台灣護理人力目前呈現供需失衡的現象,雖然護理人力之供給歷年來有增加的趨勢,然而投入此就業市場之人數下降及護理人員的高離職率造成了護理人力資源短缺。基此,本研究主要在瞭解新進護理人員其工作價值觀的狀況,並探討不同個人屬性、醫院屬性及僱用別的護理人員,其工作價值觀、工作適應情形及離職傾向之差異。 本研究以問卷調查蒐集研究資料,總共出問卷250份,最終之有效樣本203份。研究結果顯示:(一)有79.3%曾想離開醫院的護理工作以轉換其他工作,其中最無法適應的因素為超時工作及輪班制度;(二)工作價值觀得分愈高,其工作適應情形愈好。(三)工作適應與離職傾向呈現負相關,即表示當護理人員工作適應愈好時,產生離職傾向的機會愈低。此外,醫院中護理人員人數最多,與病人接觸時間最長,護理人員短缺對護理品質造成莫大影響,其中影響護理人員是否繼續留任的主要因素為:調整基本薪資、調降護病比率、增加輔助人力及調整夜班津貼等措施。
Nursing manpower is currently showing the imbalance between supply and demand in Taiwan. Though the supply of nursing manpower is increasing in the recent years, however, the decreasing numbers of new entrants and the high turnover rates of nurses have caused the shortage of nursing human resources in the job market. Based on this, the study mainly focused on understanding the statuses of new nurses about their personal work values and investigating differences of the work values, work environments, work adjustments and turnover tendencies of different personal attributes, hospital properties and employment characteristics of the nurses. The questionnaire survey was adopted for the collection of data in this study. In a total of 250 questionnaires were issued and the final valid samples were 203. The results indicated as the followings: Firstly, 79.3 % of the nurses considered quitting the nursing career in the hospitals in order to change to other works. The most intolerable factors were the overtime working and the shift systems. Secondly, the higher scores of the work values, the better work adjustments for the individuals. Thirdly, the work adjustment and turnover tendency showed the negative correlation. That indicated that the better work adjustments, the lower chances of turnover tendencies for the nurses. Besides, the largest number of nursing staff in the hospital had the longest contact time with patients. The shortage of nurses has caused great impacts on the care quality. The main factors that affected their intentions to continue staying for the nurses were the adjusting basic salary, decreasing nurse-patient ratio, increasing auxiliary manpower and adjusting the night shift allowance.