— 照護管理 · HARD · MCQ —
護理師發現同事未執行洗手，應採取的適當回應為何？
A nurse observes a colleague failing to perform hand hygiene. What is the appropriate response?
- APublicly humiliate the colleague公開羞辱該同事
- BDo nothing, as everyone makes mistakes不予理會，因為每個人都會犯錯
- CRemind the colleague to perform hand hygiene✓ 正解提醒該同事執行手部衛生
- DReport the colleague directly to the state board直接向州護理委員會舉報該同事
— Explanation · 中文詳解 —
感染控制（Infection Control）是護理師的神聖職責。當發現同事未遵循洗手規範（Hand hygiene）時，護理師應採取「及時回饋（Just-in-time feedback）」的策略。這不是為了懲罰，而是為了維護病人安全。透過專業、非指責性的提醒，能有效提升團隊的依從性，並建立一個共同維護安全文化的環境。
Infection control is a sacred duty of the nurse. When a colleague fails to follow hand hygiene standards, the nurse should provide just-in-time feedback. This is not for punishment but to safeguard patient safety. Through a professional, non-accusatory reminder, team adherence can effectively improve and a shared safety culture can be reinforced.
✦ 台美臨床差異
美國醫院推廣「不責難文化（Just Culture）」，鼓勵護理師互相提醒。若發現系統性問題，通常會透過醫院內部的「匿名安全通報系統（Safety Event Reporting System）」進行通報，而非直接對外舉報。