Nurses' Mechanism of Organizational Citizenship Behavior by Dual Rating Approach

運用對評方法探究護理的組織公民行為機制

黃瓊玉(Chiung-Yu Huang) ； 陳文魁(Wen-Kuei Chen) ； 紀淑靜(Shu-Ching Chi) ； 呂筑韻(Chu-Yun Lu) ； 魏麗香(Li-Hsiang Wei)

《品質學報》 22卷1期 (2015/02) Pp. 29-45

https://doi.org/10.6220/joq.2015.22(1).03

摘要

過去的研究中，關於護理師和主管運用對評的方式作組織公民行為的相關研究不多；本研究針對此對評做分析；並把變形領導（TR）及其他相關因素對護理人員的組織公民行為的影響及變形領導是否具中介的影響都列為此研究問題中。本研究亦探討人員的自我效能、團隊信任和專業承諾與組織公民行為的關係；並運用探索性、因果和對評的研究設計、共調查560護理師及27位主管，研究工具包括人口學特徵、變形領導、自我效能、團隊信任、專業承諾和組織公民行為。統計方式，則運用AMOS19.0版本分析資料。結果發現，變形領導對於個人型的組織公民行為僅有輕微影響、但對群體的組織公民行為則無顯著關係；高自我效能的資深人員及較高的專業承諾者對組織較有貢獻。臨床的運用則建議主管的變形領導若能適切的執行，對於組織公民行為應具深切的影響。

關鍵字

對評 ； 組織公民行為 ； 變形領導 ； 自我效能 ； 團隊信任 ； 專業承諾

並列摘要

Little is known about organization citizenship behavior (OCB) based on dual ratings by both nurses and their supervisors instead of the former only. Except the transformational leadership (TR) and some relevant factors, the supervisors' recognition on subordinators' OCB (sOCB) may affect subordinators' OCB (nOCB) as well. The mediation mechanism on nOCB was examined, to what extent of effect was induced by supervisors' TR and sOCB, and subordinators' self-efficacy, team trust, and the professional commitment. It was a cross sectional, exploratory causal, and dualrating study, which surveyed 560 nurses and 27 supervisors of a medical center in southern Taiwan. Various measures were used, such as demographic characteristics, transformational leadership, selfefficacy, team trust, professional commitment, and OCB. To construct the mediation mechanism on OCB, AMOS 19.0 was employed. Evaluated by the cmin-criterion, the structural equation model of dual ratingswas of as 0.81 highfitness probability, while only 0.21 for that of supervisor-free model. The TR affected little on subordinators' OCB individual (nOCBI) and trivial on OCB organizational (nOCBO). Emitting mediation effects on nOCBI, subordinators' commitment, trust, self-efficacy and both OCBO and OCBI were influential factors. Besides, subordinators' age and retention tendency induced substantially effect on nOCB. The fitted-well model revealed that, in the studied organization, sOCBO induced substantial effect on nOCB; however, TR had only little effect on nOCBI and nOCBO. The subordinators' education had somewhat direct effect on nOCBI instead of nOCBO. With higher self-efficacy, senior subordinators acted beneficially to colleagues; and with higher professional commitment, those acted beneficially to the organization. Nursing administrators may need further examination over the appropriateness of both their OCB recognition and theirtransformed leadership whenever they anticipate leading their registered nurses toward a better healthcare organization.

並列關鍵字

dual ratings ； organizational citizenship behavior ； transformational leadership ； selfefficacy ； team trust ； professional commitment

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