護理人員對病人安全文化認知與工作士氣之探討

The Study of Relationships between Perception of Patient Safety Culture and Morale of Nursing Staff

張理君(Li-Chun Chang)

指導教授 ： 邱亨嘉

高雄醫學大學/健康科學院/醫務管理學研究所碩士在職專班/碩士(2009年)

https://doi.org/10.6832/KMU.2009.00089

摘要

研究目的
護理是健康照護體系中主要的一環，對病人安全的態度及認知是維護病人安全的關鍵，
較少研究探討病人安全文化與護理人員士氣的相關議題。本研究之目的探討護理人員對病人
安全文化的認知與工作士氣之相關，及建立護理人員工作士氣的預測模式。
研究方法
本研究為一橫斷性採結構式問卷調查法，醫院安全文化量表採美國健康研究暨品質機構
（AHRQ）所發展出的調查量表，及士氣問卷採用許士軍（1977）翻譯研究所修訂的量表。
取樣對象以南部六間醫院，研究採護理人員部份計有923份，回收率為78﹪。問卷調查資料以
spss12.0版for windows套裝軟體進行統計分析，以Pearson 相關、複迴歸分析等方法分析。
研究結果
問卷整體信度：醫院安全文化量表0.894、士氣問卷0.927。病人安全三個構面的相關係
數及工作士氣二個構面的相關係數介於0.43-0.53（p<0.001），控制其他人口壆變項後，年資、
接觸病人頻率及病人安全三構面均與工作士氣呈顯著性相關。
結論與建議
本研究結論為病人安全文化是預測工作士氣影響之重要因子，護理主管應建立策略以增
加護理人員對於病人安全文化的了解，必然能增強護理人員工作士氣的表現。

關鍵字

護理人員 ； 病人安全文化 ； 工作士氣

並列摘要

Objectives: Nurse is the major work force at healthcare industry. The attitude and perception of
patient safety is key to patient safety. Relationship between perception of patient safety culture and
nursing moral has not been examined. The aim of the study was to explore the relationships
between patient safety culture and morale, and further to identify predictors of nursing morale.
Methods: A cross-sectional study design was conducted for this study. Two instruments were used.
One is Chinese version of patient safety culture which was originated developed by Agency for
Health Care Research and Quality (AHRQ); and another is moral questionnaire which have been
validated in many studies. Data were collected from 6 acute general hospitals at southern Taiwan. In
total, 923 nurses completed the study, represented 78% response rate. Correlation and multiple
linear regressions were performed by SPSS for Window.
Results: The value of Cronbach’s α of patient safety culture and moral was 0.894, and 0.927
respectively. The correlation coefficient between three dimensions of patient safety (organization
level, unit level and outcome) and two dimensions of morale (satisfaction and recognition of
working environment) were range from 0.43 to 0.53 (p>0.001). While controlling for demographic
variables, year at position, frequency of contact with patients, and three dimensions of safety were
significant associated with morale score.
Implications: It is suggested that nursing morale can be enhanced by patient safety culture. Nursing
directors need to develop strategy to increase better understanding of patient safety culture, and
consequently, increase the moral and performance.

並列關鍵字

nurse ； patient safety culture ； morale

參考文獻

一、中文部分

1.王明坤（1996）．電信組織公司化當前員工士氣之研究．國立中興大學企業管

理研究所碩士論文。

2.王俊堯（2001）．員工參與管理與員工士氣之研究．彰化師範大學商業教育研

究所碩士論文。