Lin Pay-Fan
Department of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan, ROC.
Hu Li Za Zhi. 2014 Jun;61(3):14-20. doi: 10.6224/JN.61.3.14.
The purpose of this article was to examine the development of community health nursing and public health nursing in Taiwan from an educational perspective. Key issues addressed include: teaching strategies and scopes of practice used in community health nursing in Taiwan between 1910 and the 1950s; the philosophical foundations for the concepts of "health for all" and "social justice" in Taiwan's community health nursing; the five "P"s of community health nursing teaching and practice (population, prevention, promotion, policy, and partnership); the core competencies and scope of practice of community health nursing proposed by the TWNA Community Health Nursing Committee; and the core competencies and the tiers of classification proposed by the Quad Council of Public Health Nursing Organizations. This article helps to elucidate the inseparable relationship between community health nursing education and practice at both the micro and macro level and examines possible future directions for community health nursing in Taiwan. The author proposes the following recommendations for future community health nursing education development in Taiwan: 1) implement competence classifications appropriate to each nursing education preparation level, 2) promote multidisciplinary cooperation among education, practice, and policy, and 3) promote collaboration and consensus among community health nursing and public health related associations.
本文旨在从教育视角审视台湾社区健康护理与公共卫生护理的发展。探讨的关键问题包括：1910年至20世纪50年代台湾社区健康护理所采用的教学策略与实践范围；台湾社区健康护理中“全民健康”与“社会正义”理念的哲学基础；社区健康护理教学与实践的五个“P”（人群、预防、促进、政策及伙伴关系）；台湾护理学会社区健康护理委员会提出的社区健康护理核心能力与实践范围；以及公共卫生护理组织四方理事会提出的核心能力与分类层级。本文有助于阐明社区健康护理教育与实践在微观和宏观层面上不可分割的关系，并探讨台湾社区健康护理未来可能的发展方向。作者针对台湾未来社区健康护理教育发展提出以下建议：1）实施与各护理教育准备水平相适应的能力分类；2）促进教育、实践与政策之间的多学科合作；3）促进社区健康护理与公共卫生相关协会之间的协作与共识。
