護理人員主管領導行為、人格特質對離職意圖之影響：以工作壓力為中介變項

The Effects on Turnover Intention of Nursing Staff of Supervisor Leadership Behavior and Personality Traits: The Mediating Effect of Job Stress

張翠芬(Tsui-Fen Chang) ； 趙正敏(Cheng-Min Chao) ； 詹麗珠(Li-Ju Chan)

《醫務管理期刊》 21卷3期 (2020/09) Pp. 238-257

https://doi.org/10.6174/JHM.202009_21(3).238

摘要

目的：在台灣，護理人員高流動率導致人力不足。因此，離職意圖一直是研究者所探討的重要議題。本研究旨在探討護理人員主管領導行為、人格特質、工作壓力對離職意圖之影響。此外，本研究調查工作壓力對主管領導行為、人格特質和離職意圖的中介效果。方法：本研究透過問卷調查法，以雲林縣某地區教學醫院之護理人員為研究對象。發出200份問卷，回收有效問卷165份，有效回收率為82.5%。採用描述性統計、信度分析與結構方程模型（SEM）進行資料分析。結果：分析結果顯示：1.作之師、作之親與作之君是主管領導行為的重要組成部分；2.主管領導行為、人格特質對工作壓力呈現顯著負向影響；3.工作壓力對離職意圖呈現顯著正向影響；4.工作壓力在人格特質與離職意圖間具有中介效果。結論：此結果之主要發現，將可提供醫院護理管理層級擬定政策或護理人力資源管理之參考，也可提供後續研究之參考。

關鍵字

主管領導行為 ； 離職意圖 ； 工作壓力 ； 形成指標

並列摘要

Objectives: Given that high turnover rate is the main cause of nursing shortage in Taiwan, turnover intention becomes an important study topic. The purpose of this study was to explore the influences of leadership behaviors, personality traits, and job stress on the turnover intention of nursing staff, with job stress as the mediator among leadership behaviors, personality traits, and turnover intention. Methods: A questionnaire survey was conducted to collect data from the nursing staff of a district hospital in Yunlin, Taiwan. A total of 165 valid responses were collected from 200 distributed questionnaires, with a valid response rate of 82.5%. Descriptive statistics, reliability analysis, and structural equation modeling (SEM) were applied to analyze the collected data. Results: This study found that: 1. the role of mentor, the role of parent, and the role of monarchy were the crucial components of supervisor leadership behaviors; 2. supervisor leadership behaviors and personality traits had significantly negative effects on job stress; 3. job stress had significantly positive effects on turnover intention; 4. job stress had a mediating effect on personality traits and turnover intention. Conclusions: The findings of this study can provide a reference for the policy-making in nursing human resource management and future study.

並列關鍵字

Supervisor leadership behavior ； turnover intention ； job stress ； formative indicator

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