護理人員職場自尊及其相關因素的探討－以中部某區域醫院為例

Examining Factors Associated with Organization-based Self-esteem among Staff Nurses: Taking a District Hospital in Central Taiwan as an Example

高月慈(Yueh-Tzu Kao) ； 袁素娟(Su-Chuan Yuan)

《醫務管理期刊》 7卷4期 (2006/12) Pp. 370-382

https://doi.org/10.6174/JHM2006.7(4).370

摘要

本研究檢測職場自尊及一般自尊與身心安適、組織公民行為之間的相關度，並瞭解臨床護理人員職場自尊與自覺直屬上司及自覺組織支持之間的關聯，進而以一般自尊為干擾變項，驗證行為塑性理論。本橫斷性研究採用不記名、自陳式問卷調查，以中區一區域醫院723位未擔任行政職務的護理人員為樣本。共計回收有效問卷551份(76.21%)，問卷內容包括職場自尊、一般自尊、自覺直屬上司支持、自覺組織支持、組織公民行為、身心安適及個人基本資料。研究假設分別以皮爾森相關及多階層迴歸等統計方法予以驗證。結果顯示：職場自尊與組織公民行為、身心安適之相關皆高於一般自尊與這些變項的相關度。而且，自覺直屬上司支持與職場自尊的關聯性高於自覺組織支持與職場自尊的關聯。再者，一般自尊對於自覺上司支持及職場自尊之間，具有干擾作用，顯示對於自尊心較低者，護理長支持對其職場自尊較具影響。總結而言，由此研究我們得知，對臨床護理人員而言，護理長的支持對其職場自尊具影響力，這彰顯護理長支持對其部屬的重要性。

關鍵字

職場自尊 ； 護理人員 ； 自覺直屬上司支持 ； 自覺組織支持

並列摘要

The study examined the correlations among organization-based self-esteem, global self-esteem, well-being, and organizational citizenship behavior. Furthermore, the relationships among nurses' organization-based self-esteem, perceived supervisor support, and perceived organizational support were investigated. In addition, behavioral plasticity theory was tested with global self-esteem as moderator. Self-reported questionnaires were chosen for data collection in this cross-sectional study. The subjects were 723 staff nurses working at a district hospital in Central Taiwan. 551 valid responses were obtained. The questionnaire included organization-based self-esteem, global self-esteem, perceived supervisor support, perceived organizational support, organizational citizenship behavior, well-being, and demographic information. Pearson correlation, and hierarchical regression were utilized for hypothesis testing. The results indicated that the correlations among organization-based self-esteem and two variables, including organizational citizenship behavior, well-being, were all higher than the correlations among self-esteem with those variables. In addition, the correlation between perceived supervisor support and organization-based self-esteem and the correlation between perceived organization support and organization-based self-esteem all reached significant level. It also showed that the former was higher than the latter. Furthermore, global self-esteem moderated the relationship between perceived supervisor support and organization-based self-esteem indicating supervisor support exerted more impact on the lower self- esteem subordinates in terms of organization-based self-esteem. Conclusively, the findings reveal that the head nurse plays a significant role on her/his subordinates' organization-based self-esteem, the highlighting of head nurses' leadership.

並列關鍵字

Organization-Based Self-Esteem ； Nurses ； Perceived Super visor Support ； Perceived Organizational Support

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