上司－部屬關係品質、自覺組織支持與成員感知心理契約違背之關聯：主動變革職責感受的中介效用

Association Between Leader-Member Exchange Quality, Perceived Organizational Support, and Perceived Psychological Contract Breaches: The Mediating Effect of Perceived Responsibility for Constructive Change

高月慈(Yueh-Tzu Kao) ； 劉佳和(Cha-Ho Liu) ； 謝幸燕(Hsing-Yen Hsieh)

《澄清醫護管理雜誌》 15卷2期 (2019/04) Pp. 30-40

摘要

目的：醫療機構變革，牽動組織與其內在成員的互動與協定；在對組織期待落差的情境下，成員於認知上衍生心理契約違背之感。是以，本研究從組織與主管兩方面，檢視成員自覺組織支持及上司－部屬關係品質與成員感知心理契約違背的關聯，並進而探討主動變革職責感受的中介效應。方法：研究對象為空軍醫療單位成員，共計238位。為避免資料同源偏差，研究設計上，採兩階段問卷調查。兩階段皆填寫的有效問卷為172份。結果：由複迴歸結果顯示，上司－部屬關係品質及自覺組織支持皆與個人感知心理契約違背具顯著負向關聯；同時，主動變革職責感受分別中介此兩者與感知心理契約違背的關聯。結論：面對變革，當組織不符成員期待，藉由組織支持及上司關切與訊息傳達，成員可體認變革的需求，願意共同承擔改變的必要，由而降低感知心理契約違背之感。

關鍵字

感知心理契約違背 ； 上司－部屬關係品質 ； 自覺組織支持 ； 主動變革職責感受

並列摘要

Purposes: Restructuring of medical institutions affects interaction and consensus between an organization and its members. Gaps in expectations between an organization and its members lead to perceived psychological contract breaches. The present study determined the association between leader-member exchange quality, perceived organizational support, and perceived psychological contract breaches with members at organizational and supervisory levels. In addition, the mediating effect of perceived responsibility for constructive change was investigated. Methods: The study included 238 medical personnel in 15 air force medical units. Questionnaires were distributed at 2 time points to avoid single-source bias in the data. A total of 172 valid questionnaires were collected from the 2 time points. Results: Multiple regression results showed that perceived organizational support and leader-member exchange quality were significantly negatively correlated with psychological contract breach. At the same time, those negative correlations were mediated by perceived responsibility for constructive change. Conclusions: When an organization does not fulfill the expectations of its members during a period of restructuring, organizational support and a leader's concern and dissemination of information can enable members to accept the need for restructuring and be willing to participate in change, thereby reducing perceived psychological contract breaches.

並列關鍵字

Psychological contract breach ； Leader-member exchange quality ； Perceived organizational support ； Perceived responsibility for constructive change