— 照護管理 · HARD · MCQ —
護理長排班時，何項原則應作為決策指南？
A nurse manager is creating a schedule. Which principle should guide the staffing decisions?
- AStaffing based on random rotation基於隨機輪替的人力配置
- BStaffing based solely on the number of beds occupied僅基於佔用床數的人力配置
- CStaffing based on patient acuity and nursing care requirements✓ 正解基於病人病情嚴重度與護理需求的人力配置
- DStaffing based on staff preference and friendship基於員工偏好與人際關係的人力配置
— Explanation · 中文詳解 —
護理管理中的排班（Staffing）必須基於「病人照護負荷」（Nursing Workload）與「病人敏銳度」（Patient Acuity）。單純的床位數無法反映病人對護理資源的實際需求，例如一位 ICU 轉入的重症病人與一位術後康復中的病人，其所需的監測頻率、給藥複雜度與身體護理時間截然不同。以 acuity 為基礎的排班能確保病人獲得安全且高品質的照護。
Nursing staffing decisions must be based on the nursing workload and patient acuity. Simply counting beds does not reflect the actual demand placed on nursing resources; for example, a critically ill patient transferred from the ICU and a postoperative patient recovering on the unit differ greatly in monitoring frequency, medication complexity, and required physical care time. Acuity-based staffing ensures that clients receive safe, high-quality care.