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  • 學位論文

影響照顧服務員工作滿意之因素探討

Factors Affecting the Job Satisfaction of Health Care Aides

指導教授 : 朱僑麗
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摘要


研究動機及背景 人口結構高齡化、平均壽命延長,以及疾病型態轉型,失能者人數大幅增加,照顧需求相對增高。國內外許多研究指出工作滿意對提昇照護品質及病患的照護結果均有正向的幫助。本研究之目的係對不同工作場所之照顧服務員,探討其工作滿意之現況及影響因素,以使照顧服務政策之擬定者及企業主瞭解這些照顧服務人員的工作滿意情形,作為人力資源管理及提升照護品質的參考。 研究方法 本研究採橫斷式調查研究法,以立意取樣方式,對中部地區合法立案之醫院、護理之家、安養機構、榮民之家、居家服務等機構,具有照顧服務員訓練合格證書,且同意參與本研究之照顧服務員,以問卷調查進行研究,發出問卷414份,回收問卷383份,回收率92.51%,回收有效問卷364份。 本研究工具係依文獻探討設計結構式問卷,問卷分七大部分,為個人基本資料、人格特質、工作能力、工作特性、組織文化、領導型態及工作滿意度七部分,採Liker 4點評分法。將回收之有效問卷進行資料分類、編碼、整理、劃記、列表,再利用SPSS10.0統計軟體進行資料處理與統計分析。 研究結果 研究有效樣本中男性39位(10.7%)、女性325位(89.3%),年齡層分佈以41-50歲者最多173位佔47.5%,其次為51-60歲者96位佔26.4%,婚姻狀況絕大部分為已婚,未婚者僅有27位佔7.4%,教育程度以國中135位(37.1%)為最多,其次是高中職者118位(32.4%),從事照顧服務員之工作年資以1-5年173位(47.5%)為最多,其次是6-10年106位(29.1%),個人平均月收入<19,999元者佔21.4%,>20,000元佔78.6%。 研究資料經統計分析,研究結果顯示不同工作單位的照顧服務員之工作滿意度最高的為醫院一對一陪病者,其次為居家照顧服務者,最低為養護機構者。照顧服務員整體工作滿意度為介於『不滿意』及『滿意』中間,偏向『滿意』(平均值為2.93)。以工作滿意度五構面得分最高者為『工作夥伴』,其次依序為『上司』、『工作本身』、『升遷』、『薪資』。照顧個案數、自覺生活快樂程度、工作能力、工作多樣性、工作完整性及支持型組織文化等對工作滿意度具有顯著的影響力。 建議 研究者建議照顧服務政策之擬定者及企業主,積極研擬照顧服務員之留任措施,進行以實務與學理並重的在職教育,以提昇其有效達到卓越的工作績效才能的能力,加強工作內容的設計以提高挑戰性,主管交付工作時應完整勿片斷,並且讓他們決定自己的工作進度及獨立思考和行動的機會,當員工表現高績效時,即給予酬賞,讓他們覺得照顧服務是有意義的工作,以提升照顧服務員之工作滿意度。

並列摘要


Background Due to the ripe old age of the population structure and extension of the average life and transformation of disease form, the number of disablement has increased intensively and correspondingly the increasing requirement of care. Many domestic and researches point out that the job satisfaction positively improve the caring quality and the result of caring. The purpose of this research is to study the influence factors of health care aides job satisfaction and formulators of caring service policy and enterprise owner can understand the work satisfaction condition of these health care aides and this can serve as a reference for human resource management and enhancement of caring quality. Research method This research adopts cross-sectional investigation research method and by sampling of purposive method, research is conducted on legally established hospitals, nursing homes, elderly caring institutions, retired servicemen home and live in service organization etc. with health care aides who possess qualified training certificate and agree to participate in this research in central Taiwan. By means of questionnaire research, 414 questionnaires were issued and 383 questioners were returned and the recovery rate of 92.51% and number of effective questionnaire is 364. This research tool is based on document to study and design the structural questionnaire that is divided into seven major parts including personal basic information, moral integrity characteristic, work capability, work characteristics, organization culture, leadership form and work satisfaction level. Liker 4 points scoring method is adopted and the returned and effective questionnaires are being categorized based on information, numbered, arranged, marked, tabled and then SPSS10.0 statistical software is utilized to conduct data processing and statistical analysis. Research result In the effective samples of this research, there are 39 males (10.7%) and 325 females (89.3%) and for age level, age between 41~50 occupies the most with 173 persons occupying 47.5% followed by 51~60 years old with 96 persons occupying 26.4%. For marriage condition, most of them are married and for unmarried, there are only 27 persons occupying 7.4%. For educational level, middle school level occupies the most with 135 persons (37.1%) followed by high school with 118 persons (32.4%). For number of years of service of these health care aides, 1-5 years occupy the most with 173 persons (47.5%) followed by 6~10 years with 106 persons (29.1%). The average monthly salary that exceeds $19,999 occupies 21.4% and 73.8% is more than $20,000. After statistical analysis on the research date, it shows that the highest work satisfaction level of health care aides in different work unit is one on one patient accompanying person in the hospital followed by live in home caring service person. The lowest is caring organization. The overall work satisfaction level of the health care aides is between 『dissatisfied』 and 『satisfied』 and tends towards 『satisfied』that ( the average value is 2.93). The highest score in respect of the five aspects of work satisfaction level is 『work partner』 followed by 『superior』, 『work itself』, 『promotion』and 『salary』. For the individual case of caring, the self consciousness on the happy life level, work capability, work diversity, work completeness and supportive organization culture have significant effect on the work satisfaction level. Suggestion The researcher suggest to formulators of caring service policy to actively study on the job retention measures of the health care aides and to conduct on-the-job education emphasizing both practical work and academic theory so as to enhance its effectiveness and to reach an outstanding work performance. The work content design shall be enhanced so as to increase the nature of challenge. During handing of work by the superior it should be complete instead of discontinuous and let them to decide on their work progress and to have the opportunity to act. When employee can enhance their work performance, reward should be given so that they can feel that caring service is a meaningful job and this can raise the work satisfaction level of the health care aides.

並列關鍵字

Health Care Aides Job Satisfaction

參考文獻


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邱政勛(2012)。照顧服務員的工作狀況與職業安全健康問題〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2012.01441
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蔡麗珍(2007)。不同屬性照顧服務員工作投入、工作滿足、工作表現相關因素之探討—以中部某教學醫院為例〔碩士論文,亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-0807200916273341

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