— 照護管理 · MEDIUM · MCQ —
護理長正在推動新的實證護理變革，克服員工抗拒最有效的策略為何？
A nurse manager is implementing a new evidence-based practice change. Which strategy is most effective for overcoming staff resistance?
- AOnly providing training to the newest staff members僅提供最新進員工訓練
- BInvolving staff in the planning and implementation process✓ 正解讓員工參與規劃與實施過程
- CIgnoring the resistance until everyone adapts忽視抗拒直到大家適應
- DMandating the change with disciplinary consequences以紀律處分強制推行變革
— Explanation · 中文詳解 —
變革管理（Change Management）的核心在於員工參與。讓員工參與規劃與執行過程（參與式管理），能提升對變革的認同感與擁有感，有效減少抗拒。強迫命令、冷處理或僅培訓新人，都無法達成持續性的文化變革。
The core of change management lies in staff involvement. Engaging staff in the planning and implementation process (participatory management) enhances acceptance and ownership of the change, effectively reducing resistance. Coercion, ignoring concerns, or training only new staff cannot achieve sustainable cultural change.
✦ 台美臨床差異
美國醫院變革多採用團體協作；台灣醫院變革多採 Top-down（由上而下）決策，護理長在中間需花更多心力推動。