— 照護管理 · HARD · MCQ —
護理長正在推行交班模式的改變，哪種策略能最有效降低員工的抗拒？
A nurse manager is implementing a change in shift reporting. Which strategy will most effectively reduce staff resistance?
- AInvolving staff in the planning and implementation process✓ 正解讓員工參與規劃與實施過程
- BDisciplinary action for staff who do not follow the new policy對未遵循新政策的員工採取紀律處分
- CMandating the change immediately without discussion未經討論立即強制實施變更
- DWaiting until the staff requests a change等待員工提出變更要求
— Explanation · 中文詳解 —
變革管理中，賦予員工參與感與決策權是減少抗拒的關鍵。透過共同參與規劃，員工能感受到對改變的掌控，進而增加對政策的接受度，這也是變革理論（如 Lewin's Change Theory）中常見的成功策略。
In change management, granting staff a sense of participation and decision-making authority is the key to reducing resistance. Through shared involvement in planning, staff feel a sense of control over the change, which increases acceptance of the new policy. This is a common successful strategy in change theories such as Lewin's Change Theory.
✦ 台美臨床差異
美國醫院常見共同治理（Shared Governance）；台灣醫院多由上而下（Top-down）決策，護理長角色較重執行與傳達。