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照護管理 · MEDIUM · MCQ

護理長正在處理兩位護理師之間的衝突,下列哪項行動最為適當?

A nurse manager is addressing a conflict between two staff nurses. Which action is most appropriate for the nurse manager to take?

  • ATransfer one nurse to a different shift to avoid further friction
    調派一名護理師至不同班別以避免進一步摩擦
  • BIgnore the situation, assuming the nurses will work it out eventually
    忽略該情況,假設護理師最終會自行解決
  • CInstruct the nurses to resolve the conflict without involving management
    指示護理師在不涉及管理層的情況下自行解決衝突
  • DSpeak with each nurse individually to understand their perspectives✓ 正解
    分別與每位護理師交談以了解其觀點
Explanation · 中文詳解

護理管理的核心在於促進溝通與解決衝突。當員工間出現衝突時,護理長應採取「中立的調查者」角色,而非「仲裁者」。透過個別訪談(Private interview),管理者能深入了解雙方的觀點與情感需求,避免公開衝突帶來的尷尬與防衛心態。此步驟是建立解決方案的前提,確保後續的調解建立在事實與理解之上,而非單方面的強制命令。忽視問題或草率調動人員僅是治標不治本,甚至可能導致單位氛圍惡化與人才流失。

The nurse manager should speak with each nurse individually to understand their perspectives, acting as a neutral investigator to gather facts before facilitating a joint resolution. This approach addresses the root causes of the conflict and promotes effective communication, whereas ignoring the issue or transferring staff fails to resolve the underlying interpersonal problems.

✦ 台美臨床差異

在美國臨床環境中,護理長(Nurse Manager)極度重視「員工參與(Employee Engagement)」與「職場霸凌防制(Anti-bullying/Incivility)」。一旦發生衝突,政策通常要求採取具體的記錄與介入流程,以保護醫院免受勞動法規訴訟。與台灣較為強調「和諧」的文化不同,美式管理更傾向於透過正式的「衝突管理程序(Conflict resolution process)」來處理。

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