醫院品管圈的團隊結構與衝突處理行為

Group Structure and Styles of Handling Conflict within the Quality Control Circles of Hospitals

劉佩芬(Pei-Fen Liu) ； 謝碧晴(Pi-Ching Hsieh) ； 蘇慧芳(Hui-Fang Su)

《台灣公共衛生雜誌》 25卷6期 (2006/12) Pp. 449-461

https://doi.org/10.6288/TJPH2006-25-06-05

摘要

Objectives: This study investigated the relationship between group structures (i.e., cooperation norms and task cohesion) and styles of handling conflict within the quality control circles (QCCs) of Taipei-area hospitals. Method: Utilizing a cross-sectional design with the distribution of questionnaires, a valid sample was collected which included 263 groups comprised of 1914 individuals from 16 hospitals. The instruments with acceptable Cronbach's alpha values, ranging from 0.70~0.92, were included in this study. Because of unit for group level analysis, the aggregated individual level data in a single group were used as representative values of the group. The results of intra-class correlation coefficients, eta-square, and one-way analysis of variance indicated that the aggregated individual level data satisfactorily represented group level data. Four hypotheses were tested by regression analysis. Results: The response rate was 86.8%. After controlling for the variables of group size and times of QCC formation, cooperation norms (b=0.49, p＜0.01) and task cohesion (b=0.10, p＜0.05) together accounted for 58% of the variance in the ”integrating” style of handling conflict, while cooperation norms (b=-0.17, p＜0.05) alone accounted for 15% of the variance in the ”dominating” style of handling conflict. ”Avoiding” and ”obliging” styles of handling conflict were not predicted by cooperation norms and task cohesion. Conclusions: The findings of the current study suggest that cooperation norms and task cohesion are good predictors of the ”integrating” and ”dominating” styles of handling conflict for the QCCs of hospitals. The results may thus be helpful for health care institutions seeking to improve the quality of in-service education, practice, and research.

關鍵字

團隊合作規範 ； 團隊任務凝聚力 ； 團隊衝突 ； 團隊衝突處理行為 ； 品管圈

並列摘要

Objectives: This study investigated the relationship between group structures (i.e., cooperation norms and task cohesion) and styles of handling conflict within the quality control circles (QCCs) of Taipei-area hospitals. Method: Utilizing a cross-sectional design with the distribution of questionnaires, a valid sample was collected which included 263 groups comprised of 1914 individuals from 16 hospitals. The instruments with acceptable Cronbach's alpha values, ranging from 0.70~0.92, were included in this study. Because of unit for group level analysis, the aggregated individual level data in a single group were used as representative values of the group. The results of intra-class correlation coefficients, eta-square, and one-way analysis of variance indicated that the aggregated individual level data satisfactorily represented group level data. Four hypotheses were tested by regression analysis. Results: The response rate was 86.8%. After controlling for the variables of group size and times of QCC formation, cooperation norms (b=0.49, p＜0.01) and task cohesion (b=0.10, p＜0.05) together accounted for 58% of the variance in the ”integrating” style of handling conflict, while cooperation norms (b=-0.17, p＜0.05) alone accounted for 15% of the variance in the ”dominating” style of handling conflict. ”Avoiding” and ”obliging” styles of handling conflict were not predicted by cooperation norms and task cohesion. Conclusions: The findings of the current study suggest that cooperation norms and task cohesion are good predictors of the ”integrating” and ”dominating” styles of handling conflict for the QCCs of hospitals. The results may thus be helpful for health care institutions seeking to improve the quality of in-service education, practice, and research.

並列關鍵字

group cooperation norms ； group task cohesion ； group conflict ； conflict handling styles ； quality circle

參考文獻

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