一名註冊護理師（RN）正主持一個針對複雜需求病人的多專科團隊會議。哪項陳述最能體現 RN 作為「照護協調者」的角色？
An RN is leading a multidisciplinary team meeting regarding a client with complex needs. Which statement best reflects the role of the RN as a coordinator of care?
- AI will ask the family to decide which treatments the client should receive.我會請家屬決定病人應接受哪些治療。
- BI will ensure that the physical therapist and social worker collaborate on the discharge plan.✓ 正解我會確保物理治療師和社工師在出院計畫上進行合作。
- CI will change the dosage of the client's cardiac medications after the meeting.我會在下會後調整病人心臟藥物的劑量。
- DI will perform the client's daily wound dressing change for the next week.我會在接下來的一週為病人進行每日傷口換藥。
護理師作為照護協調者（Coordinator of Care），核心任務是整合不同專業（如物理治療、社會工作、醫師）的資源，確保病人獲得連續性且全面的照護。選項 B 正確地描述了 RN 整合不同部門以達成出院計畫的目標。選項 C 錯誤，因為更改藥物劑量是醫師的職責（Scope of practice）。選項 D 描述的是直接照護者（Provider of care）的角色，而非協調者。選項 A 雖然涉及溝通，但過度推卸專業判斷給家屬，且未體現團隊協調。協調者的關鍵字通常是「整合」、「溝通」、「連續性」與「資源分配」。
As a coordinator of care, the nurse's core task is to integrate resources from different disciplines (such as physical therapy, social work, and physicians) to ensure that the client receives continuous and comprehensive care. Option B correctly describes the RN integrating different departments to achieve a discharge plan. Option C is incorrect because changing medication dosages is the physician's responsibility (scope of practice). Option D describes the role of a direct provider of care, not a coordinator. Option A, while involving communication, excessively shifts professional judgment onto the family and does not reflect team coordination. Keywords for the coordinator role typically include "integration," "communication," "continuity," and "resource allocation."
美國護理高度強調 Case Management 與協調功能，RN 經常是出院準備小組的領導者；台灣臨床護理師常受限於行政庶務，協調角色有時由主治醫師或專門的出院準備護理師承擔，一般病房護理師參與度較低。