護理長計畫導入新的電子病歷系統，應先採取哪項行動？
A nurse manager is planning to implement a new electronic health record system. Which action should the nurse manager take first?
- ASet a date for the system rollout設定系統上線的日期
- BEvaluate the current system's limitations評估目前系統的局限性
- CIdentify the goals and needs of the staff✓ 正解識別員工的目標和需求
- DTrain all staff on the new software對所有員工進行新軟體的培訓
變革管理（Change Management）的核心在於「參與感」與「需求導向」。在導入電子病歷系統（EHR）這類重大組織變革時，若未先了解第一線使用者的痛點與需求，直接進行培訓或排程，極易引發抗拒或系統使用率低落。護理長應採取「評估階段」（Assessment Phase），優先釐清員工現有的工作流程與對新系統的期待，這能確保後續的培訓計畫具備針對性，並能有效提升團隊對變革的接受度。
The heart of change management lies in 'engagement' and 'needs orientation.' When implementing a major organizational change such as a new electronic health record (EHR) system, failing to first understand the pain points and needs of frontline users and instead going straight to training or scheduling, easily provokes resistance or low system adoption. The nurse manager should begin with an assessment phase, prioritizing clarification of staff's existing workflows and expectations for the new system. This ensures that subsequent training is targeted and effectively improves the team's acceptance of the change.
美國醫療機構在導入 EHR 時非常強調「臨床決策支援」（Clinical Decision Support）與工作流程整合，護理長通常會組成跨部門的「超級使用者」（Super Users）小組來進行需求評估，這比單純的行政決策更具臨床實用性。