— 照護管理 · MEDIUM · MCQ —
護理長計畫在單位推動變革。下列哪種策略最能有效處理員工對變革的抗拒？
A nurse manager is planning to implement a new change on the unit. Which strategy is most effective in managing resistance to change among staff?
- AIgnore negative feedback to avoid negative influence忽略負面回饋以避免負面影響
- BKeep the change plan confidential until implementation在實施前保密變革計畫
- CInvolve staff in the planning and decision-making process✓ 正解讓員工參與規劃與決策過程
- DUse formal authority to mandate immediate compliance運用正式權威強制要求立即服從
— Explanation · 中文詳解 —
組織變革管理（Change Management）的挑戰核心在於員工的心理抗拒。根據變革管理理論，參與式決策（Participative Management）能賦予員工歸屬感與控制感，從而降低對未知的不安全感。當員工參與規劃，變革不再是單向強制命令，而是共同努力的目標，這能有效提升變革的可持續性與團隊凝聚力。
Chills, fever, and low back pain shortly after starting a blood transfusion indicate an acute hemolytic reaction, which is a life-threatening emergency requiring immediate cessation of the transfusion. Stopping the infusion is the priority action to prevent further immune-mediated hemolysis, whereas reducing the rate or administering antipyretics fails to address the underlying cause.