Kuo Shu-Chen, Lay Huey-Jen
PhD, RN, Assistant Professor, Department of Nursing, Central Taiwan University of Science and Technology, Taiwan, ROC.
MD, President, Feng Yuan Hospital, Ministry of Health and Welfare, Taiwan, ROC.
Hu Li Za Zhi. 2021 Aug;68(4):14-22. doi: 10.6224/JN.202108_68(4).03.
Nurse aides are the most important direct-care providers and are indispensable in caring for hospitalized patients. Most of the hospitalized patients who need care in their daily lives hire nurse aides as regular caregivers. Care work involves numerous risks, and negligent care that results in patient injury may put a nurse aid caregiver at risk of litigation. To help nurse aides better understand their care duties, the concept of risk and prevention in care and three civil lawsuit cases involving negligence in care are presented in this paper. In the legal cases, the nurse aides were found guilty of causing death or injury due to negligence, highlighting that these caregivers did not meet their duty of care in providing care to their patients. These cases are used to analyze the causes of care negligence and the types of negligence and to propose preventive strategies for hospitals, care providers, and nurse aides to implement preventive measures and enforce self-autonomy. In addition, regular government programs focused on inspection, supervision, and accreditation can strengthen the supervision and responsibilities of hospitals. Nurse aides are expected to fulfill their care duties and develop ethical norms as well as internalize these into their personal beliefs as the framework for providing care. It is hoped that nurse aides will understand and fulfill their care duties to prevent patient injury or death due to negligence as part of their duty to protect patient rights.
护士助理是最重要的直接护理提供者，在照顾住院患者方面不可或缺。大多数日常生活需要护理的住院患者会聘请护士助理作为常规护理人员。护理工作存在诸多风险，因护理疏忽导致患者受伤可能会使护士助理护理人员面临诉讼风险。为帮助护士助理更好地理解其护理职责，本文介绍了护理中的风险与预防概念以及三起涉及护理疏忽的民事诉讼案件。在这些法律案件中，护士助理因疏忽导致患者死亡或受伤而被判有罪，这凸显出这些护理人员在为患者提供护理时未履行其护理职责。这些案例用于分析护理疏忽的原因和疏忽类型，并为医院、护理提供者和护士助理提出预防策略，以实施预防措施并强化自我约束。此外，政府定期开展的检查、监督和认证项目可加强医院的监管和责任。护士助理应履行其护理职责，制定道德规范并将其内化到个人信念中，作为提供护理的框架。希望护士助理理解并履行其护理职责，以防止因疏忽导致患者受伤或死亡，这是他们保护患者权利职责的一部分。
