護理師為一位非英語母語的病人進行入院評估,應採取何種措施以確保其對預定手術知情同意?
A nurse is performing an admission assessment on a client who is non-English speaking. Which action should the nurse take to ensure informed consent for a planned surgery?
- AHave a bilingual nurse from another unit explain the consent請來自其他單位的雙語護理師解釋同意書
- BAsk the family members to translate請家屬擔任翻譯
- CUse a trained medical interpreter✓ 正解使用受訓的醫療口譯員
- DUse gestures and pictures to explain the procedure使用手勢和圖片來解釋程序
醫療法規要求在涉及知情同意等重大醫療決定時,必須使用受過專業訓練的醫療口譯人員。家庭成員可能會有情緒偏見、曲解術語或遺漏關鍵醫療資訊,因此不可作為正式翻譯。非專業人員或僅用肢體語言無法確保病人完全理解風險與選擇,這會導致倫理與法律風險。
Health care regulations require that a professionally trained medical interpreter be used whenever major medical decisions, including informed consent, are involved. Family members may have emotional bias, misinterpret terminology, or omit critical medical information and therefore should not serve as formal interpreters. Untrained personnel or reliance on gestures alone cannot ensure that the patient fully understands the risks and options, creating ethical and legal risks.
美國法規強制要求專業口譯,違者涉及歧視與違反病人權利;台灣則在實務上常用家屬或外籍看護協助,專業口譯普及度尚待提升。