— 照護管理 · MEDIUM · MCQ —
病人對於護理計畫感到不滿並產生衝突，護理師採取哪項措施代表有效的衝突解決？
A client is experiencing a power struggle regarding their plan of care. Which action represents effective conflict resolution by the nurse?
- AAvoiding the client until they are ready to cooperate回避病人，直到他們準備好合作
- BCollaborating with the client to identify mutually agreeable goals✓ 正解與病人合作找出雙方都能接受的目標
- CDelegating the interaction to another staff member將互動任務委派給其他工作人員
- DTelling the client they must follow the doctor's orders告訴病人必須遵照醫生的指示
— Explanation · 中文詳解 —
有效的衝突解決應以「合作」為基礎。護理的核心在於以病人為中心的照護（Patient-centered care），透過溝通找出病人的顧慮，並在醫囑與病人需求間取得共識，提高順從性與滿意度，而非強制命令或逃避。
Effective conflict resolution in nursing involves collaboration to establish mutually agreeable goals, which builds trust and promotes patient-centered care. This approach addresses the underlying issues and improves compliance, unlike avoidance, delegation, or authoritarian directives.
✦ 台美臨床差異
台美文化不同，美國強調病人自主權與共決機制，台灣病人有時較傾向尊重醫師權威，但仍應重視溝通。