{"id":4996,"date":"2017-02-06T00:00:00","date_gmt":"2017-02-05T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=9dc797b24164013fefbb9161039e77f1"},"modified":"2018-08-21T15:23:32","modified_gmt":"2018-08-21T07:23:32","slug":"%e5%85%92%e8%a8%80%e8%87%aa%e5%be%97%ef%bc%9a%e4%b9%9f%e8%ab%87%e3%80%8chea%e3%80%8d","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e5%85%92%e8%a8%80%e8%87%aa%e5%be%97%ef%bc%9a%e4%b9%9f%e8%ab%87%e3%80%8chea%e3%80%8d\/","title":{"rendered":"\u5152\u8a00\u81ea\u5f97\uff1a\u4e5f\u8ac7\u300chea\u300d"},"content":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u3011\u5c0f\u6642\u5bb6\u88cf\u6709\u4f4d\u770b\u7740\u6211\u9577\u5927\u7684\u8001\u4eba\u5bb6\uff0c\u6bcf\u9022\u6211\u5011\u5c0f\u5b69\u5b50\u8fa6\u4e8b\u4e0d\u529b\uff0c\u4e0d\u7ba1\u662f\u5b78\u6821\u529f\u8ab2\u6216\u5bb6\u52d9\uff0c\u53ea\u8981\u5979\u4e0d\u611c\u610f\uff0c\u7e3d\u611b\u7f75\u6211\u5011\u300c\u898b\u8eab\u90c1\u5514\u898b\u7c73\u767d\u300d\u3002\u9019\u662f\u5979\u7684\u53e3\u982d\u79aa\uff0c\u773c\u4e0b\u5e74\u8f15\u4eba\u53ef\u80fd\u5927\u591a\u4e0d\u89e3\u5176\u610f\uff0c\u537b\u662f\u5f88\u300c\u672c\u571f\u300d\u7684\u5ee3\u6771\u4fd7\u8afa\ufe55\u4ee5\u524d\u6bcf\u5bb6\u6bcf\u6236\u90fd\u8981\u8202\u7c73\uff0c\u628a\u7cd9\u7c73\u8202\u7d30\u6210\u70ba\u767d\u7c73\u624d\u53ef\u98df\u7528\u3002\u5982\u679c\u6709\u4eba\u5728\u8202\u7c73\u6642\u770b\u4f3c\u76e1\u529b\uff0c\u4f46\u6240\u8202\u7684\u7c73\u537b\u9072\u9072\u4e0d\u8f49\u767d\uff0c\u9019\u500b\u4eba\u8981\u4e0d\u5c31\u5728\u88dd\u6a21\u4f5c\u6a23\uff0c\u8981\u4e0d\u5c31\u662f\u5de5\u4f5c\u6548\u7387\u5947\u5dee\u3002<\/p>\n

\u5728\u91ab\u9662\u5de5\u4f5c\uff0c\u5c24\u5176\u662f\u5206\u79d2\u5fc5\u722d\u7684\u65b0\u751f\u5152\u6df1\u5207\u6cbb\u7642\u90e8\uff08NlCU\uff09\uff0c\u540c\u4e8b\u90fd\u8a0e\u53ad\u90a3\u4e9b\u300c\u898b\u8eab\u90c1\u5514\u898b\u7c73\u767d\u300d\u7684\u99d0\u9662\u91ab\u751f\uff0c\u5c24\u5176\u662f\u90a3\u4e9b\u8868\u9762\u626e\u5fd9\u788c\uff0c\u4e0a\u53f8\u9762\u524d\u66f4\u986f\u5f97\u7279\u5225\u8ce3\u529b\uff0c\u5167\u88cf\u537b\u7d93\u5e38\u8eb2\u5728\u4e00\u65c1\u5077\u61f6\uff0c\u4e0b\u73ed\u6642\u7559\u4e0b\u4e00\u5927\u5806\u672a\u5b8c\u6210\u5de5\u4f5c\uff0c\u8981\u63a5\u73ed\u7684\u7576\u503c\u91ab\u751f\u5fb9\u591c\u63a5\u529b\u7684\u300c\u4eba\u8fa6\u300d\u3002\u53cd\u800c\u90a3\u4e9b\u56e0\u70ba\u80fd\u529b\u6240\u9650\uff0c\u6574\u5929\u62fc\u547d\u5de5\u4f5c\u4e5f\u6210\u6548\u4e0d\u5f70\uff0c\u672a\u80fd\u5b8c\u6210\u4efb\u52d9\u7684\u540c\u4e8b\uff0c\u4ed6\u5011\u6709\u5fc3\u7121\u529b\u3001\u5927\u5bb6\u90fd\u6703\u5bc4\u4e88\u540c\u60c5\uff0c\u5c0d\u4ed6\u5011\u4e5f\u4e0d\u600e\u6a23\u618e\u60e1\u3002<\/p>\n

\u626e\u5fd9\u3001\u51e1\u4e8b\u7ba1\u7684\u4e0a\u53f8\u6700\u8a0e\u53ad<\/p>\n

\u99d0\u9662\u91ab\u751f\u5982\u662f\uff0c\u8ca0\u8cac\u884c\u653f\u6307\u63ee\u7684NlCU\u4e3b\u7ba1\u7d1a\u91ab\u751f\u53c8\u5982\u4f55\uff1f\u8a31\u591a\u91ab\u8b77\u540c\u4e8b\u6700\u6015\u7684\u61c9\u8a72\u662f\u90a3\u4e9b\u300c\u8b1b\u5c31\u5929\u4e0b\u7121\u6575\u3001\u505a\u5c31\u81ea\u4ee5\u70ba\u6709\u529b\u300d\uff0c\u800c\u4e14\u4e8b\u4e8b\u8981\u7ba1\uff0c\u96de\u6bdb\u849c\u76ae\u5c0f\u4e8b\u4e5f\u4e0d\u653e\u904e\u7684\u300c\u5fae\u89c0\u7ba1\u7406\u8005\u300d\uff08micromanager\uff09\u4e0a\u53f8\u3002\u9019\u7a2e\u4eba\u7684\u7279\u8cea\uff0c\u662f\u81ea\u6200\u517c\u770b\u4e0d\u8d77\u4e5f\u4fe1\u4e0d\u904e\u5225\u4eba\uff0c\u4ee5\u70ba\u6574\u500b\u5718\u968a\u90fd\u80fd\u529b\u4e0d\u902e\uff0c\u53ea\u6709\u81ea\u5df1\u624d\u662f\u7cbe\u82f1\uff0c\u8981\u4e8b\u4e8b\u904e\u554f\u3001\u4e8b\u4e8b\u63d2\u624b\u3002\u5c0d\u4e0b\u5c6c\u9023\u8d77\u78bc\u7684\u4fe1\u4efb\u4e5f\u6b20\u5949\uff0c\u66f4\u4e0d\u7528\u8aaa\u6b23\u8cde\u4e86\u3002\u9019\u6a23\u7684\u4eba\uff0c\u8a31\u591a\u6642\u9084\u6703\u60a3\u4e86\u300c\u6709\u529f\u81ea\u5df1\u8981\u3001\u6709\u904e\u4e0b\u5c6c\u5b6d\u300d\u7684\u4f75\u767c\u75c7\u3002\u4e0b\u5c6c\u6709\u9019\u6a23\u7684\u4e0a\u53f8\uff0c\u81ea\u7136\u4e0d\u6703\u6b7b\u5fc3\u584c\u5730\u70ba\u4ed6\u8ce3\u547d\u3002\u52a0\u4e0a\u52d5\u8f12\u5f97\u548e\uff0c\u591a\u62b1\u300c\u4e0d\u505a\u4e0d\u932f\u3001\u591a\u505a\u591a\u932f\u300d\u7684\u5fc3\u614b\u3002\u4e0a\u53f8\u63d0\u51fa\u7684\u993f\u4e3b\u610f\uff0c\u4e0b\u5c6c\u660e\u77e5\u884c\u4e0d\u901a\uff0c\u751a\u81f3\u6709\u6a5f\u6703\u9b27\u51fa\u798d\u4e8b\uff0c\u4e5f\u61f6\u5f97\u63d0\u51fa\u7570\u8b70\u3002\u91ab\u7642\u5718\u968a\u9019\u6a23\u904b\u4f5c\uff0c\u6700\u7d42\u662f\u5bb3\u82e6\u4e86\u75c5\u4eba\u3002<\/p>\n

\u53e6\u5916\u4e00\u7a2e\u4eba\u898b\u4eba\u6015\u7684\u4e3b\u7ba1\u91ab\u751f\uff0c\u662f\u300c\u904e\u5ea6\u6d3b\u8e8d\u578b\u300d\u90a3\u4e00\u985e\u3002\u4ed6\u5011\u4e00\u822c\u90fd\u662f\u5de5\u4f5c\u72c2\uff0c\u6574\u5929\u5b88\u5019\u5728\u6df1\u5207\u6cbb\u7642\u90e8\uff0c\u4e0d\u662f\u7ffb\u770b\u9019\u500b\u75c5\u4eba\u7684\u6392\u677f\uff0c\u4fbf\u662f\u89c0\u5bdf\u90a3\u500b\u75c5\u4eba\u7684\u76e3\u5bdf\u5100\u548c\u547c\u5438\u6a5f\u3002\u8981\u662f\u4ed6\u5011\u65e8\u5728\u95dc\u5fc3\u75c5\u4eba\u7684\u60c5\u51b5\u90a3\u9084\u7f77\u4e86\uff0c\u53ef\u662f\u4ed6\u5011\u7684\u52d5\u6a5f\uff0c\u4f3c\u4e4e\u662f\u627e\u85c9\u53e3\u6539\u52d5\u75c5\u4eba\u7684\u6cbb\u7642\u65b9\u6848\uff0c\u8b93\u4ed6\u5011\u6709\u4e8b\u53ef\u505a\u3002\u4f8b\u5982\u75c5\u4eba\u7684\u6c27\u6c23\u6307\u6a19\u6709\u8f15\u5fae\u5fa7\u5dee\uff0c\u6b63\u5e38\u505a\u6cd5\u662f\u5148\u89c0\u5bdf\u75c5\u4eba\u60c5\u51b5\uff0c\u6191\u81e8\u7240\u7d93\u9a57\u8a55\u4f30\u662f\u5426\u6b63\u5e38\u751f\u7406\u72c0\u614b\uff0c\u9084\u662f\u771f\u7684\u75c5\u51b5\u52a0\u5287\uff0c\u7136\u5f8c\u8a55\u4f30\u662f\u5426\u9700\u8981\u9032\u4e00\u6b65\u6aa2\u9a57\u548c\u6cbb\u7642\u3002\u53ef\u662f\u90a3\u4e9b\u300c\u904e\u5ea6\u6d3b\u8e8d\u300d\u7684\u4e3b\u7ba1\uff0c\u5f80\u5f80\u4e0d\u591a\u52a0\u601d\u7d22\u4fbf\u4e0b\u9054\u547d\u4ee4\uff0c\u70ba\u75c5\u4eba\u9032\u884c\u4e00\u5927\u5806\u7684\u6aa2\u9a57\uff0c\u66f4\u6539\u547c\u5438\u6a5f\u8f38\u51fa\uff0c\u52a0\u91cd\u85e5\u7269\u6cbb\u7642\u7b49\u3002\u4e5f\u4e0d\u8003\u616e\u9019\u4e9b\u6aa2\u67e5\u548c\u6cbb\u7642\u662f\u5426\u9700\u8981\uff0c\u5c0d\u75c5\u4eba\u662f\u5426\u672a\u898b\u5176\u5229\uff0c\u5148\u898b\u5176\u5bb3\u3002\u4ed6\u5011\u5728NlCU\u6574\u5929\u70ba\u6bcf\u500b\u75c5\u4eba\u6539\u9019\u6539\u90a3\uff0c\u4ee4\u5718\u968a\u75b2\u65bc\u5954\u547d\uff0c\u75c5\u4eba\u4e5f\u53ef\u80fd\u8eab\u53d7\u5176\u5bb3\u3002<\/p>\n

\u300chea\u300d\u5f97\u6709\u6210\u7e3e \u5be6\u662f\u597d\u4e3b\u7ba1<\/p>\n

\u6211\u8a8d\u8b58\u6700\u597d\u7684\u4e3b\u7ba1\uff0c\u90fd\u662f\u80fd\u5920\u548c\u4e0b\u5c6c\u4e92\u4fe1\u4e92\u91cd\uff0c\u6709\u529f\u6b78\u65bc\u5718\u968a\uff0c\u6709\u798d\u6211\u81ea\u64d4\u7576\u3002\u8fa6\u4e8b\u614b\u5ea6\u662f\u6de1\u5b9a\u5f9e\u5bb9\u3001\u8655\u8b8a\u4e0d\u9a5a\uff1b\u5c31\u50cf\u9d28\u5b50\u5212\u6c34\uff0c\u6c34\u4e0b\u96d9\u8e7c\u99ac\u4e0d\u505c\u8e44\uff0c\u904b\u7c4c\u5e37\u5e44\uff0c\u6c34\u9762\u4e4b\u4e0a\u72c0\u751a\u60a0\u9592\uff0c\u4e0d\u6703\u4ee4\u548c\u4ed6\u5de5\u4f5c\u7684\u4eba\u7cbe\u795e\u7dca\u5f35\u3002\u6625\u79cb\u6642\u6649\u570b\u548c\u695a\u570b\u6253\u4ed7\uff0c\u695a\u570b\u5927\u592b\u5b50\u91cd\u554f\u6649\u570b\u4f7f\u81e3\u6649\u8ecd\u6709\u4f55\u53b2\u5bb3\u4e4b\u8655\uff0c\u4f7f\u81e3\u7b54\ufe55\u7b2c\u4e00\u662f\u300c\u6574\u300d\uff08\u8ecd\u968a\u6574\u9f4a\u6709\u5e8f\uff09\uff1b\u7b2c\u4e8c\u662f\u300c\u6687\u300d\u3002\u300c\u6687\u300d\u5373\u662f\u770b\u4f86\u60a0\u9592\uff0c\u5f9e\u5bb9\u4e0d\u8feb\uff0c\u5b57\u97f3\u5b57\u7fa9\u90fd\u548c\u6f6e\u8a9e\u300chea\u300d\u6709\u9ede\u76f8\u4f3c\u3002\u770b\u4f86\u505a\u9818\u8896\uff0c\u53ea\u8981\u6709\u6210\u7e3e\uff0c\u8aaa\u4ed6\u300chea\u300d\u61c9\u8a72\u662f\u8b9a\u8b7d\u4e4b\u8a5e\u3002<\/p>\n

\u4f5c\u8005\u7c21\u4ecb\uff1a\u4e2d\u5927\u526f\u6821\u9577\uff0c\u5152\u79d1\u5c08\u79d1\u91ab\u751f\uff0c\u5c08\u7814\u65b0\u751f\u5b30\u5152\u554f\u984c\uff0c\u8ad6\u76e1\u5947\u96e3\u96dc\u75c7\uff0c\u6708\u65e6\u91ab\u8b77\u754c\u4e8c\u4e09\u4e8b<\/p>\n

\u6587\ufe55\u970d\u6cf0\u8f1d<\/p>\n

\/\/www.afterroberto.com\/wp-content\/uploads\/2017\/07\/7-1.jpg;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】小時家裏有位看着我長大的老人家，每逢我們小孩子辦事不力，不管是學校功課或家務，只要她不愜意，總愛罵我們「見身郁唔見米白」。這是她的口頭禪，眼下年輕人可能大多不解其意，卻是很「本土」的廣東俗諺﹕以前每家每戶都要舂米，把糙米舂細成為白米才可食用。如果有人在舂米時看似盡力，但所舂的米卻遲遲不轉白，這個人要不就在裝模作樣，要不就是工作效率奇差。<\/p>\n

在醫院工作，尤其是分秒必爭的新生兒深切治療部（NlCU），同事都討厭那些「見身郁唔見米白」的駐院醫生，尤其是那些表面扮忙碌，上司面前更顯得特別賣力，內裏卻經常躲在一旁偷懶，下班時留下一大堆未完成工作，要接班的當值醫生徹夜接力的「人辦」。反而那些因為能力所限，整天拼命工作也成效不彰，未能完成任務的同事，他們有心無力、大家都會寄予同情，對他們也不怎樣憎惡。<\/p>\n

扮忙、凡事管的上司最討厭<\/p>\n

駐院醫生如是，負責行政指揮的NlCU主管級醫生又如何？許多醫護同事最怕的應該是那些「講就天下無敵、做就自以為有力」，而且事事要管，雞毛蒜皮小事也不放過的「微觀管理者」（micromanager）上司。這種人的特質，是自戀兼看不起也信不過別人，以為整個團隊都能力不逮，只有自己才是精英，要事事過問、事事插手。對下屬連起碼的信任也欠奉，更不用說欣賞了。這樣的人，許多時還會患了「有功自己要、有過下屬孭」的併發症。下屬有這樣的上司，自然不會死心塌地為他賣命。加上動輒得咎，多抱「不做不錯、多做多錯」的心態。上司提出的餿主意，下屬明知行不通，甚至有機會鬧出禍事，也懶得提出異議。醫療團隊這樣運作，最終是害苦了病人。<\/p>\n

另外一種人見人怕的主管醫生，是「過度活躍型」那一類。他們一般都是工作狂，整天守候在深切治療部，不是翻看這個病人的排板，便是觀察那個病人的監察儀和呼吸機。要是他們旨在關心病人的情况那還罷了，可是他們的動機，似乎是找藉口改動病人的治療方案，讓他們有事可做。例如病人的氧氣指標有輕微徧差，正常做法是先觀察病人情况，憑臨牀經驗評估是否正常生理狀態，還是真的病况加劇，然後評估是否需要進一步檢驗和治療。可是那些「過度活躍」的主管，往往不多加思索便下達命令，為病人進行一大堆的檢驗，更改呼吸機輸出，加重藥物治療等。也不考慮這些檢查和治療是否需要，對病人是否未見其利，先見其害。他們在NlCU整天為每個病人改這改那，令團隊疲於奔命，病人也可能身受其害。<\/p>\n

「hea」得有成績 實是好主管<\/p>\n

我認識最好的主管，都是能夠和下屬互信互重，有功歸於團隊，有禍我自擔當。辦事態度是淡定從容、處變不驚；就像鴨子划水，水下雙蹼馬不停蹄，運籌帷幄，水面之上狀甚悠閒，不會令和他工作的人精神緊張。春秋時晉國和楚國打仗，楚國大夫子重問晉國使臣晉軍有何厲害之處，使臣答﹕第一是「整」（軍隊整齊有序）；第二是「暇」。「暇」即是看來悠閒，從容不迫，字音字義都和潮語「hea」有點相似。看來做領袖，只要有成績，說他「hea」應該是讚譽之詞。<\/p>\n

作者簡介：中大副校長，兒科專科醫生，專研新生嬰兒問題，論盡奇難雜症，月旦醫護界二三事<\/p>\n

文﹕霍泰輝<\/p>\n

<\/inline><\/p>\n","protected":false},"author":2,"featured_media":6344,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3],"tags":[157,491,1165],"class_list":["post-4996","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-157","tag-491","tag-1165"],"publishpress_future_action":{"enabled":false,"date":"2026-11-16 10:51:19","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/4996"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=4996"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/4996\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/6344"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=4996"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=4996"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=4996"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}