— 照護管理 · MEDIUM · MCQ —
護理長正在推行單位政策變革。哪種策略最能有效爭取員工支持？
A nurse manager is implementing a change in unit policy. Which strategy is most effective in gaining staff support?
- ADictating the change and enforcing compliance strictly強制規定變革並嚴格執行服從
- BDelaying implementation until every staff member agrees延遲實施，直到每位員工都同意為止
- CInvolving staff in the decision-making and planning process✓ 正解讓員工參與決策與規劃過程
- DProviding a financial bonus for all employees who comply對所有配合的員工提供金錢獎金
— Explanation · 中文詳解 —
領導與變革管理中，參與式管理是降低抗拒並提高支持度的關鍵。讓員工參與決策流程，能提升其歸屬感與責任感，使變革更易被接受。強制命令通常會引發反彈，而追求全員同意在臨床實務上幾無可能，金錢獎勵雖有短期效果，但難以維持長期的變革承諾。
Involving staff in the decision-making and planning process fosters ownership and reduces resistance to change. Collaborative approaches are more effective than authoritarian mandates or unrealistic expectations of unanimous agreement.
✦ 台美臨床差異
美國護理管理強調 Shared Governance（共享治理）；台灣醫療機構決策模式較為集中，但近年已逐漸引入參與式管理。