— 照護管理 · HARD · MCQ —
護理長正在規劃人力排班，哪種方式最能確保照護品質？
A nurse manager is planning a staffing schedule. Which approach best ensures quality care?
- AAssigning nurses based on rotation without regard to competency在不考慮專業能力的情況下輪流指派護理師
- BAssigning nurses based on client acuity and nursing expertise✓ 正解根據病人病情嚴重程度與護理師專業能力指派護理師
- CAssigning nurses based on personal friendships基於私人友誼指派護理師
- DAssigning nurses based on years of experience only僅基於年資指派護理師
— Explanation · 中文詳解 —
護理管理中的『適才適所』指依據病患嚴重度（Acuity）與護理師的專業勝任能力（Expertise/Competency）進行配對。這能最大化照護安全與效率。僅憑年資或私人關係排班易忽視病患特殊需求，缺乏專業導向的指派則會增加失誤風險。
'Right person for the right task' in nursing management means matching client acuity with the nurse's professional competency/expertise. This maximizes care safety and efficiency. Scheduling based solely on seniority or personal relationships overlooks special client needs, and assignments lacking a competency focus increase the risk of error.
✦ 台美臨床差異
美國多採 Acuity-based staffing；台灣因應健保給付與護理師負載，常使用護病比基準進行排班，仍需更多 Acuity 考量。