護理人員專業承諾、生涯發展與離職傾向之關聯性研究-以北部某醫學中心為例

A Study of the Relationship among Professional Commitments, Career Development and Turnover Intention in Hospital Nurses-Sampling from a Medical Center in Northern Taiwan

吳欣宸(Hsin-Cheng Wu)

指導教授 ： 李弘暉

元智大學/管理學院/管理碩士在職專班/碩士(2011年)

摘要

護理人員對於醫院的醫療照護品質，有著最直接的影響。高離職率將導致護理品質受影響且提高醫院的經營成本(黃英忠，1996)。本研究旨在探討護理人員專業承諾、生涯發展與離職傾向之關聯性。研究方法將採問卷調查法。問卷調查結果將經描述性統計（Descriptive Statistics Analysis）、相關分析（Correlation Analysis）、迴歸分析(Regression Analysis)、單因子變異數分析（Analysis of Variance，ANOVA）來進行分析。
共計發出問卷282份，回收問卷268份，扣除無效問卷11份，實得有效問卷257份，回收率91%。研究結果顯示：
1、專業承諾、生涯發展皆與離職傾向呈現負相關。
2、專業承諾與生涯發展呈現正相關。
3、年齡、職稱、本院年資、護理年資、任職科別、家人支持程度與專業承諾達顯著差異。
4、年齡、職稱、本院年資、護理年資、進階層級、家人支持程度與生涯發展及離職傾向達顯著差異。
建議醫院管理者應使護理專業受到重視，協助護理人員建立生涯發展方案，並研擬工作豐富化措施，補足適當護理人力並重視員工家庭需求。主管機關應重新研擬符合現況之護理人力標準，並重視護理教育，使護理學生真正體驗護理照護工作之意義。
關鍵字：護理人員、專業承諾、生涯發展、離職傾向

關鍵字

護理人員 ； 專業承諾 ； 生涯發展 ； 離職傾向

並列摘要

Nurses for the hospital's medical care quality, has the most direct impact. High turnover rate will result quality of care in the affected and increased operating costs in hospitals (Ing-Chung Huang, 1996).This study aimed to explore the nursing professional commitments, career development and Turnover Intention Study. Research methods to a questionnaire survey. Survey results will be Descriptive Statistics Analysis , Correlation Analysis, Regression Analysis, single factor ANOVA (Analysis of Variance, ANOVA) for statistics.
A total of 282 questionnaires were sent, 268 questionnaires were recovered,11 invalid questionnaires were deducted, 257 questionnaires were received for a 91% recovery rate.
The results showed:
1.Professional commitment and career development are inversely correlated to turnover intention.
2.Professional commitment is correlated to career development.
3.Age, job title, years working at a hospital, nursing experience, office division, and level of family support are significant indicators of professional commitment.
4.Age, job title, years of hospital, nursing experience, advanced level, family support and level are significant indicators of turnover intention and career development.
Suggestions to the hospital administrators should be taken seriously so that the nursing profession helps nurses to establish career development and develop measures for job enrichment. Nurse staffing must be sufficient and there must be an emphasis placed on staff’s family needs. The competent authority should redraft the standards of nursing manpower, and emphasize nursing education, for nursing students to experience the true meaning of working in the nursing care profession.

並列關鍵字

nurse ； professional commitments ； career development ； turnover intention

參考文獻

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