— 照護管理 · MEDIUM · MCQ —
護理師照顧一位病情改變的病人，哪項行為展現了正確使用 SBAR 溝通技巧？
A nurse is caring for a client who is experiencing a change in status. Which action by the nurse represents an appropriate use of the SBAR communication technique?
- AAsking the provider to come to the unit without explaining why未說明原因即要求醫師到病房
- BStating the Situation, Background, Assessment, and Recommendation clearly to the provider✓ 正解向醫師清楚說明狀況、背景、評估和建議
- CTelling the provider that the client is just 'looking bad' today告訴醫師病人今天看起來『狀況不好』
- DDiscussing the client's family history before reporting the current issue在報告當前問題前討論病人的家族病史
— Explanation · 中文詳解 —
SBAR 是一種結構化溝通工具，旨在提升醫療團隊溝通效率與安全性。S（Situation/現況）、B（Background/背景）、D（Assessment/評估）、R（Recommendation/建議）。正確的做法是系統性提供關鍵數據，避免模糊用語，並給予專業建議，以利醫師下達決策。
The SBAR technique ensures clear and efficient communication by structuring the report into Situation, Background, Assessment, and Recommendation. This method allows the nurse to provide objective data and specific recommendations, enabling the provider to quickly understand the client's status and make informed decisions.
✦ 台美臨床差異
美國醫院廣泛使用 SBAR；台灣推動多年，但在高年資醫師溝通時，部分基層護理師仍可能因權力距離不敢直接給出 Recommendation。