Yang Wan-Ping, Chen Yu-Feng
PhD, RN, Team Leader, Department of International Medical Center, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Taiwan, ROC.
BSN, RN, Chairman, Taiwan Nursing & Medical Industries Union, Taiwan, ROC.
Hu Li Za Zhi. 2021 Aug;68(4):6-13. doi: 10.6224/JN.202108_68(4).02.
The steady and continued rise in medical-related disputes and lawsuits is one indicator of the myriad risks and challenges faced in today's nursing practice. When nurses become defendants, the lengthy litigation process and pressures that ensue greatly impact their professional and personal lives. Nursing practice dispute categories marked by particularly high severity and frequency over the past ten years include: (1) Failure to operate according to standard procedures, (2) Insufficient nursing sensitivity and negligent care, (3) Failure to communicate and deal with issues promptly and appropriately, (4) Beyond the scope of nursing practice, and (5) Falsification or alteration of nursing records. In this paper, the important duties of care in four major nursing practices are first summarized based on the relevant legal risks. Next, based on this, risk management procedures are prioritized, evidence-oriented nursing routine standards are set, and systematic analysis and management are conducted. In addition, to strengthen the legal awareness of nurses, nursing staffs, supervisors, and institutions must all understand clearly the three types of civil and criminal legal liabilities and their respective administrative responsibilities. Nurses should proactively work to handle the related legal risks and avoid the unpleasant consequences of civil liability in the realms of compensation, criminal punishment for negligent injury and homicide, and administrative disciplinary action.
与医疗相关的纠纷和诉讼持续稳步上升，这是当今护理实践面临众多风险和挑战的一个指标。当护士成为被告时，漫长的诉讼过程以及随之而来的压力会对他们的职业和个人生活产生重大影响。在过去十年中，严重程度和发生频率特别高的护理实践纠纷类别包括：（1）未按标准程序操作；（2）护理敏感度不足和护理疏忽；（3）未及时、妥善地沟通和处理问题；（4）超出护理实践范围；（5）伪造或篡改护理记录。本文首先根据相关法律风险总结了四大护理实践中的重要护理职责。在此基础上，对风险管理程序进行优先级排序，制定以证据为导向的护理常规标准，并进行系统分析和管理。此外，为了增强护士的法律意识，护理人员、管理人员和机构都必须清楚了解三类民事和刑事法律责任及其各自的行政责任。护士应积极应对相关法律风险，避免在赔偿、过失伤害和杀人罪的刑事处罚以及行政纪律处分等民事责任方面出现不愉快的后果。
