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課程名稱 |
健康照護體系與政策
Health Care System and Policy |
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開課學期 |
112-2 |
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授課對象 |
醫學院 護理學研究所 |
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授課教師 |
胡文郁 |
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課號 |
NURSE8032 |
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課程識別碼 |
426ED4460 |
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班次 |
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學分 |
2.0 |
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全/半年 |
半年 |
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必/選修 |
必修 |
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上課時間 |
星期一6,7(13:20~15:10) |
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上課地點 |
護討論室1 |
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備註 |
本課程以英語授課。合開教師蔡淑鳳。與張 媚合授
限博士班
總人數上限：15人 |
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課程簡介影片 |
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核心能力關聯 |
核心能力與課程規劃關聯圖 |
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課程大綱
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為確保您我的權利,請尊重智慧財產權及不得非法影印
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課程概述 |
Course description : The course is designed to guide students to understand the key issues of health care system in Taiwan, and explore the impacts of health policies on health services and their outcomes. The process of policy development, key skills to enhance effectiveness, and evaluation of nursing policy will also be discussed and scrutinized. Students will be assigned to selected nursing policy issues as policy project for further re-examination and re-work up. At the end of the course, students will be expected to gain insight into the role and responsibility of a contemporary nursing leader in bringing changes to the betterment of health care delivery system in Taiwan. |
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課程目標 |
Objectives :
1. to build an comprehensive understanding toward the organization, management and outcomes of health care system in Taiwan.
2. to recognize the crucial role of critical thinking, prioritization and decision making in the process of policy formation.
3. to improve understanding and ability in formulating, implementing and evaluating nursing policy.
4. to conduct an in-depth analysis on a selected nursing policy in Taiwan. |
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課程要求 |
Format of course:
1. Lecture and class discussion
2. Student Oral presentations
3. Policy Analysis Report
1. Class participation 20%
Students will be evaluated in terms of her/his breadth and depth of understanding and comprehension toward current health care system and the policy making process; and in terms of .her/his strength of making comments/reflection onto the health issues inherent in the real world of health care services in Taiwan and internationally.
2. Class presentation 20%
Students will be evaluated in terms of her/his breadth and depth of the understanding and comprehension toward the presenting topic; in terms of her/his strength in making independent judgment/ideas on the topic presented; and in terms of her/his logical reasoning in analyzing and synthesizing the issues in the presenting topic based on evidences. In addition, students will also be evaluated in terms of her/his ability in connecting the content of the presenting topic to the issues/problem/policy which is nursing-focus, nursing-oriented and sensitive to nurses in general.
3. Written assignments 60 %
3.1 Mid-term paper- Policy Analysis Report:
Individual student will select a health care problem/issue in Taiwan, to analyze the impact of health policy or health problem. Students will be expected to demonstrate their ability in applying the knowledge and skills of the process of making health policy based on the class presentation, discussion and the related literatures
3.2 Term paper-
Every student will be expected to complete a written proposal on a nursing policy based on the health issue/problem used in the Mid-term paper. In this paper, a comprehensive analysis/scanning of the issue/problem and potential solutions for the problems that include setting the goals of the policy, describing strategies and resources used in the policy, and the indicators used for evaluation. Students will be expected to demonstrate her ability to synthesis and application of all concepts andskills learned in this course.
4.Vignette of Nursing Policy Recommendation in one local News Paper
P.S.
1.The content of both mid-term and final papers should be based on evidence or relative theory
2. When you write your papers, you can choose one of health care problems as an example. The mid-term paper should include assessing the problem (such as environmental scanning…etc) and analyzing the impact of existing policies on the problem. In final paper, you are expected to propose a nursing policy for the problem, including vision, goals, strategic plan and the indicators of policy evaluation.
3. Mid-term paper will be due on 2023/05/08
Final-term paper will be due on 2023/06/05
4. The purpose of vignette is to encourage you express your opinions about nursing issues/policies through public medias. |
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預期每週課後學習時數 |
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Office Hours |
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指定閱讀 |
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參考書目 |
A. In English:
1. Health policy effects on healthcare systems
Goudreau, K.A., Smolenski, M.C. (2022). Health Policy and Advanced Practice Nursing: Impact and Implications. Springer Publishing Company, Chapter 2. Health policy effects on health systems
2. The Essential Competencies for Policy makers
Barreto,J,O,M., Romao,D.M.M., Setti, C., Machado, M.L.T., Riera1, R., Gomes, R., da Silva, S.F. (2023) Competency profles for evidence-informed policy-making (EIPM): a rapid review Health Research Policy and Systems (2023) 21:16 https://doi.org/10.1186/s12961-023-00964-0
Shirey, M.R.(2012) Cultivating Strategic Thinking Skills. The Journal of Nursing Administration, 42(6), 311-314
3. Understanding policy
ICN (2005)．Health policy Package: A guide for policy development. Geneva, Switzerland Unit 1
Mason, D.J. Gardner, D.B., Outlaw, F.H., O'Grady, E.T., (2021). Policy & Politics in Nursing and Health Care. St. Louis, Missouri : Elsevier, Chapter 1. A framework for action in policy and politics.
Annesley SH(2019) The implication of health policy for nursing. British Journal of Nursing, 28(8):496-502
4. Participating in policy development
ICN (2005)．Health policy Package: A guide for policy development. Geneva, Switzerland Unit 2
Mason, D.J. Gardner, D.B., Outlaw, F.H., O'Grady, E.T., (2021). Policy & Politics in Nursing and Health Care. St. Louis, Missouri : Elsevier, Chapter 7. The policy process
5. Key skills to enhance effectiveness (I)
ICN (2005)．Health policy Package: A guide for policy development. Geneva, Switzerland. Unit 3
Mason, D.J. Gardner, D.B., Outlaw, F.H., O'Grady, E.T., (2021). Policy & Politics in Nursing and Health Care. St. Louis, Missouri : Elsevier, Chapter 8 Political analysis and strategies
Pastrana T; Centeno C; De Lima L (2015). Palliative Care in Latin America from the Professional Perspective: A SWOT Analysis. Journal of Palliative Medicine, 18 (5): 429-37
6. Key skills to enhance effectiveness (II)
ICN (2005)．Health policy Package: A guide for policy development. Geneva, Switzerland Unit 3
Mason, D.J. Gardner, D.B., Outlaw, F.H., O'Grady, E.T., (2021). Policy & Politics in Nursing and Health Care. St. Louis, Missouri : Elsevier, Chapter 9 Communication and conflict management in health policy:
Koehn K.(2020). Triggers for nursing policy action: Getting to the critical point to solving “ordinary problems” in nursing. Nursing Forum. 55:11?15
7. Monitoring and evaluation
ICN (2005)．Health policy Package: A guide for policy development. Geneva, Switzerland. Unit 4 monitoring and evaluation
Steinman LE, Bradford V, Quinn E, Otten JJ, McNamara J, Fisher K, Johnson DB (2017). Examining the Washington State Breastfeeding-Friendly Policy Development Process Using the Advocacy Coalition Framework. Maternal and Child Health Journal, 21(3):659-669
Sheldon MR (2016) Policy-Making Theory as an Analytical Framework in Policy Analysis: Implications for Research Design and Professional Advocacy. Physical Therapy, 96 (1): 101-10
9. Current issues of nursing education in Taiwan
Mason, D.J. Gardner, D.B., Outlaw, F.H., O'Grady, E.T., (2016). Policy & Politics in Nursing and Health Care. St. Louis, Missouri : Elsevier, Chapter 60 Political context of advanced practice nursing
B. In Chinese
吳定(2017) 公共政策。台北：五南圖書出版公司
楊志良等(2021)．健康保險 台中市：華格那企業有限公司 第二章 健康照護體系。
張媚、余玉眉、趙可式(2012) 從民眾健康需要看台灣護理教育的挑戰與對策.護理雜誌, 59(5)：10-15
國家衛生研究院 (2010)．護理人力及專科護理師制度：願景與挑戰 苗栗：財團法人國家衛生研究院 (委託五南文化廣場及國家書店銷售)
柯莉珊、張媚、胡文郁 (2017).運用SWOT分析預立醫療照護諮商之推行─以某醫學中心之高齡病房為例。領導護理，18(2),13-28 |
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評量方式
(僅供參考) |
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週次 |
日期 |
單元主題 |
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Week 1 |
2/19 |
Introduction to the course Wen-Yu Hu / Mei Chang |
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Week 2 |
2/26 |
1.Health care delivery system and the roles of
nurses in Taiwan
Mei Chang / Wen-Yu Hu |
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Week 3 |
3/04 |
2. Strategic thinking Wen-Yu Hu / Mei Chang |
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Week 4 |
3/11 |
3. Understanding policy Mei Chang / Wen-Yu Hu |
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Week 5 |
3/18 |
4. Participating in policy development Wen-Yu Hu / Mei Chang |
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Week 6 |
3/25 |
5. Key skills to enhance effectiveness (I) Mei Chang / Wen-Yu Hu |
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Week 7 |
4/01 |
6. Key skills to enhance effectiveness (II.) Wen-Yu Hu / Mei Chang |
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Week 8 |
4/08 |
7. Monitoring and evaluation Mei Chang / Wen-Yu Hu |
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Week 9 |
4/15 |
8. ☆Nursing workforce in Taiwan Prof. Shwu-Feng Tsay
Wen-Yu Hu / Mei Chang |
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Week 10 |
4/22 |
◎Analyzing one of health care issues relevant to
nursing policy
Mei Chang / Wen-Yu Hu |
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Week 11 |
4/29 |
◎Analyzing one of health care issues relevant to
nursing policy
Wen-Yu Hu / Mei Chang |
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Week 12 |
5/06 |
Presentation and discussion of mid-term paper Prof. Shwu-Feng Tsay
Mei Chang / Wen-Yu Hu |
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Week 13 |
5/13 |
9. ☆Current issues of nursing education in Taiwan Mei Chang / Wen-Yu Hu |
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Week 14 |
5/20 |
◎Analyzing one of health care issues relevant to
nursing policy
Wen-Yu Hu / Mei Chang |
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Week 15 |
5/27 |
◎Analyzing one of health care issues relevant to
nursing policy
Mei Chang / Wen-Yu Hu |
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Week 16 |
6/3 |
Presentation of final term paper
Course evaluation
Wen-Yu Hu / Mei Chang |
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