組織結構會影響護理人員的離職與任務績效嗎？－以台灣醫院照護體系為例

近年來，台灣醫療環境快速變化，醫療院所需以系統設計來確保有效的溝通和協調，並整合部門間力量，以達到組織績效。護理人員的離職率是組織績效重要衡量指標之一，過高的離職率將導致組織績效降低。同時組織績效可透過員工任務績效的實踐來展現。進言之，組織結構就是系統的基礎，主要目的之一為控制，包括控制組織成員間彼此的協調方式，以及控制激勵成長的方法，以增進組織最佳績效。就組織結構主要目的角度而言，台灣醫療院所現今的組織結構特質是什麼，對於護理人員執業環境的協調與激勵控制又有何影響，護理人員會選擇留任或離開職場，以及對於任務績效執行的可能影響是什麼，為本文討論的議題。

關鍵字

組織結構；離職；任務績效

並列摘要

achieve organizational performance indicators, well-designed systems that ensure effective communication and coordination between departments and integrate resources within healthcare institutions are needed. In addition, nurses' turnover rate is an important indicator of organizational performance, such that a high turnover rate will result in reduced organizational performance. Organizational performance can be evidenced by employees' task performance. The organization structure is thus a foundation of the system. The main purpose of the organizational structure is to control members within an organization in a coordinated manner and in a way that motivates growth, and improves organizational performance. This paper describes characteristics of the organizational structure of Taiwan's healthcare institutions under the scope of the main purpose of the organization structure. In addition, the impact of the characteristic of organizational structures on the nurses' practice environment, intentions to In recent years, changes in healthcare environment occur rapidly in Taiwan. In order to leave, as well as the task performance are discussed.

並列關鍵字

organizational team structure ； turnover ； task performance

參考文獻

中央健保署 ( 2015 年 2 月 26 日 ) . 醫療服務指標 2015 年 03 月 18 日取自 http://www.nhi.gov.tw /Resource/webdata/1781 2 %E5%81%A5% E4%BF%9D-%E8%82%86 10402.pdf

Google Scholar

中央健保署 ( 2011 年 4 月 29 日 ) , 全民健康保險監理委員會第 191 次會議紀錄 , 2015 年 03 月 18H http://www.mohw.gov.tw/MOHW_ Upload/doc/1000429%E7%AC%AC191%E6 %AC%A1%E5%A7%94%E5%93%A1%E6 %9C%83%E8%AD%B0%E7%B4%80%E9 %8C%84_0031298001.pdf.