護理職場霸凌與離職傾向及其相關因素探討－以南部某醫學中心為例

Nursing Workplace Bullying and Turnover Intention: An Exploration of Associated Factors at a Medical Center in Southern Taiwan

蔡曉婷(Shiau-Ting Tsai) ； 韓錦樺(Chin-Hua Han) ； 陳麗芳(Li-Fang Chen) ； 周汎澔(Fan-Hao Chou)

《護理雜誌》 61卷3期 (2014/06) Pp. 58-68

https://doi.org/10.6224/JN.61.3.58

摘要

Background: The chronic shortage of nursing staffs in hospitals continues to increasingly and negatively impact the ability of medical care systems to deliver effective care and ensure the safety of patients. Bullying is one factor known to exacerbate turnover in the nursing workplace. Purpose: This study explores workplace bullying and turnover intention among nurses working at a medical center in Southern Taiwan. Methods: A cross-sectional and correlation research design was conducted using the Negative Acts Questionnaire-Revised (NAQ-R) and the Turnover Intention Questionnaire. A convenience, purposive sample of 708 nurses was recruited. Inclusion criteria included: holding an RN license, able to communicate in both Mandarin and Hokkienese, ＞ 6 months of clinical experience, and an NAQ-R score higher than 23. Data were analyzed using SPSS19.0 software. Results: Approximately 85% of participants had experienced some degree of workplace bullying during the previous 6-month period. The trend of the turnover intention tended to the right at a high degree. A moderate, positive, and significant correlation was found between turnover intention and bullying total scores (r = .39, p ＜ .05). Multiple regression showed bullying as the most important predicator of turnover intention (15.10%). Conclusions /Implications for Practice: Based on our findings, we suggest that nurses should enhance their awareness of the negative consequences of workplace bullying. Furthermore, hospitals should implement appropriate mechanisms to decrease the phenomenon of inter-staff bullying, improve the nursing workplace environment, and reduce the rate of turnover intention.

關鍵字

霸凌 ； 護理職場 ； 離職傾向

並列摘要

Background: The chronic shortage of nursing staffs in hospitals continues to increasingly and negatively impact the ability of medical care systems to deliver effective care and ensure the safety of patients. Bullying is one factor known to exacerbate turnover in the nursing workplace. Purpose: This study explores workplace bullying and turnover intention among nurses working at a medical center in Southern Taiwan. Methods: A cross-sectional and correlation research design was conducted using the Negative Acts Questionnaire-Revised (NAQ-R) and the Turnover Intention Questionnaire. A convenience, purposive sample of 708 nurses was recruited. Inclusion criteria included: holding an RN license, able to communicate in both Mandarin and Hokkienese, ＞ 6 months of clinical experience, and an NAQ-R score higher than 23. Data were analyzed using SPSS19.0 software. Results: Approximately 85% of participants had experienced some degree of workplace bullying during the previous 6-month period. The trend of the turnover intention tended to the right at a high degree. A moderate, positive, and significant correlation was found between turnover intention and bullying total scores (r = .39, p ＜ .05). Multiple regression showed bullying as the most important predicator of turnover intention (15.10%). Conclusions /Implications for Practice: Based on our findings, we suggest that nurses should enhance their awareness of the negative consequences of workplace bullying. Furthermore, hospitals should implement appropriate mechanisms to decrease the phenomenon of inter-staff bullying, improve the nursing workplace environment, and reduce the rate of turnover intention.

並列關鍵字

bully ； nursing workplace ； turnover intention

參考文獻

尹祚芊、林小鈴（2009）．醫學中心護理人員工作環境之研究．榮總護理，26（2），177－187。[Yin, T. J. C., & Lin, S. L. (2009). A study of the nursing practice environment in a medical center in Taiwan. VGH Nursing, 26(2), 177－187.] doi:10.6142/VGHN.26.2.177

李　選、白香菊、顏文娟（2010）．台灣護理人員職場暴力經驗及其相關因素研究．護理雜誌，57（2），61－69。[Lee, S., Pai, H. C., & Yen, W. J. (2012). Nurse violence in the workplace: A study of experiences and related factors in Taiwan. The Journal of Nursing, 57(2), 61－69.] doi:10.6224/JN.57.2.61

林木泉、吳鏘亮、陳俊賢、李仁傑、陳福士（2009）．醫院從業人員工作特質與疲勞關係之探討．醫務管理期刊，10（2），93－110。[Lin, M. C., Wu, C. L., Chen, H. H., Lee, J. C., & Chen, F. S. (2009). Association between work characteristics and burnout among hospital staff in Taiwan. Journal of Healthcare Management, 10(2), 93－110.]

林佑樺（2003）．新進護理人員感受臨床護理工作挫折之探討．慈濟護理雜誌，2（4），83－94。[Lin, Y. H. (2003). An exploration of work frustration and related factors for new nurses. Tzu Chi Nursing Journal, 2(4), 83－94.]

馬淑清、王秀紅、陳季員（2012）．職場霸凌的概念分析．護理雜誌，58（4），81－86。[Ma, S. C., Wang, H. H., & Chen, J. Y. (2011). Concept analysis of workplace bullying. The Journal of Nursing, 58(4), 81－86.] doi:10.6224/JN.58.4.81