— 照護管理 · HARD · MCQ —
護理主管正計畫實施一項新的實證護理變革。護理主管應採取何種策略以降低員工對變革的抵觸？
A nurse manager is planning to implement a new evidence-based practice change. Which strategy should the nurse use to minimize resistance to change among staff?
- AMandate the change immediately to ensure compliance立即強制推行變革以確保遵從
- BLimit communication to formal meetings only僅限於正式會議進行溝通
- CProvide only the negative consequences of not changing僅提供不改變的負面後果
- DInvolve staff in the planning and decision-making process✓ 正解讓員工參與規劃與決策過程
— Explanation · 中文詳解 —
變革管理的核心在於參與感。當員工參與決策過程（Participatory management），他們會更有歸屬感與責任感，從而降低抵觸情緒。強制執行（Mandate）通常會產生反效果，而單方面溝通則無法解決深層的疑慮。
To minimize resistance during evidence-based practice changes, nurses should involve staff in the planning and decision-making processes. Participatory management fosters a sense of ownership and responsibility, which significantly reduces resistance compared to mandatory implementations or limited communication.
✦ 台美臨床差異
台美醫療文化中，溝通風格略有不同，但「參與式管理」皆為降低變革阻力的最佳實證策略。