— 照護管理 · MEDIUM · MCQ —
護理師在壓力巨大的單位工作，感到難以負荷。應該怎麼做？
A nurse is working in a high-stress unit and feels overwhelmed. What should the nurse do?
- AStart documentation and skip patient assessments開始書寫病歷並跳過病人評估
- BAsk for assistance from colleagues or a charge nurse✓ 正解向同事或責任護理師尋求協助
- CResign immediately without notification未事先通知立即辭職
- DContinue working alone until the shift ends to prove competence獨自繼續工作直到輪班結束以證明能力
— Explanation · 中文詳解 —
護理工作的核心是團體合作，在高壓環境下，個人能力有限，強撐工作容易導致執行錯誤，直接威脅病患安全（Patient Safety）。當感到難以負荷時，主動尋求協助是專業護理師的表現，而非能力不足的象徵。護理師應評估當下工作量，並與護理長（Charge Nurse）或同事溝通，透過調整優先順序或分擔工作來確保照護品質。
When feeling overwhelmed in a high-stress unit, the nurse should proactively ask for assistance from colleagues or the charge nurse to maintain patient safety and care quality. Skipping assessments, resigning without notice, or continuing alone while impaired increases the risk of errors and compromises professional responsibility.
✦ 台美臨床差異
美國醫院非常強調「團隊合作」（Team Nursing / Collaboration）。若遇到人力不足或高壓狀況，護理師被鼓勵提出「Assignment Concern」，由護理長協助調整，這在美國臨床體系中被視為保護執照與病人的正當程序。