— 照護管理 · HARD · MCQ —
護理長正在推行文件紀錄系統的變革，應採取何種行動以提升同仁的參與度？
A nurse manager is implementing a change in the documentation system. Which action should the manager take to increase staff buy-in?
- AMandate the change immediately without discussion未經討論立即強制實施變更
- BOffer financial incentives to those who use the system first對率先使用系統者提供財務獎勵
- CIgnore staff concerns to avoid delays in implementation忽略員工疑慮以避免實作延遲
- DInvolve staff in the planning and selection process✓ 正解讓員工參與規劃與選型過程
— Explanation · 中文詳解 —
護理管理中的變革成功與否，取決於同仁的「變革準備度」。讓員工參與規劃與選擇過程（Participative management），能賦予員工歸屬感，降低對未知流程的抗拒。當員工感到自己的意見被重視，且能親自測試系統的適用性時，會更願意配合推行。強制執行或忽略擔憂通常會引發負面情緒，導致變革失敗，因此建立共識與參與機制是護理長推動變革的關鍵策略。
Involving staff in the planning and selection process fosters ownership and reduces resistance to change by addressing their concerns and increasing buy-in. Mandatory implementation or ignoring feedback often leads to low morale and errors, whereas participatory management supports successful adoption of new systems.