东海大学法学研究第五十期专科护理师执业范围与执业模式之研究.DOCVIP

專科護理師執業範圍與執業模式之研究－以台、美之比較為中心 邱慧洳( 目 次 壹、前言 貳、 一、 二、 參、 一、 二、 肆、 一、 二、 伍、結論 中文關鍵詞： Key Words： Nurse Practitioner, Scope of Practice, Practice Pattern, Protocol, Supervision, Collaboration 中文摘要 Abstract In the United States, the scope of practice of nurse practitioners (NPs) is similar to the scope of practice of physicians. U. S. NPs have privilege of making medical diagnosis, ordering drugs and tests, and referring patients. U. S. NPs collaborate with physicians to provide care to patients and it means that NPs could consult with physicians or refer patients to physician if they encounter difficulties in taking care of patients. However, according to the Paragraph 3 of the Article 24 of the Nurse Acts, Taiwan NPs could implement medical interventions only under the supervision of physicians. At this point, the autonomy of Taiwan NPs is less than that of U. S. NPs. Scope-of-Practice Regulation adopts the concept of protocol, and regulates that NPs have privileges of ordering drugs, tests, and treatment based on the protocol. Although the use of protocol increases the autonomy of NPs, the autonomy of NPs is far behind that of NPs. In addition, using protocol or not is determined by individual hospital. NPs who practice without protocol do not have the privileges of ordering drugs, tests, and treatments. However, the differences of the scope of practice are based on using protocol or not that is inappropriate. The purpose of this article is to compare the differences of the scope of practice and the practice pattern between U. S. NPs and Taiwan NPs, to analyze the shortcoming of the Scope-of-Practice Regulation, and finally to make suggestions from legal aspects for the Scope-of-Practice Regulation. 參考文獻 一、中文部分  王志嘉，論醫師親自診察義務，軍法專刊第56卷第1期，2010年2月，頁194-215。  王志嘉，淺談虛報醫療費用與刑事詐欺罪，軍法專刊第57卷第2期，2011年4月，頁121-142。  王紀軒，密醫罪或業務過失犯罪－以新時代診所案為例，高大法學論叢第6卷第2期，2011年3月，頁193-224。  吳庚，行政法之理論與實用，自版，2003年8月。  李欣慈、胡文郁，全球進階護理人員的發展：實施現況與瓶頸，台灣醫學第15卷第4期，2011年7月，頁421-428。  李