臨床護理人員工作適配量表之發展

本研究旨在發展一份具信度與效度之臨床護理人員之工作適配量表，以提供醫療照護機構用於臨床護理人員的工作適配之評估。本研究依據Cable與DeRue之個人與組織適配架構完成量表初稿，並交由兩位臨床專家進行專家效度之評估。142位招募自苗栗二家醫院之臨床護理在職人員完成本研究所編製之工作適配量表。經因素分析結果顯示本量表包含兩個因素，分別命名為「工作要求與能力適配」與「需求與供給適配」，此結果符合Cable與DeRue之架構，此顯示本量表具有良好的因素效度。此外，總量表與其二個因素具有優良的內部一致性，其α值分別為.95、.96及.95，全量表的四週再測信度為.85。本研究結論為工作適配量表是評估臨床護理在職人員之工作適配的優良測驗，本量表可做為醫院管理者評估在職護理人員之工作適配與相關研究之工具。

關鍵字

工作適配；信度；效度；臨床護理人員

並列摘要

This study aims to develop a reliable and efficient scale for health care institutions to assess work adaptation in clinical nursing staff. The preliminary scale was established according to Cable and DeRue's model of personal-organization measure and forwarded to two clinical experts for their professional evaluation. There are 142 clinical nurses recruited from two hospitals in Miaoli district who completed the Work Adaptation Scale Measure. The component analysis results indicated that the Work Adaptation Scale Measure consists of two factors named: ＂job requirements and capabilities adaptation＂ and also ＂demand and supply adaptation＂. The result coincides with Cable and DeRue's model, indicating a fine component validity of the scale. The total scale and two components have excellent internal consistent coefficients (α), .95, .96 and .95, respectively. The four-week retest reliability of the total scale is .85. The results suggest that the Work Adaptation Scale is a good measure in evaluating the work adaptation for clinical nursing staff. It can be engaged to assess the work adaptation of clinical nursing staff for hospital administrators and as an instrument for relevant studies in the future.