— 照護管理 · MEDIUM · MCQ —
下列哪項護理干預展現出護理師對「授權（Delegation）」原則的正確理解？
Which of the following interventions by the nurse demonstrates an understanding of the delegation process?
- ADelegating the administration of oral antibiotics to the UAP將口服抗生素的給藥委託給未註冊輔助人員 (UAP)
- BAsking the UAP to determine the cause of the client's dizziness請未註冊輔助人員 (UAP) 確定病人頭暈的原因
- CInstructing the UAP to report any blood pressure reading below 90/60 mmHg✓ 正解指示未註冊輔助人員 (UAP) 報告任何低於 90/60 mmHg 的血壓讀數
- DAssigning the UAP to perform a complex dressing change指派未註冊輔助人員 (UAP) 進行複雜的傷口換藥
— Explanation · 中文詳解 —
有效的授權應包含明確的溝通與參數限制。護理師明確告知 UAP 需監測的生命徵象界限（如低於 90/60 mmHg 須報告），這屬於「定義期望結果」。而原因判斷、給藥及執行複雜傷口照護皆為專業護理業務，不可委派。
Effective delegation involves assigning tasks that match the delegatee's scope of practice while maintaining clear communication. Instructing an Unlicensed Assistive Personnel (UAP) to report specific vital sign values, such as a blood pressure below 90/60 mmHg, provides clear parameters for monitoring without requiring clinical judgment. Tasks involving medication administration, assessment, or complex wound care remain the responsibility of the licensed nurse.
✦ 台美臨床差異
美國護理教育極度強調 Five Rights of Delegation，台灣在臨床授權界線有時較模糊，仰賴護理師的個別判斷。