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照護管理 · MEDIUM · MCQ

護理長處理兩位護理師在排班上的衝突,哪種初始處理方式最有效?

A nurse manager is addressing a conflict between two nurses regarding shift scheduling. What is the most effective initial approach?

  • ATake over the scheduling duty yourself
    親自接手排班工作
  • BIgnore the issue until the conflict resolves
    忽略該問題直到衝突自行解決
  • CFacilitate a meeting for the nurses to discuss the issue✓ 正解
    安排護理師會議討論該問題
  • DAssign the schedule based on seniority
    依年資分配排班
Explanation · 中文詳解

護理管理中的衝突處理核心在於「賦權」與「溝通」。當面對同儕間的排班衝突時,管理者應扮演促進者(Facilitator)角色,而非直接介入或裁決。透過安排會議讓當事人直接對話,能釐清衝突點,並鼓勵護理師運用專業自主權尋求雙贏方案(Collaboration)。直接由管理者接手或依年資分配,會削弱團隊的協商能力,甚至引發更深的怨懟。

The core of conflict management in nursing is empowerment and communication. When facing peer scheduling conflicts, the manager should act as a facilitator rather than directly intervene or arbitrate. Arranging a meeting for the involved parties allows clarification of conflict points and encourages nurses to use professional autonomy to find win-win solutions (collaboration). Direct takeover or seniority-based allocation undermines team negotiation skills and may breed deeper resentment.

✦ 台美臨床差異

在美國護理管理中,強烈強調「Shared Governance」(共享治理),鼓勵護理師參與排班排程(self-scheduling),管理者通常只在協調無效後才介入。台灣臨床環境中,管理者往往習慣直接裁決,這在NCLEX測驗中屬於錯誤的領導風格。

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