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重症加護病房護理人員滿意度之實證研究

An Empirical Study on Nurse Satisfaction of Intensive Care Units in Taiwan

摘要


本研究為結構性問卷調查的實證研究,目的在探討重症加護病房護理人員之(1)工作滿意程度(2)影響滿意度之因素(3)護理人員之個人特性與工作特性、環境、整體滿意間之差異性與相關性(4)不同科別重症加護病房之護理人員對工作滿意度的差異。本研究以醫學中心重症加護房之護理人員為主要研究對象,以隨機抽樣之滿意度問卷,採橫斷式調查法,加上李克特氏(Likert Scale)五分計分方式,於一個月研究期間,共發出110份問卷,回收有效問卷99份,回收率為90%;問卷內容信度採Cronbach's α值檢定內部一致性;效度則採專家效度,並應用SPSS統計軟體分析資料。研究結果顯示:重症加護病房的護理人員對工作自主性、技能性、重要性的滿意度較高;而不滿意因子中對排班制度最不滿意,其次為教育訓練。本研究結果將有助於改善:1.重症加護病房主管之領導統御方式與排班制度;2.護理管理者落實績效評核及基層主管的行政訓練;3.醫院管理者放寬用人制度,以提昇護理人員工作滿意度、降低人員的調動率、提高護理人員對單位的忠誠度,進而提昇醫療服務品質,使機構更具競爭力,主管與員工皆能達到雙贏結果。

並列摘要


This is an empirical research. The main purpose is to survey nurse satisfaction of Intensive Care Units (ICUs) at hospitals in Taiwan. Moreover, the relationships among the nursing job characteristics, working environment and the overall satisfaction in groups were also evaluated and discussed in depth. The research methodology was designed as randomly sampling and cross-sectional survey questionnaire administration with Likert Scale in measuring satisfaction. A total of 110 questionnaires were distributed to the nurse staffs of ICUs in a month and 99 were effectively responed (90%) to medical centers in Taiwan. The reliability test (Cronbach's α) was also used to test the internal consistency. All the statistic tests were performed by using the SPSS. The results showed significantly that the highest satisfaction score rated by the ICU nurses were the job autonomous, the job techniques and the job importance and their mean on Likert''s 5-points scales were 4.01, 4.12 and 4.19. On the contrary, the lowest satisfactions were the shift arrangement (3.17), training and education (3.25). In conclusion, we strongly believe this study could be useful to improve for the ICU's nursing systems in hospitals. Furthermore, it provides the nursing administration a valuable strategic planning to motivate their employees.

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