— 照護管理 · HARD · MCQ —
護理師目擊同事未落實正確手部衛生，應採取何種行動？
Which action should the nurse take when witnessing a colleague failing to perform proper hand hygiene?
- ARemind the colleague of the hand hygiene policy immediately✓ 正解立即提醒同事遵守手部衛生政策
- BIgnore the action as the colleague is experienced忽略該行為，因為該同事經驗豐富
- CReport the colleague directly to the nursing board直接向護理委員會舉報該同事
- DDiscuss the issue with other staff during lunch在午餐時與其他員工討論此問題
— Explanation · 中文詳解 —
護理倫理與病人安全的核心原則是「即時矯正」。當目擊同事違反感染控制標準（如手部衛生）時，護理師有責任採取行動以保護病人免受交叉感染。直接提醒（Immediate feedback）是解決此類臨床疏失最有效且專業的方式，這能即時中斷傳染途徑，同時給予同事修正機會，體現了「不責備文化（Just Culture）」的精神，優先考慮的是當下病人的安全，而非事後懲處。
The nurse should immediately remind the colleague of hand hygiene policy to promote patient safety and peer accountability. Direct, timely feedback is the most effective way to correct clinical errors and interrupt transmission routes, reflecting a just culture that prioritizes immediate patient protection over punitive measures.
✦ 台美臨床差異
美國醫院極度強調「Speak Up」文化，鼓勵跨職級的即時提醒（如：Stop the line），護理師若目擊不安全行為卻保持沈默，在美國臨床環境中會被視為嚴重失職。