— 照護管理 · MEDIUM · MCQ —
護理長正在推行一項新政策。下列哪項是有效的變革管理策略？
A nurse manager is implementing a new policy. Which of the following is an example of an effective change management strategy?
- AThreatening disciplinary action for resistance to the new policy以懲處威脅對抗新政策者
- BIgnoring staff concerns to avoid delays in implementation忽略員工疑慮以避免實施延誤
- CCommunicating the benefits and rationale for the change✓ 正解溝通變革的好處與理由
- DEnforcing the change without input from the nursing staff在未徵求護理人員意見的情況下強制推行變革
— Explanation · 中文詳解 —
成功的變革管理需建立在員工參與與溝通上。清楚說明變革的效益與背後的理論基礎（Rationale），能降低員工的抗拒並提升執行意願。強迫執行（D）、威脅懲處（A）或忽視抱怨（B）會導致團隊士氣低落，反而增加政策執行的障礙。
Effective change management involves transparently communicating the benefits and rationale behind the new policy to reduce staff resistance and foster buy-in. Forcing changes without input or threatening discipline undermines morale, whereas explaining the value of the change encourages cooperation and successful implementation.
✦ 台美臨床差異
美國護理管理強調 Shared Governance（共享治理）；台灣則較偏向層級分明的科層體制，近年亦開始推動護理參與決策。