| Abstract: | 護理人員在醫療機構佔所有醫事人員全額的二分之一以上，並且是機構中非常重要的人力資產，有效運用護理能力與護理人力是值得探討的課題。本研究參照台灣護理教育評鑑委員會（Taiwan Nursing Accreditation Council）提出護理人才應具備的八項核心素養：基礎生物醫學科學、一般臨床護理技能、溝通合作、批判性思考能力、關愛、倫理、克盡職責與終身學習，作為護理能力的評選準則，並採用決策試驗與實驗評估法（Decision Making Trial and Evaluation Laboratory, DEMATEL）來進行分析。結果顯示依其關聯度前三項為一般臨床護理技能（16.1090）、終身學習（15.8031）、溝通合作（15.5329）；因果度為導因者有關愛（0.1909）、一般臨床護理技能（0.2382）及基礎生物醫學科學（0.4811），其中因基礎生物醫學科學與其他準則間互不影響，僅將「關愛」與「一般臨床護理技能」設為改善目標，以品質管理、人性化管理及績效管理進行改善；最後建議可提供護理人員紓壓管道或平台、護理教師的實務與學術的交叉訓練、重新整合在職教育及專業學程、建立護理人員執業獎勵制度等等，希冀透過本研究能助於管理者或教育者培養護理人員護理技能的方向及準則，以達到穩定整體護理人力之效。
Nurses account for above half of medical personnel in medical institutions and they are very important human resources, it is worth discussing the effective improvement of nursing competence and nursing personnel. The evaluation criterion of nurses in this thesis refers to 8 core literacy established by Taiwan Nursing Accreditation Council (TNAC), which are basic biomedical science, general clinical nursing skills, communication and cooperation, critical thinking, caring, ethics, accountability, and lifelong learning. Besides, we adopt Decision Making Trial and Evaluation Laboratory (DEMATEL) as analysis approach. The result reveals that, top 3 Priorities are a) general clinical nursing skills (16.1090), b) lifelong learning (15.8031), c) communication and cooperation (15.5329); top 3 Casual Relationships are a) caring (0.1909), b) general clinical nursing skills (0.2382), and c) basic biomedical sciences (0.4811). Considering the independence of“basic biomedical science”from others, we just choose “caring” and “general clinical nursing skills”for further discussion and improve them by means of quality management, humanity management and performance management. Finally, we provide some suggestions, such as providing channels for nurses to relieve pressure, cross-training for nursing faculty in aspects of practices and theory, re-integration of continuing education and professional disciplines, and buildup of reward system for incumbent nurses. This is to help managers or educators of nurses while making directions and standards so as to minimize the turnover of nursing manpower. |
