Page 62 - 2024 Taiwan Health and Welfare Report
P. 62

2024 Taiwan Health and Welfare Report






                 personnel was NTD 47,716, with an average          rotations, and an expansion of public nursing
                 annual salary of NTD 699,000 for the previous      positions.
                 year (from August 2021 to July 2022).            B. Workplace enhancement:  Reporting  of
              (4)  Since 2017, various mechanisms have been         nurse-to-patient ratios on three-shift rotations
                 implemented to support nursing professionals       (effective from August 1, 2023), establishment
                 in engaging in innovative community care,          of standards for nurse-to-patient ratios on
                 establishing local home nursing care brands and    three-shift rotations, incentives for nursing-
                 models. These mechanisms include evaluation        friendly workplaces, expansion of integrated
                 systems, guidance for establishment, evidence-     care plans for inpatients, utilization of smart
                 based training, technological applications,        technology to reduce nursing workload, and
                 incentive programs, transitional education,        implementation of a system for novice clinical
                 training bases, and public funding for master's    nursing instructors. Continuous monitoring
                 degrees. The number of home nursing clinic         of nursing workforce and promotion of
                 has increased from 538 in 2017 to 720 in 2023,     these enhancements will be conducted to
                 a 33.8% increase. These efforts aim to meet         offer nursing personnel in hospitals diverse
                 the demands for care services, provide diverse     options based on their career stages and to
                 employment models, extend the professional         demonstrate the value of nursing, thereby
                 lifespan of nurses, and increase their practice    retaining nursing workforce.
                 rates.
              (5)  Implementing the "Twelve Strategies of the   Chapter 4 Health Care Quality
                 Nursing Workforce Preparation Plan (2023-   Section 1  Patient Safety and Quality of
                 2030)"
                                                                        Medical Care
                 To enhance the working conditions, salaries, and
                 benefits of nursing personnel, the Executive Yuan   The MOHW has aimed to improve the quality
                 approved the Twelve Strategies of the Nursing   of patient-centered services and establish a hospital
                 Workforce Preparation Plan on September 28,   evaluation/accreditation system, annual objectives for
                 2023. This plan integrates the efforts of five   healthcare quality and patient safety, and a patient
                 ministries: the Ministry of Health and Welfare,   safety reporting system. Significant achievements in
                 the Ministry of Education, the Ministry of   2023 are as follows:
                 Examination, the Ministry of National Defense,   1. The MOHW drew up the "2022-2023 Taiwan Patient
                 and the Veterans Affairs Council. Its objective   Safety Goals for Hospitals and Clinics" (Table 4-5).
                 is to alleviate the current shortage of nursing   2. The Taiwan Patient Safety Reporting System (TPR)
                 personnel and meet the increased demand       has been used to effect a patient safety culture. In
                 for nurses in Taiwan until 2030. The strategies   2023, 17,732 healthcare organizations participated
                 encompass initiatives for nursing personnel   in the TPR, and preliminary statistics indicate that
                 training by the Ministry of Education, increases in   around 92,353 cases were reported.
                 the number of national nursing examinations by   3. As of 2023, the "Taiwan Patient Safety Net" includes
                 the Ministry of Examination, reduction of exam   a total of 52 decision support tools within their
                 questions, collaboration between education and   shared decision-making platform for healthcare
                 examination systems, and retention strategies for   professionals. In 2023, there were 102 hospitals
                 nursing personnel by the Ministry of Health and   actively participating in the practice of shared
                 Welfare. The plan includes:                   decision-making between healthcare providers and

                 A. Salary improvement: Incentives for night shift   patients. These efforts aim to enhance patient safety
                    nursing personnel on three-shift rotations,   and improve the quality of healthcare decision-
                    rewards for hospitals meeting nurse-       making.
                    to-patient ratio standards on three-shift



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