— 照護管理 · MEDIUM · MCQ —
護理師教導家屬執行一項護理技術，哪一步驟可確保教學有效？
A nurse is teaching a family member how to perform a procedure. Which step ensures the teaching is effective?
- AHaving the family member demonstrate the skill back to the nurse✓ 正解要求家屬向護理師示範該技術
- BGiving the family a pamphlet and assuming they understand提供衛教單張並假設他們已理解
- CHaving the physician confirm they are able to learn請醫師確認他們具備學習能力
- DAsking the family if they have any questions詢問家屬是否有任何疑問
— Explanation · 中文詳解 —
「回示教法（Return demonstration）」是確保教學有效性的黃金標準。僅憑詢問「有無問題」通常會得到「沒有」的回答，但這不代表病人或家屬真正具備技術能力。親自觀察家屬操作，能即時矯正錯誤並確保其在家中能安全執行。
Return demonstration is the gold standard for confirming the effectiveness of teaching. Merely asking 'do you have any questions' typically yields a 'no' response, but this does not mean the patient or family member actually possesses the necessary skills. Observing the family member perform the procedure allows for immediate correction of errors and ensures they can safely perform it at home.
✦ 台美臨床差異
美國護理衛教非常強推 Return Demonstration；台灣臨床在護理師忙碌時，常簡化為「口頭確認」，需再加強。