— 照護管理 · HARD · MCQ —
護理長正在推行文件紀錄系統的變革。哪項行動最能促使員工落實此變革？
A nurse manager is implementing a change in the documentation system. Which action best facilitates staff adoption of this change?
- AProviding a one-time demonstration of the system提供一次性的系統示範
- BInvolving staff members in the planning and implementation process✓ 正解讓員工參與規劃與實施過程
- CMandating the change through a written policy透過書面政策強制變更
- DRewarding those who use the system first獎勵最先使用系統的人員
— Explanation · 中文詳解 —
變革管理理論顯示，邀請員工參與決策過程（Participatory management）能大幅降低對變革的抗拒，並增加執行意願。透過蒐集第一線人員的困難與建議，能優化系統設計並確保員工感受到尊重，從而提升系統轉換的成功率與滿意度。
Involving staff in the planning and implementation of changes fosters ownership and reduces resistance, which is crucial for successful adoption of new systems. Participatory management allows employees to voice concerns and contribute to solutions, leading to higher satisfaction and compliance compared to top-down mandates or isolated training sessions.
✦ 台美臨床差異
美方醫療體系極度重視 Shared Governance，變革多需經委員會討論；台灣醫療環境節奏快，變革常由管理者直接宣布。