— 照護管理 · MEDIUM · MCQ —
護理長正在處理一位經常遲發藥物的護理師。下列哪項是護理長首要採取的行動？
A charge nurse is managing a staff nurse who consistently misses medication administration times. What is the nurse manager's priority action?
- AReport the nurse to the state board of nursing向州護理委員會舉報該護理師
- BAssign a peer mentor to watch the nurse指派同儕導師監督該護理師
- CIssue a formal written warning immediately立即發出正式書面警告
- DDiscuss the issue privately with the nurse to identify barriers✓ 正解私下與該護理師討論問題以找出障礙
— Explanation · 中文詳解 —
面對績效問題，管理者的第一步應是收集資訊、釐清原因。透過私人會談，管理者能了解護理師是否因工作負荷過重、缺乏訓練或個人問題導致疏失。在採取懲處（紀律處分）前，應先給予改進機會與指導，直接懲處無法解決根本原因。
When addressing a performance problem, the manager's first step is to gather information and clarify the underlying cause. A private conversation allows the manager to determine whether the nurse's omissions stem from excessive workload, lack of training, or personal issues. Before resorting to disciplinary action, the manager should provide opportunities for improvement and guidance, because direct discipline cannot resolve the root cause.
✦ 台美臨床差異
美國護理管理注重教導與員工協助計畫（EAP）；台灣職場文化較傾向直接依考績與懲處規範辦理。