機構權屬別與居家托育訪視輔導員健康識能關係－組織承諾及組織文化之中介效果

目的：分析居托服務中心權屬別、訪視輔導員感受之組織承諾及組織文化對其健康識能的影響。方法：資料來自於參與「2018年北中南區居家托育服務中心訪視輔導員在職訓練」之訪視輔導員問卷調查，有效樣本共254份。調查包括經過專家效度建構之組織承諾、組織文化及健康識能量表。以結構方程式模型分析路徑效果。結果：建構九題健康識能量表，具良好信度。轉換為0～50分量表之平均為35.2分（標準差"[SD]"=7.3）。溝通及互動性得分較高（平均數=37.6；SD=7.64）；基本及功能性其次（平均數=34.4；SD=8.99）；批判性較低（平均數=33.4；SD=8.90）。組織承諾及文化與健康識能呈現正相關（標準化迴歸係數b為0.157及0.178）。相較受雇於學校之訪視輔導員，所屬財團法人者其組織承諾和文化較佳（b為0.127及0.169），間接提升健康識能（間接效果分別為0.020及0.030）。結論：健康識能應為訪視輔導員專業能力之一，若未能發掘組織承諾及文化效果，將忽略訪視輔導員所屬承辦居托中心機構權屬別對其健康識能之影響。本研究結果提供不同權屬別機構彼此互相學習契機，以利訪輔員能擁有良好且齊一之健康識能。

關鍵字

健康識能；權屬別；居家托育；組織承諾；組織文化

並列摘要

Objectives: To explore the ownership, the perception regarding organizational commitment and culture on the health literacy (HL) of appointed visiting counselors in the Family Childcare Service Centers in Taiwan. Methods: The data was collected from the survey taken by appointed visiting counselors who attended the "2018 On-the-Job Training for Counselors of Family Childcare Service Centers in Northern, Central, and Southern Taiwan". With a total of 254 responses, the survey also included the measurement of the perception regarding organizational commitment and culture of these counselors towards these centers, as well as their HL accompanied with professional validity. The structural equation modeling was used to analyze the path relationship of HL of the counselor and associated factors. Results: A nine-item HL scale was constructed with good reliability. The average HL of respondents was 35.2 (standard deviation "[SD]" = 7.3) on a scale of 50. The score for communicative/ interactive HL was the highest (average = 37.6, SD = 7.64), followed by basic/functional HL (average = 34.4, SD = 8.99), and critical HL (average = 33.4, SD = 8.90), which was lower. Organizational commitment and culture had positive effects on the HL of counselors (standardized coefficients, b, were 0.157 and 0.178). The counselors in the not-for-profit foundations had higher levels of organizational commitment and culture (b = 0.127 and 0.169) than those who are employed by schools, which indirectly associated with higher HL (indirect effects = 0.020, 0.030). Conclusions: HL should be recognized as one of the professional abilities of counselors. If the effects of organizational commitment and culture were omitted, the associations between organizational ownership and HL of the visiting counselors would be overlooked. The results of this study also provide an understanding on the different institutions' ownership to learn from each other, so that visiting counselors of family childcare services can accommodate high and equivalent levels of HL.

並列關鍵字

Health Literacy ； Ownership ； Family Childcare ； Organizational Commitment ； Organizational Culture

參考文獻

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