— 照護管理 · HARD · MCQ —
護理長面對員工不遵守安全守則的情形，最有效的方式為何？
A nurse manager is addressing a situation where staff are not following safety protocols. What is the most effective approach?
- AOnly focus on the individual who made the mistake僅關注犯錯的個人
- BDiscuss the issue during a staff meeting with data and feedback✓ 正解在員工會議上以數據和回饋討論此議題
- CIgnore the violations as long as no accidents happen只要未發生事故就忽視違規行為
- DPublicly reprimand the staff members公開斥責員工
— Explanation · 中文詳解 —
變革管理強調透明度與系統分析。公開責罵會破壞團隊信任與心理安全感，忽視則姑息養奸。利用數據與團隊會議溝通，能協助員工了解『為何要遵守』，並鼓勵團隊回饋，從系統面檢討為何守則難以落實，此乃專業護理管理之關鍵。
Change management emphasizes transparency and systems analysis. Public reprimand undermines team trust and psychological safety, while ignoring the issue perpetuates the problem. Using data and team meetings to communicate helps staff understand "why we must comply" and encourages team feedback to examine—from a systems perspective—why the protocol is difficult to follow; this is the key to professional nursing management.
✦ 台美臨床差異
美國強調『不責難文化』（Just Culture）；台灣臨床環境仍受『尊卑長幼』影響，公開指責較常發生，但目前已逐步過渡至 Just Culture 模式。