發展專科護理師角色之可行性－德爾菲研究

The purposes of this study are: (1)to explore the feasibility of establishing a CNS system; (2)to define the criteria for CNS certification; (3)to setup a standard CNS training program; (4)to define the role and function of the CNS; (5)to explore the requirements for maintaining CNS certification, and to determine the agency responsible for certifying CNS . This study was conducted using the Delphi techniques. The sample consisted of 444 physicians and 308 nurses. After three rounds of expert reviews, the major results of this study were as follows: almost all nurses and physicians said that the CNS system would be feasible in Taiwan. The selection criteria included a BS degree with 2-3 years of working experience, a diploma degree with 4-5 years of working experience, or an MS degree with 1-2 years of working experience, and completion of the CNS training program. The clinical experience required for a CNS included specialty experience and critical care experience. The training program for a CNS consisted of basic medical science, professional nursing courses, and practicum. Taiwan Nurses' Association, hospitals, or the Nursing Consultatory Advisory Committee of the Department of Health should determine the content of the training program. The appropriate CNS specialties or subspecialities included surgical, OBS/GYN, internal medicine, pediatric, orthopaedic, emergency, neurosurgery, neurology, psychiatry, cardiovascular, urology, and oncology. CNS certification can be valid for about 3 years. However, in order to renew CNS certification, the CNS should attend continuing education, participate in clinical teaching, and publish papers. The results of this study provide important implications and suggestions for establishing a CNS system in Taiwan.