— 照護管理 · HARD · MCQ —
護理師在人力短缺的單位工作。下列哪種管理策略對於維持病人安全最為適當？
A nurse is working in an understaffed unit. Which management strategy is most appropriate for maintaining patient safety?
- AAsk family members to help with patient care activities請家屬協助病人照護活動
- BSkip non-essential assessments for stable patients跳過病情穩定病人的非必要評估
- CPerform all tasks quickly and reduce documentation time快速完成所有任務並減少書面記錄時間
- DRequest immediate assistance from the charge nurse for prioritization✓ 正解請求護理長立即協助以進行優先順序判斷
— Explanation · 中文詳解 —
在護理人力短缺時，護理師個人的判斷可能受疲勞影響，尋求護理長（Charge Nurse）的協助是最佳的管理策略。護理長可重新分配人力、協助調整優先級，確保關鍵照護需求不會被遺漏。其他選項如減少記錄或跳過評估，皆會嚴重影響臨床決策與法律保障，增加病人安全風險。
During staffing shortages, requesting immediate assistance from the charge nurse is the safest management strategy. The charge nurse can reallocate staff, help prioritize care, and ensure essential needs are met. Reducing documentation creates legal risk; relying on family members for clinical tasks is inappropriate; and skipping assessments on 'stable' patients can miss rapidly evolving complications.
✦ 台美臨床差異
美國醫院常見護理人力比標準較嚴格，但在 shortage 時，Charge Nurse 的協調角色至關重要；台灣醫院則多仰賴同儕互相支援。