護理師目擊同事的照護行為違反院方政策。護理師應採取的第一步措施是什麼？
A nurse witnesses a colleague providing care in a way that violates facility policy. What is the nurse's priority action?
- AAddress the behavior with the colleague immediately if patient safety is at risk✓ 正解若病人安全受到威脅，立即與同事討論該行為
- BDocument the incident in the colleague's personnel file將事件記錄在同事的人事檔案中
- CReport the colleague to the state nursing board向州護理委員會舉報該同事
- DDiscuss the issue with other staff members to gain perspective與其他員工討論此問題以獲取不同觀點
在護理執業中，病人安全（Patient Safety）永遠是最高優先級。當目擊同事違反政策時，若該行為直接威脅病人安全，護理師有法律與倫理責任立即介入（Stop the line）。這不僅是為了防止傷害發生，也是為了落實病人安全文化。若情節未立即危及安全，則應透過適當的行政管道進行通報或回饋，而非在未經證實前私下議論或擅自處理。
In nursing practice, patient safety is always the highest priority. When a colleague is observed violating policy, if the behavior directly threatens patient safety, the nurse has a legal and ethical obligation to intervene immediately (stop the line). This is not only to prevent harm but also to support the culture of patient safety. If the situation does not pose an immediate threat to safety, the issue should be addressed through appropriate administrative channels for reporting or feedback, rather than discussed privately or handled arbitrarily before verification.
在美國，這類事件強調「不責備文化（Just Culture）」，鼓勵優先處理安全風險。相較於台灣職場較為含蓄的人際壓力，美國護理師更被賦予「Stop the line」的權力與義務，即使是對資深同事或醫師，只要涉及安全皆可立即制止。