摘 要 護理人員是醫療療產業主要之人力,是醫院重要資產,護理人員的工作壓力會導致高離職率,因而影響醫院的成本、護理人員工作士氣及護理品質。員工的離職意圖在組織行為中最常被探討的兩項重要的態度為工作滿足與組織承諾,滿足的工作者才能對組織產生承諾,因此護理人員的工作壓力、工作滿足、組織承諾與離職傾向有其關聯性。 本研究目的旨在探討護理人員工作壓力、工作滿足、組織承諾與離職傾向的相關性,以台南地區三家教學醫院之護理人員662 位為對象。研究結果顯示: 一、護理人員不同個人屬性變項對工作壓力、工作滿足、組織承諾與離職傾向均有顯著性差異。 二、護理人員工作壓力與工作滿足、組織承諾呈顯著負相關;與離職傾向呈顯著正相關。 三、護理人員工作滿足、組織承諾與離職傾向呈顯著負相關。 四、護理人員工作滿足與組織承諾呈顯著正相關。 五、工作滿足與組織承諾,對工作壓力對於離職傾向的影響,均有顯著的中介效果。 六、已婚護理人員工作壓力低於未婚者、工作滿足感高於未婚者、組織承諾明顯大於未婚者、離職傾向低於未婚者。 七、護理人員年齡層較低、年資淺、職級較低者,其工作滿足及組織承諾大都比年齡大及服務年資較長者為低;醫學中心護理人員工作壓力、離職傾向比區域醫院及地區醫院高、工作滿足與組織承諾也較低。
Abstract Nursing staff are the main labor power of medical industry and important asset of hospitals. The working pressure of nursing staff will lead to high dimission rate, which will affect the cost of hospitals, the working moral of nursing staff, and nursing quality. For the dimission tendency of stuff, two important attitudes that are often discussed in organizational behaviors are job satisfaction and organizational commitment. Only satisfied workers will have commitment to organizations. Therefore, the working pressure, job satisfaction and organizational commitment of nursing staff have correlation with their turnover intention. The study aims to discuss the correlation between the working pressure, job satisfaction and organizational commitment of nursing staff with their Turnover Intention. The nursing staff totally 662 of three teaching hospitals in Tainan area was selected as research objects. The research results shows: 1.Nursing staff’s different personal property variables have obvious differences for their working pressure, job satisfaction, organizational commitment, and turnover intention . 2.Nursing staff’s working pressure appeared obvious negative correlation with their job satisfaction and organizational commitment, and appeared obvious positive correlation with their turnover intention . 3.Nursing staff’s job satisfaction and organizational commitment appeared obvious negative correlation with their turnover intention . 4.Nursing staff’s job satisfaction appeared obvious positive correlation with their organizational commitment. 5.Job satisfaction and organizational commitment have obvious interference effect on turnover intention affected by working pressure. 6.Compared with unmarried persons, married nursing staffs have lower working pressure; higher job satisfaction, obvious larger organizational commitment, and lower turnover intention. 7.Nursing personnel who have younger ages, shorter years of service, and lower job position generally have lower job satisfaction and organizational commitment than those with elder ages and longer years of service. The working pressure and turnover intention of nursing staff in medical center are higher than regional hospitals and local hospitals, and they also have lower job satisfaction and organizational commitment.