— 照護管理 · MEDIUM · SATA —
護理師準備指派護理工作時，應考慮哪些因素？（選所有適合的）
A nurse is preparing to delegate care. Which of the following factors should be considered? (Select all that apply.)
- AThe client's stability✓ 正解病人的病情穩定度
- BThe UAP's scope of practice and competence✓ 正解未註冊護理人員（UAP）的執業範圍與能力
- CThe complexity of the task✓ 正解工作的複雜度
- DThe nurse's desire to take a break護理師想要休息的意願
- EThe degree of supervision available✓ 正解可提供的監督程度
— Explanation · 中文詳解 —
委派（Delegation）必須符合五大權利：正確任務、正確情形、正確對象、正確溝通、正確監督。因此，需考慮病況穩定度、照護員的能力與規範、任務複雜度以及監督力度。護理師個人休息需求不應作為指派依據。
Delegation decisions must consider the client's stability, the complexity of the task, and the Unlicensed Assistive Personnel's (UAP) scope of practice and competence. The nurse also needs to evaluate the level of supervision required, as they retain accountability for the outcome. Personal convenience should never drive delegation choices.
✦ 台美臨床差異
美國護理指派有明確的 Five Rights of Delegation 框架；台灣雖然尚未完全比照，但護理評鑑中也極為強調照護分級與權責。