關於護理執業中的「指揮鏈」（Chain of Command），下列哪些敘述正確？（選所有適合的）
Which of the following statements regarding the 'Chain of Command' in nursing are correct? (Select all that apply.)
- AIt is used to resolve concerns when patient safety is compromised✓ 正解當病人安全受到損害時，用於解決疑慮
- BIt allows a nurse to bypass their immediate supervisor if no resolution occurs✓ 正解若無解決方案，允許護理師跳過其直屬主管
- CIt should be followed regardless of the severity of the issue無論問題的嚴重程度如何，都應遵循
- DIt ensures that senior leadership is informed of critical issues✓ 正解確保高層領導知悉關鍵問題
- EIt is intended to undermine the authority of the physician旨在削弱醫師的權威
「指揮鏈」（Chain of Command）是醫療照護體系中為了解決安全隱患而建立的層級報告程序。當基層反映的病人安全問題未獲解決時，護理師必須依照此鏈向上級反應，以確保病人生命安全（A、D）。這是為了保障病人品質，而非挑戰醫師權威（E）。若直接督導無回應，護理師有權跳過該層級向上報告（B）。此程序通常僅在涉及嚴重安全問題時啟動，而非所有日常問題（C）。
The Chain of Command is a hierarchical escalation pathway in healthcare to resolve patient safety concerns. When safety issues raised at the frontline are unresolved, the nurse must escalate to higher leadership (A, D). The intent is patient safety, not to challenge physician authority (E). If the immediate supervisor does not respond, the nurse may escalate further (B). It is typically reserved for serious safety issues, not all daily disagreements (C).