Huang Yu-Chu, Lin Chouh-Jiaun
Department of Nursing, Fu Jen University, ROC.
Hu Li Za Zhi. 2009 Aug;56(4):22-7.
In Taiwan, responsibility for administering healthcare services is being gradually moved out of hospitals and into the community. As such, nurses are increasingly required to address new problems and meet the specific healthcare needs of important subgroups such as Taiwan's growing elderly population and young adult immigrants. Because policies have lagged behind such developments, nurses are expected to provide leadership in addressing these new challenges. Their status within the medical system, however, continues to reflect earlier, more 'traditional' stereotypes and gives inadequate credit for current responsibilities, which include providing long term healthcare and public health nursing, in addition to homecare responsibilities. In the face of these challenges, Taiwan community nurses have continued to develop new ways to provide care and demonstrated innovation, commitment and flexibility in their roles. If nurses are to continue to take a leading role in developing community healthcare services, they require professional recognition as well as appropriate policy support from regulatory and local government authorities.
在台湾,医疗服务的管理责任正逐渐从医院转移到社区。因此,护士越来越需要解决新问题,并满足重要亚群体的特定医疗需求,比如台湾不断增加的老年人口以及年轻成年移民。由于政策滞后于这些发展,人们期望护士在应对这些新挑战方面发挥领导作用。然而,她们在医疗系统中的地位仍反映出早期更“传统”的刻板印象,对她们当前承担的责任认可不足,这些责任除了家庭护理职责外,还包括提供长期医疗保健和公共卫生护理。面对这些挑战,台湾社区护士不断探索新的护理方式,并在其角色中展现出创新精神、敬业态度和灵活性。如果护士要继续在社区医疗服务发展中发挥主导作用,她们需要获得专业认可,并得到监管部门和地方政府当局的适当政策支持。