護理人員賦權、工作投入與工作滿意度 相關性探討

The Relationships among Nurses’ Perceived Empowerment, Job Involvement, and Job Satisfaction

張淑貴(Shu-Kuei Chang)

指導教授 ： 陳幼梅

高雄醫學大學/護理學院/護理學系研究所/碩士(2012年)

https://doi.org/10.6832/KMU.2012.00072

摘要

國內外文獻指出，工作滿意度是護理人員留任意願的關鍵因素。本研究旨在探討護理人員賦權感受、工作投入與工作滿意度之現況及其關係，並瞭解工作滿意度之預測因子。採描述性相關研究(descriptive correlational study)設計，以橫斷性調查法(cross-sectional survey)在南部一家醫學中心及兩家區域醫院分層隨機抽樣，以賦權量表、工作投入量表及工作滿意度量表，共完成577位臨床護理人員問卷收集。研究結果發現：(1)護理人員賦權感受呈現中間偏上程度(61％)；進階層級越高、有參與單位事務之護理人員，其賦權感受程度較高。(2)護理人員工作投入呈現中間偏上程度(61.6％)；年齡31歲以上、工作年資越久之護理人員，其工作投入程度較高。(3)護理人員工作滿意度呈現中間偏上程度(67.8％)；已婚、工作年資越久之護理人員，其工作滿意程度較高。(4)經皮爾森積差相關(Pearson's correlation)檢定，賦權、工作投入與工作滿意度為顯著正相關。(5)透過階層迴歸分析結果發現，護理人員婚姻狀況、賦權感受、工作投入對工作滿意度具預測力，共可解釋44.8％變異量，其預測力在人口學特性可解釋6.9％，賦權感受34％，工作投入3.9％。本研究發現賦權感受對於工作滿意度有較高的預測力。機構與主管應善用管理策略與方法，讓護理人員在工作環境中感受到賦權，能借以努力個人護理專業發展，拓展護理角色與功能，將有助於提升護理人員工作滿意度。未來應努力於提升護理人員的自信心與效能，以強化專業發展的成效。

關鍵字

護理人員 ； 賦權 ； 工作投入 ； 工作滿意度

並列摘要

International literature has shown that competitive organization must retain employees who are devoted to and sat¬isfied with their work. This study aimed to investigate the relationships amongst perceived empowerment, job involvement, and job satisfaction in hospital nurses, after controlling for personal characteristics. This descriptive correlational study employed a cross-sectional design. A probability sample of 577 nurses(response rate:96.2%) working in a medical center and two regional hospitals in Southern Taiwan agreed to participate in this study. A structured questionnaire was used to collect data.
The results showed that: (1) Nurses’ perceived empowerment were at the medium level(61％). Nurses who were at higher clinical ladder and participated in unit affairs tend to have stronger perception of empowerment. (2) Nurses’ job involvement were at the medium level(61.6％). Nurses who were more then 31 years old and have longer years of work tend to have higher level of job involvement. (3) Nurses’ job satisfaction were also at medium level(67.8％). Nurses who were married and have worked for more than seven years tend to have higher level of job satisfaction. (4) The analysis of pearson’s correlation showed that nurses’ perceived empowerment, job involvement, and job satisfaction have significant positive correlation. (5) The hierarchical regression analysis showed that perceived empowerment, job involvement, nurses’ marital status, and seniority significantly predict job satisfaction. Among the predictors, the explained variation of job satisfaction is highest by perceived empowerment(34%), followed by nurses’ marital status and seniority(6.9%) and job involvement(3.9%).
Base on the results of this study, it is suggested that the administrative managers of hospitals should employ stratagies to improve nurses’ perceived empowerment. An positive mork environment has to support for professional development and allow nurses to expand their functions at work. Future efforts should also be put on improving nurses’ self-confidence and efficaly in order to support for professional development.

並列關鍵字

nurse ； empowerment ； job involvement ； job satisfaction

參考文獻

桑潁潁、徐月霜、張韻勤（2003）．某醫學中心急診護理人員工作表現之相關因素探討．榮總護理，20（4），338-344。

參考文獻

行政院衛生署(2010)．台灣地區醫事人員數-按醫院評鑑等級•台北：行政院衛生署。

王秀珍、盧美秀(1998)．護理人員工作相關灌能之探討-比較護理人員實際感受與期望間的差異．護理雜誌，55(2)•19-30。

王麗雲、潘慧玲(2000)．教師彰權益能的概念與實施策略．教育研究集刊，44•173-200。