— 照護管理 · HARD · MCQ —
護理長計劃變更電子病歷系統。為順利推動變革，護理長首先應採取何種策略？
A nurse manager is planning to implement a change in the electronic medical record (EMR) system. Which strategy should the nurse use first to facilitate change?
- ADiscipline staff who resist the new system懲罰抗拒新系統的員工
- BMandate the change to all staff immediately立即強制所有員工實施變更
- CProvide training sessions for all nursing staff為所有護理人員提供訓練課程
- DIdentify key stakeholders and assess organizational readiness✓ 正解識別關鍵利害關係人並評估組織準備度
— Explanation · 中文詳解 —
變革管理的第一步是評估準備度與識別利害關係人（Stakeholders）。直接強制推行（B）或訓練（C）忽略了抗拒心理與組織環境，容易導致失敗。評估變革的必要性與員工態度，能幫助規劃後續的溝通策略與資源分配。
The first step in change management is to assess readiness and identify stakeholders. Simply mandating the change (B) or jumping straight to training (C) ignores resistance and the organizational environment and often leads to failure. Assessing the need for change and staff attitudes helps inform subsequent communication strategies and resource allocation.
✦ 台美臨床差異
美台醫院在導入新系統時，均需經歷類似的變革管理流程，護理主管皆扮演關鍵的溝通橋樑。