看護師の業務範囲を拡大するため、現行法の医師の「包括的指示」のもとで特定の医療行為を行う「特定看護師」（仮称）の創設が厚生労働省の検討会で論議されています。厚労省の素案によると特定看護師の要件は、①看護師免許を保有②一定期間以上の実務経験③大学院の修士課程を修了④第三者機関による知識・能力の確認及び評価―の４項目です。認定については、必要とされる専門性に応じて一定の分野ごとに行い、臨床実践能力を確保する観点から、一定期間（例えば５年）ごとに認定を更新するとしています。
特定看護師の行う医療行為は、身体所見の把握や、深部に及ばない創部の切開、縫合などの創傷処置、患者の状態に応じた薬剤の選択・使用などが想定されています。医師の過剰勤務軽減、看護師の業務拡大などが狙いです。アメリカのナースプラクティショナー（上級看護師）のイメージでしょうか。
それにしても薬剤師の職能拡大のための論議が全く起こらないのは驚きです。アメリカでは薬剤師が血圧やコレステロールの体調管理、予防注射などを行っており、薬剤師の地位の高さは日本の比ではありません。それでも当初は医師会の反対があり、薬剤師側が「協働による医療の質向上」を長く訴え続けた成果と聞いています。看護師の業務拡大の論議には薬剤師からも「薬剤師の業務範囲を侵す」との反対の声も上がっているようですが、それならば薬剤師側から対案があってしかるべきです。業権争いではなく、「医療担当者、患者、薬剤師の３者がＷＩＮ、ＷＩＮの関係を築く」ための訴えが欲しいものです。
特定看護師の行う医療行為は、身体所見の把握や、深部に及ばない創部の切開、縫合などの創傷処置、患者の状態に応じた薬剤の選択・使用などが想定されています。医師の過剰勤務軽減、看護師の業務拡大などが狙いです。アメリカのナースプラクティショナー（上級看護師）のイメージでしょうか。
それにしても薬剤師の職能拡大のための論議が全く起こらないのは驚きです。アメリカでは薬剤師が血圧やコレステロールの体調管理、予防注射などを行っており、薬剤師の地位の高さは日本の比ではありません。それでも当初は医師会の反対があり、薬剤師側が「協働による医療の質向上」を長く訴え続けた成果と聞いています。看護師の業務拡大の論議には薬剤師からも「薬剤師の業務範囲を侵す」との反対の声も上がっているようですが、それならば薬剤師側から対案があってしかるべきです。業権争いではなく、「医療担当者、患者、薬剤師の３者がＷＩＮ、ＷＩＮの関係を築く」ための訴えが欲しいものです。
|
you're really a good webmaster.The site loading speed is amazing.It seems that you're doing any unique trick.In addition, The contents are masterpiece.you have done a magnificent job on this topic!
I’d be inclined to okay with you one this subject. Which is not something I typically do! I love reading a post that will make people think. Also, thanks for allowing me to speak my mind!
I love this article. Thanks. I have a blog where I could link this article to. I'm looking for sites where muscle building tips are being discussed. I think its very helpful to people starting out. I remember what its like when I was new at this. I scour the web for articles. Now I go to places where I could find everything under one place. Thanks for this article.
I would like to be able to thank you for the particular efforts you have made in composing this article.
I came across your favorite blog on the internet and thus investigate most of the threads. Keep up the wonderful manage. I merely supplementary increase RSS feed for items MSN Media reports Audience. Attempting to find toward going through excess within you later on!…
Needed to compose you this very small observation in order to say thanks a lot again for your personal precious advice you've shown here. It was simply tremendously open-handed of you in giving unreservedly all most of us might have distributed as an ebook to end up making some profit on their own, most importantly given that you could possibly have done it in case you considered necessary. These creative ideas likewise served to be a fantastic way to recognize that some people have the same desire much like mine to know whole lot more regarding this issue. Certainly there are millions of more fun situations up front for individuals that view your blog post.
There is apparently a bundle to identify about this. I believe you made some nice points in features also.
I have a few questions. How can I use this in every day life? Will it help me to use what you have said here?
Youre so cool! I dont suppose Ive read anything like this before. So nice to find somebody with some original thoughts on this subject. realy thank you for starting this up. this website is something that is needed on the web, someone with a little originality. useful job for bringing something new to the internet!
I grabbed all your post unique implement I’ve incorporated some Trackback to barefoot running attached to your web site :)……
It’s rough to search for informed consumers in that theme, still one noise prefer you actually find out the thing that you’re conversing related to! Appreciate it
I would like to thank you for the efforts you get in composing this article.
Thanks for sharing excellent informations. Your web site is very cool. I am impressed by the details that you have on this blog. It reveals how nicely you perceive this subject. Bookmarked this website page, will come back for more articles. You, my friend, ROCK! I found just the information I already searched everywhere and simply could not come across. What a great site.
I’m having a small annoyance. I'm unable to subscribe to your rss feed for some reason. I’m using google reader by the way.
I¡¯m delighted that I have noticed this weblog. Lastly anything not a junk, which we undergo incredibly frequently. The web site is lovingly serviced and stored up to date. So it need to be, thanks for sharing this with us.
I am not capable of view this web site correctly on saffari I feel there's a downside
It's super webpage, I was looking for something like this