台灣護理人力面面觀

Translated title of the contribution: Multi-aspects of Nursing Manpower in Taiwan

高靖秋

Research output: Contribution to journalArticlepeer-review

Abstract

National Health Insurance (NHI) program offered a comprehensive and universal health insurance program to all citizens in Taiwan. However, clinical care loading become complicated under the situation of increased service coverage, aging population, prevail of chronic disease, and number of critical patients. After ”the Global Budget System” was introduced by the Bureau of National Health Insurance (BNHI) to modify the funding mechanism, nurse work loading were continuing raised due to decreasing manpower for cost-benefit purpose by hospital. Simultaneously, there was no distinction between clinical specialty and non-specialty work, therefore, the role function of nursing cannot be exerting. Problems on the long-term shortage of manpower influence retention rate of recently employed personnel, and also affect desire of graduates who are going to work at hospital. There were only 59.2% registered nurses among all licensed nurses and 7.67 years of seniority working period in Taiwan, which was lower than Western countries. This phenomenon obstructed our clinical professional development and working experience inheritance, also it would be difficult to ensure the quality of healthcare provision. Consequently, the most essential work for Nursing Administration on the policy of nursing manpower and resources management at this stage will be implementing retention policy in order to reducing turnover rate, improving clinical working environment, and decreasing high nurse-patient ratio. Hence, lighten work load of clinical nurse effectively, stabilized current personnel, promoted licensed nurse return, and increased willingness of employment from those graduates will be accomplished.
Translated title of the contributionMulti-aspects of Nursing Manpower in Taiwan
Original languageChinese (Traditional)
Pages (from-to)41-46
Number of pages6
Journal澄清醫護管理雜誌
Volume7
Issue number3
DOIs
Publication statusPublished - Jul 1 2011

Keywords

  • nurse manpower
  • nurse-patient ratio
  • turnover rate
  • retention policy

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