影響護理之家照護員工組織承諾因素之探討-以中部四縣市為對象

Factors that Influence the Organizational Commitment of Caring Staff in Nursing Home in the Middle Areas of Taiwan

林軒仕(syuan-shih Lin)

指導教授 ： 廖宏恩

亞洲大學/健康學院/長期照護研究所/碩士(2005年)

摘要

本研究目的旨在瞭解護理之家照護員工組織承諾之現況及特性；其次在瞭解不同個人特徵、工作情境、組織環境下，對護理之家照護員工之組織承諾子構面間的差異性，及分析影響護理之家照護員工對組織承諾之因素。
本研究採用橫斷面問卷調查法，以普查方式訪問中部四縣市50 床以上之護理之家第一線照護員工，共計發出問卷392 份，回收306 份，有效問卷則為294 份（有效回收率約為96%）。調查所得之資料以SPSS For Windows 12.0 版統計軟體進行平均數、標準差、t 檢定、單因子變異數分析、複迴歸分析等統計方法處理，獲得以下結果：
1. 護理之家照護員工的組織承諾（平均數=3.55）屬偏高的程度，在組織承諾的子構面中照護員工以情感性承諾最高、其次依序為規範性承諾、持續性承諾。
2. 個人特徵變項中，以年齡、年資、工作價值觀與組織承諾呈顯著正相關，教育程度、及職別與組織承諾呈顯著負相關。
3. 工作情境變項中，以工作負荷與組織承諾呈顯著負相關，同僚關係及主管領導型態與組織承諾呈顯著正相關。
4. 組織環境變項包含組織文化、教育訓練、升遷發展、機構評價、薪資福利、工作實體環境都皆與組織承諾成顯著正相關。
5. 預測組織承諾變項方面，依預測能力高低順序排列依序為機構評價、年齡、工作負荷、創新型文化、薪資福利、教育訓練、工作價值觀、職別，可預測解釋力為31.6%。
依據本研究的結果提供給機構管理者於提昇照護員工的組織承諾時之參考：提昇機構本身的評價為加強員工的組織承諾最重要之因素；鼓勵員工接受新觀念；測試新招募員工的工作價值觀是否契合本身所需；配合設計工作說明書及相對應的薪資福利制度，以公平之評估標準留住優秀人才。

關鍵字

長期照護 ； 組織承諾 ； 機構評價

並列摘要

The purpose of the research mainly is to discuss the state and attribute of organizational commitment of caring staff in nursing homes ,then to understand person characteristic、job situation、organizational environment are effect on variables among organizational commitment and analyze to influent factors of organizational commitment.
The cases were collected from nursing homes which belong above 50 beds among four countries cities（Taichung county city, Nanyou County, Zhanghua County）of Middle of Taiwan. A cross-sectional study by means of structural formula questionnaires were undertaken. There are 392 issued and 306 returned,294 are useful（the rate is 96%）.The SPSS for window 12.0 was applied as the tool for statistic analysis in this study. The statistic methods used in this research are as
follow: mean, standard deviation, T-test, one-way ANOVA Analysis, and
Regression Analysis.
The results of this study showed that:
1. The organizational commitment of caring staff in nursing homes is high. Affective commitment is stronger , Normative commitment is moderate and Continuance commitment is weak between organizational commitment of caring staff in nursing home.
2. The person characteristic such as age、seniority and work value were significant positive correlation with organizational commitment. Education and official rank were significant negative correlation with organizational commitment.
3. The job situation such as workload was significant negative correlation with organizational commitment, while other variables were significant positive correlation with organizational commitment.
4. The organizational environment such as organizational culture、educational training、development of promotion、facility appraisal、salary-welfare and physical environment were significant positive correlation with organizational commitment.
5. Facility appraisal、age、job load、innovative culture、salary-welfare、educational training、work value、official rank have the significantly forecast ability to variance of organizational commitment and account for 31.6% variance of organizational commitment.
According to the study results, some suggestions will be made for management in this field.

並列關鍵字

Long term care ； Organizational commitment ； Facility appraisa

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