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護理人員接受交叉訓練前、後工作滿意度及影響因素

Investigation of Cross Training Pre and Post on Job Satisfaction for Nurses

摘要


背景:現今醫療經營環境快速改變。人力不足時,常有醫院運用跨科室單位訓練方式來增強及提升護理人員的知識、技能及醫療品質。在複雜的照護情境下,護理人員常因不熟悉單位工作或自我照護能力不足,會產生挫折感及增加離職的可能性。目的:探討護理人員接受交叉訓練前、後工作滿意度及影響因素。方法:以苗栗以北地區醫院與教學醫院曾接受交叉訓練120位護理人員為研究對象,調查時間自民國106年1月起至4月止,此為量性研究,問卷採Likert Scale 5分法計分,運用「工作滿意度量表」工具,以SPSS 21.0軟體進行資料整理分析。結果:交叉訓練在總整體工作滿意度前、後平均得分3.18/4.68分,其中組織承諾平均數為3.05/4.62分、主管領導能力3.19/4.65分、醫院管理制度3.12/4.62分、工作滿足3.09/4.75分、工作環境3.14/4.62分、整體滿意度2.81/4.83分,後測顯然比前測分數高。交叉訓練前、後在組織承諾、主管領導能力、醫院管理制度、工作滿足、工作環境、整體工作滿意度及總整體工作滿意度上有顯著差異。結論/實務應用:護理人員面臨被調到不同的單位受訓,需適應不同專科與工作環境。院內有計劃性的輪調,持續推動單位間的交叉訓練,適度的訓練能提升護理職場上的專業能力。研究結果可提供醫院跨領域訓練參考,提升護理品質。

並列摘要


Background: Today's medical managing environment is changing rapidly. For lacking of manpower, unit cross training in some hospitals were often used to enhance nurse's knowledge, skills, and quality of medical care for nurses. In complex care situations, nurses may not be very familiar with the unit work and may cause self-care ability insufficiency. It may often induce frustration of nurses and increase the possibility of turnover rate. Purposes: To investigate and compare the job satisfaction of pre and post cross training scores and understand influencing factors for nurses. Methods: 120 nurses working at regional and teaching hospital in northern Taiwan receiving cross training were chosen. The research time started from January 2017 and ended to April 2017. This is a quantitative research; "Job Satisfaction Scales" were used as questionnaires. Likert Scale 5 points score and SPSS 21 software were used for data collection and data analysis. Results: The Cross training on the overall job satisfaction before and after average score were: 3.18/4.68. The average scores of organizational commitment pre and post were 3.05/4.62, executive leadership were 3.19 /4.65, hospital management system 3.12/4.62, job satisfaction 3.09/4.75, working environment 3.14/4.62, total satisfaction 2.81/4.83. Post scores were higher than pre cross training scores. There were significant differences before and after cross training on organizational commitment, executive leadership, hospital management system, job satisfaction, working environment, total satisfaction and overall job satisfaction scores. Conclusion/Implications for practice: Nurses are often assigned to different units, and need to adapt to different special unit and working environment. The hospital policy establish a rotation plan, continue to execute cross-training between units, it will not only improve nursing professional abilities, but also could increase the quality of nursing care. The results will provide references for other hospital cross training, and to elevate the quality of care.

並列關鍵字

Cross training job rotation job satisfaction

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