某區域醫院護理人員專業自主性與工作滿意度及其相關影響因素之初探

A Pilot Study of the Professional Autonomy, Job Satisfaction, and Related Factors of Nurses at a Regional Hospital

吳玲珠(Lin-Chu Wu) ； 馬素華(Suh-Hwa Maa) ； 鍾蝶起(Tieh-Chi Chung) ； 黃桂香(Kuei-Hsiang Huang) ； 謝明珠(Ming-Chu Hsieh) ； 陳瓊華(Chiung-Hua Chen)

《護理雜誌》 61卷5期 (2014/10) Pp. 54-65

https://doi.org/10.6224/JN.61.5.54

摘要

背景　由於護理人員對專業自主性之施展常感到混淆與受限，且護理工作負荷重又繁瑣，導致工作士氣、工作效率及工作滿意度降低。目的　探討護理人員的專業自主性及工作滿意度的現況及其相關因素。方法　為橫斷性之調查研究，以南部某區域教學醫院全體護理人員為研究對象，使用內外控人格特質、護理專業自主性及工作滿意度等問卷量表進行資料蒐集。結果　共發出問卷207份，回收有效問卷196份，回收率94.69％。146位（74.50％）護理人員屬內控人格特質；中度以上專業自主性與工作滿意度，平均得分分別是3.37與3.32（滿分5分）。不同社會人口學變項護理人員在專業自主性及工作滿意度的得分上有差異。護理人員專業自主性與工作滿意度呈顯著正相關性。結論　護理人員屬內控人格特質者有較高的護理專業自主性及工作滿意度，護理人員專業自主性愈強工作滿意度愈高。

關鍵字

內外控人格特質 ； 專業自主性 ； 工作滿意度

並列摘要

Background: Professional autonomy often causes confusion in nursing staffs that limit their ability to perform to the best of their professional capabilities. Moreover, heavy and busy workloads reduce the energy available for work resulting in lower working efficiency and lower job satisfaction. Purpose: This study explores the status and factors related to professional autonomy and job satisfaction in nurses. Method: A cross-sectional design was used to target the nurses employed at a regional hospital in southern Taiwan. Data on locus of control, professional autonomy, and job satisfaction were collected for analysis. Results: Data were collected from 207 nurses, with 196 valid responses (response rate: 94.69%). One hundred and forty-six subjects (74.5%) were found to have an internal locus of control personality type. Scores for both professional autonomy and job satisfaction were above the ＂moderate＂ level (averages: 3.37 and 3.32, respectively, on a maximum scale of 5). Social demographic differences contributed to the variance in professional autonomy and job satisfaction among participants. Professional autonomy was found to be positively associated with job satisfaction. Conclusion: The findings of this study indicate that nurses with an internal locus of control personality exhibit higher professional autonomy and job satisfaction and that higher professional autonomy is associated with higher job satisfaction.

並列關鍵字

locus of control ； professional autonomy ； job satisfaction

參考文獻

胡秀媛、陳台英、邱紹一、陳昭雄（2007）．護理人員工作滿意度、專業承諾、專業自主性之相關研究：苗栗大千醫院為例．弘光學報，51，71－80。[Hu, H. Y., Chen, T. Y., Chiu, S. I., & Chen, J. S. (2007). The nurse manager: Job satisfaction, professional autonomy, and professional commitment. Bulletin of Hungkuang University, 51, 71－80.]

陳妮婉、張彩秀、張淑萍、宋琇鈺（2011）．護理人員健康促進生活型態與生活品質之關係探討．澄清醫護管理雜誌，7（2），27－37。[Chen, N. W., Chang, T. H., Chang, S. P., & Sung, H. Y. (2011). The association of health promoting lifestyle and quality of life among nurses. Cheng Ching Medical Journal, 7(2), 27－37.]

林　誠、張芳梓（2008）．醫院感染管制人員工作投入、工作壓力及工作滿意度之探討．健康管理學刊， 6（1），33－47。[Lin, C., & Chang, F. T. (2008). A study of the nosocomial infections controller's job involvement, job stress and the job satisfaction. Journal of Health Management, 6(1), 33－47.]

王郁智、章淑娟、朱正一（2006）．升遷機會、社會支持、工作滿意度與留任意願之相關性研究．志為護理—慈濟護理雜誌，5（4），90－101。[Wang, Y. C., Chang, S. C., & Chu, C. I. (2006). Investigation of the relationship between possibilities of promotion, social support, job satisfaction and intention to stay of nurses. Tzu Chi Nursing Journal, 5(4), 90－101.]

胡蓮珍、曾淑梅、袁素娟（2003）．中部某醫學中心護理人員工作滿意度及其相關因素之探討．中山醫學雜誌，14（2），315－325。[Hwu, L. J., Tseng, S. M., & Yuan, S. C. (2003). Job satisfaction among nurses in a medical center in central Taiwan. The Chung Shan Medical Journal, 14(2), 315－325.]