Huang Hui-Man, Sun Fan-Ko
Department of Nursing, I-Shou University, ROC.
Hu Li Za Zhi. 2013 Dec;60(6):57-67. doi: 10.6224/JN.60.6.57.
Psychiatric nurses have a special obligation and legal duty as guarantor against criminal negligence. The guarantor role and medical negligence in psychiatric nursing are topics that have been neglected in Taiwan.
(1) Identify the status of psychiatric nurses as guarantors; (2) Understand the causal relationship in a legal context between this status and Non-Genuine Omission in the current case; (3) Understand the facts and the dispute in the current case. (4) Explore the reasons why the psychiatric nurse was convicted for criminal negligence in the current case.
A literature review and case study were used to analyze the high court criminal judgment and sentence reconsideration of the first instance No. 122 (2005).
(1) Psychiatric nurses hold two guarantor roles in Taiwan. One role is as legally protected interest guarantor and the other is as supervisors' dangerous source guarantor. (2) The three sources of guarantor status relevant to the current case are: nurses' voluntary commitments; medical contract; duty of care of supervisors. (3) In this case, the psychiatric nurse did not discharge her obligations as guarantor and failed to prevent the patient from committing suicide. Negligence resulted in patient death and the psychiatric nurse was found guilty.
In order to prevent criminal acts, psychiatric nurses should gain a better understanding of their status as guarantor and the obligations entailed in this status. This article is intended to assist psychiatric nurses understand their responsibilities under current laws.
精神科护士作为防范刑事疏忽的保证人，负有特殊的义务和法律责任。在台湾，保证人角色以及精神科护理中的医疗疏忽一直是被忽视的话题。
（1）确定精神科护士作为保证人的现状；（2）在法律背景下理解这种现状与当前案例中不作为之间的因果关系；（3）了解当前案例中的事实和争议点。（4）探究当前案例中精神科护士被判刑事疏忽罪的原因。
采用文献回顾和案例研究的方法，分析高等法院对一审第122号（2005年）刑事判决和量刑复议。
（1）在台湾，精神科护士担任两种保证人角色。一种角色是法定受保护利益保证人，另一种是监管人危险来源保证人。（2）与当前案例相关的保证人身份的三个来源是：护士的自愿承诺；医疗合同；监管人的注意义务。（3）在本案例中，精神科护士未履行其作为保证人的义务，未能防止患者自杀。疏忽导致患者死亡，该精神科护士被判有罪。
为防止犯罪行为，精神科护士应更好地理解其作为保证人的身份以及该身份所带来的义务。本文旨在帮助精神科护士了解现行法律规定下的责任。
