護理人員執業環境知覺感受對留任意願影響之探討 : 以南部某區域教學醫院為例

Discussion on the Influence of Nursing Personnel 's Environmental Perceived Feelings on Retention : A case study of a regional teaching hospital in south Taiwan

鄭月綿(Yueh-Mine Cheng)

指導教授 ： 高月慈

義守大學/醫學院/醫務管理學系/碩士(2017年)

摘要

實證研究顯示護理執業環境直接影響護理人員的留任和照護品質。本研究探討某區域教學醫院護理人員對於當前護理執業環境之知覺感受之差異與留任意願的相關性及推測能力。資料蒐集採橫斷面研究設計，選取南部某區域教學醫院護理人員參與研究，採不記名方式自填式問卷，研究工具包含基本資料表及中文版護理執業環境量表，有效樣本數為272份，本研究採用階層迴歸統計方式來分析，護理人員對護理執業環境的知覺感受來預測護理人員的留任意願。結果發現護理人員整體對執業環境的知覺持中上滿意度，唯對「足夠人力與各類資源」感到最不滿意。不同年齡及不同在院年資的護理人員對執業環境的知覺感受有差異，不同護理執業環境知覺感受對留任意願有顯著差異。以護理執業環境量表五個次量表為預測變項進行相關迴歸分析，護理執業環境與留任意願有高度相關並能顯著預測留任意願。最後本研究根據研究結果，應用於管理實務意涵，期望醫院能重視護理人員投入和留任護理職場，以提高護理工作滿意度並延長護理服務年資，進而提供更好的護理品質。

關鍵字

護理人員 ； 護理執業環境 ； 留任意願

並列摘要

Evidence-based research indicates that the intention to stay and caring quality of care of nursing staff are directly influenced by nurses’ practice environment. The study explores and discusses the difference in perceived feelings of nursing staffs towards the current nursing prac-tice environment, its correlation with predictability their intention to stay, in a regional teaching hospital. Data collection was conducted using cross-sectional study design, selectively inviting nursing staffs from a regional teaching hospital in southern Taiwan to participate in the study, adopting anonymous self-administered questionnaires. Research tools included basic data sheet, the Chinese version of Practice Environment Scale of the Nursing Work Index, Number of 272 valid samples . Hierarchical regression statistical method was used in this study to analyze the changes in the perception of nursing staffs towards the practice environment in order to predict their intention to stay. Findings nearly all nursing staffs moderate satisfaction perceived feeling of practice environment and they were most disappointed with the “enough manpower and all kinds of resources”. The perception of nursing staffs towards the practice environment varies according to their age and seniority. Their perception towards different nursing practice envi-ronment significantly affects their intention to stay. Five sub-questionnaires of the Practice En-vironment Scale of the Nursing Work Index were taken as predictive variables for correlation regression analysis. The nursing practice environment is highly related to the intention to stay, which can significantly predict the intention to stay. In the end, the findings of this study are applied to the management practice, expecting hospitals to emphasize the involvement of nurs-ing staffs and their stay in nursing workplace to enhance nursing working satisfaction and lengthen their seniority in nursing service and further provide better nursing quality.

並列關鍵字

nursing staff ； nursing practice environment ； intention to stay

參考文獻

黃穗芬、林靜娟、宋琇鈺、陳鳳櫻（2011)．護理人員工作壓力、工作滿意度、組織承諾和離職傾向關係的探討．弘光學報63（3），25–34。

張慧蘭、盧美秀、林秋芬（2010）． 應屆畢業新進護理人 員離職相關因素之探討． 醫護科技學刊，12（3），161–172。[Chang, H. L., Lu, M. S., & Lin, C. F. (2010). Factors related to new nursing staff turnover rates. The Journal of Health Sciences, 12(3), 161–172.] doi:10.6563/ TJHS.2010.12(3).1

林谷峻、高靖秋、鄭文凱（2009）．護理人力資本與離職率之關聯性．會計學報 ，1(2)，93-127。

黃仲毅、盧美秀（2015）． 聯結運用轉換型、交易型和真誠領導於護理人員留任．源遠護理，9（1），5–11。 [Huang, C.I., & Lu,M.S. (2015). Linking transformation-al,transactional and authentic leadership to nurses’retention. Yuan-Yuan Nursing, 9(1), 5–11.] doi:10.6530/ YYN/2015.5.01

梁鈞瑜、楊嘉禎、王桂芸(2015)．營造正向護理執業環境之現況剖析及改善策略．源遠護理，9（1），19-25。