護理人員酬勞公平、工作滿足及離職意圖相關因素之探討

An Exploration into the Factors Influencing Nurses' Wage Equality, Job Satisfaction, and Turnover Intention

王雪鳳(Hsueh-Feng Wang) ； 楊豐華(Feng-Hua Yang) ； 羅月英(Yue-Ying Luo) ； 楊慧滿(Hui-Man Yang)

《弘光學報》 78期 (2016/09) Pp. 203-221

https://doi.org/10.6615/HAR.201609.78.14

摘要

本研究探討護理人員離職意圖之相關因素，以工作滿足為中介變項，樣本來自中部某區域教學醫院之護理人員為研究對象，使用問卷調查收集資料，有效問卷223份，以SPSS 23.0統計軟體分析，結果為人口學變項之「年齡」、「任職科別」、「服務年資」與離職意圖有關。「酬勞公平」與「離職意圖」達顯著負相關。進一步以複廻歸分析，檢視各自變項結果顯示：「年齡」與「離職意圖」達顯著負相關；「任職科別-住院單位」、「服務年資」與離職意圖達顯著正相關。此外，本研究發現中介變項中「酬勞公平」、「工作滿足」與「離職意圖」呈負相關，顯示酬勞公平與工作滿足愈低，離職意圖愈高，年齡愈大愈不想離職。經控制年齡因素後，服務年資愈資深，離職意圖愈高，顯示年齡與資深兩種情況具有不同效應。本研究結果，指出酬勞公平之改善、資深員工激勵措施、並適當調整及提昇工作滿足之策略，均有助於降低員工離職意圖，提供臨床實務管理之參考。

關鍵字

護理人員 ； 酬勞公平 ； 工作滿足 ； 離職意圖

並列摘要

The present study used job satisfaction as a mediator in examining factors that affect nurses' turnover intention. Nurses from a teaching hospital in central Taiwan were employed as the study participants. Questionnaires were distributed to collect the data. A total of 223 valid questionnaires were retrieved and analyzed using SPSS Version 22.0 software. The results indicated that demographic variables such as age, division, and years of service influenced turnover intention. A significantly negative correlation was observed between wage equality and turnover intention. Subsequently, multiple regression analysis was applied to examine the various independent variables. The results showed a significantly negative correlation between age and turnover intention. Division/resident unit and years of service exhibited a significantly positive correlation with turnover intention. In addition, mediators such as wage equality and job satisfaction were negatively correlated with turnover intention, which indicated that lower wage equality and job satisfaction resulted in a higher turnover intention. Older participants showed a lower turnover intention. After the age factor was controlled for, the participants with more years of service showed a greater turnover intention, which implied that age and experience exhibited different effects. Based on these results, Improving wage equality, increasing incentives for senior staff, and increasing strategies and making appropriate adjustments for ensuring job satisfaction are beneficial for decreasing nurses' turnover intention.the present study proposed certain recommendations as a reference for managers in clinical practice.

並列關鍵字

Nurses ； Wage equality ； Job satisfaction ； Turnover Intention

參考文獻

El-Jardali, F., Dimassi, H., Dumit, N., Jamal, D., & Mouro, G. (2009). A national crosssectional study on nurses, intent to leave and job satisfaction in Lebanon: implications for policy and practice. BioMed Central Nursing, doi: 10.1186/1472- 6955-8-3.

Steinmetz, S., deVries, D. H., & Tijdens, K. G. (2014). Should I stay or should I go? the impact of working time and wages on retention in the health workforce. Hum Resour Health, doi: 10.1186/1478-4491-12-23

于乃玲、胡瑞桃、周碧琴、賴瑞月（1999）。某醫院護理人員工作滿意度與留任意願相關性之探討。長庚護理，10(3)，28-38。

中華民國護理師護士公會全國聯合會（2010年2月）。台閩地區護理人員統計表。2015年 2月 20日，取自http://www.nurse.org.tw/defaultNewsView.aspx?newsID=4107&timeStamp=1421124463506

中華民國護理師護士公會全國聯合會（2015年5月）。台閩地區護理人員統計表。2015年5月23日，取自http://www.nurse.org.tw/defaultNewsView.aspx?newsID=4107&timeStamp=1421124463506