practitioners should be established and oriented toward the goals of enhancing professional nursing practice and cultivating high-level nursing personnel to facilitate the nursing staff understanding about the transition to nurse practitioner and help them prepare for the future career as a nurse practitioner.專科護&#63972師專業能&#63882扎根&#63972&#63809質性研究Nurse Practitionersprofessional skillsgrounded theoryqualitative researchthesis