踏入醫療護理技術日新月異的年代，專科護理逐漸成為護理學科發展的主要方向。在臨床護理實踐中，專科護士進行高級健康評估，為醫療和護理措施的制訂提供正確的依據，解決臨床疑難問題，亦不斷提高護理專業質量水平。本文通過專科護士在澳門的發展進行簡述，結合個人作為早期專科護士的成長經歷，探討專科護士在臨床工作、創新科研、教育及培養人才和多團隊合作等專科護理實踐中的作用，以及對本地專科護理的發展提出展望。

Entering the era of rapidly changing age of healthcare and medical technology, specialist nursing has gradually become the main direction of the development of nursing disciplines. In clinical nursing practice, specialist nurses perform advanced health assessments, provide the right basis for developing medical and nursing measures, solve the clinical problem, and continue to improve the quality of nursing care. This article introduces briefly the development of specialist nurses in Macau, incorporating personal experience growing up as an early specialist nurse, explores the clinical work of specialist nurses, brings out innovative scientific research and education, and participates in multi-disciplinary team work. Lastly, attempts to prospect the development of local specialist nursing.