護理師在決定照護優先順序時,應遵循哪些原則?(選所有適合的)
Which principles should guide a nurse when prioritizing client care? (Select all that apply.)
- AMaslow's Hierarchy of Needs✓ 正解馬斯洛需求層級理論
- BAirway, Breathing, and Circulation (ABC) framework✓ 正解氣道、呼吸與循環(ABC)框架
- CThe acuity of the client's condition✓ 正解病人病情的嚴重程度
- DThe preference of the client's family members病人家屬的偏好
- EThe time the nurse arrived on the unit護理師抵達病房的時間
護理優先順序的判定基礎為病人的緊急度與重要性。ABC 是處理急性病患的基石,馬斯洛需求理論則幫助處理心理與生理需求排序,醫療狀況的嚴重程度(Acuity)則是評估關鍵。家庭偏好雖需考量,但不能凌駕於病人生命安全之上;抵達單位時間則與病患照護需求無關。
Determining nursing priorities is based on the urgency and importance of the client's condition. The ABC framework is the cornerstone of managing acutely ill clients, Maslow's hierarchy of needs helps prioritize psychological and physiological needs, and the acuity of the medical condition is the key evaluation criterion. While family preferences should be taken into consideration, they cannot override patient safety; the nurse's time of arrival on the unit is unrelated to clients' care needs.
美台皆強調實證護理,但在分流工具(如 Triage Tools)的命名與細節設計上可能會有院際間的微小差異。