醫院行政人員人格特質、工作壓力及工作滿意度之探討─以中區某醫療體系醫院為例

The Study Among Personality Traits ,Job Stress And Job Satisfaction of Hospital Administrative Staff -An Example of A Health Care System Hospitals

湯明宗(shang ming tsung)

指導教授 ： 徐尚為

亞洲大學/健康學院/健康管理研究所/碩士(2007年)

摘要

醫院行政人員一向被認為是比較不重要的角色，尤其是受到健保醫療環境改變的衝擊，管理者為了節省成本，首先以樽節人事成本，對於行政人員的任用更趨嚴謹，甚至凍結。然而完整的醫療過程，除了需投入專業的醫療人員，也需行政人員作業配合，所以醫院行政人員亦是重要不可或缺的。 本研究旨在對於醫院行政人員的人格特質、工作壓力及工作滿意度之探討。本研究採用問卷調查法，並以中區某醫療體系醫院之行政人員為研究對象，共發出595 份問卷，回收442 份。 本研究以SPSS10.0 進行資料分析，使用的統計方法有描述性統計、t 檢定、單因子變異數分析、相關分析及逐步迴歸分析。 本研究主要發現如下： 一、 醫院行政人員的個人屬性（性別、年齡、婚姻、教育程度、服務年資、職位、個人月收入）對人格特質、工作壓力及工作滿意度有顯著差異。 二、 醫院行政人員的人格特質與工作壓力之「低自我發展」、「角色衝突」及「低福利制度」呈負相關，表示人格特質愈明顯，這三構面之壓力會降低；與「工作負荷」呈正相關，表示人格特質越明顯時，其「工作負荷」壓力會愈大；與「工作滿意度」呈正相關，表示人格特質越明顯時，其工作滿意度會更好。而工作壓力與「工作滿意度」三構面呈負相關，表示工作壓力愈大時，其工作滿意度愈低。 三、 人格特質的「親和性」、「勤勉正直性」、「情緒敏感性」及「外向性」四構面與「工作滿意度」三構面皆有正向影響；而「工作壓力」四構面與「工作滿意度」三構面皆有負向影響。 本研究依上述結論，分別對醫院管理者、醫院行政人員及後續研究者提出以下建議。 一、 管理者可將「人格特質」列入人員選任時的評估項目，以增加選才精確性。 二、 管理者應舉辦壓力管理課程：舉辦減壓課程及休閒旅遊活動，鼓勵員工適當的運動，使員工在生理及心理獲得慰藉。 三、 管理者應調整主管工作負荷量，並提升主管工作技巧。 四、 行政人員應加強自我適應環境能力：盡量學習自我調適，減輕工作壓力，以免影響工作表現。

關鍵字

人格特質、工作壓力、工作滿意度

並列摘要

Because of the impact from the change of health insurance and medical environment, in particular, in order to save the costs, the managers first reduce personnel matter costs and become more cautious about and even freeze the employment of administrators. However, complete medical process should not only involve professional medical personnel, but also require the cooperation of the administrators. Thus, hospital administrators are also critical and necessary.
This research aimed to explore the personality traits, job stress and job satisfaction of hospital administrators. It was based on questionnaire survey and the administrators of hospitals from a medical system in central Taiwan were the targets. There were 595 questionnaires distributed and 442 returned.
This research managed data analysis by SPSS10.0 and the statistical methods used include descriptive statistics, t-test, One-way ANOVA, correlation analysis and stepwise regression analysis.
The major findings of this research are below:
1) Hospital administrators’ personal attributes (gender, age, marital status, educational level, service years, position and personal monthly income) reveal significant difference on personality traits, job stress and job satisfaction.
2) Hospital administrators’ personality traits reveal negative correlation with “low self-development”, “role conflict” and “low welfare system”of job stress. It means when personality traits are more significant.The stress of these three constructs will be reduced; they reveal positive correlation with “job loading” which means personality traits are more significant, the stress of “job loading” will be more obvious; they reveal positive correlation with “job satisfaction” which means when personality traits are more significant, the job satisfaction will be better. Job stress has negative correlation with three constructs of “job satisfaction” which means when job stress is more significant, the job satisfaction will be lower.
3) “Friendliness”, “diligence and integrity”, “emotional sensibility” and “extroversion” of personality traits reveal positive correlation with three constructs of “job satisfaction”; four constructs of “job stress” have negative influence on three constructs of “job satisfaction”.
From the findings of this study, following suggestions were proposed to hospital managers and administrators:
1) The managers could include “personality traits” in the evaluation process while recruiting to increase the preciseness of talent selection.
2) The managers should provide stress management courses: holding stress reduction courses and recreational traveling activities, encouraging the employees to have proper exercises to comfort the employees physically and psychologically.
3) The managers should adjust the executives’ job loading and upgrade their job skills.
4) Administrators should buildup environmental accommodation capacities themselves: learning self- accommodation and reduce job stress to upgrade job performance.

並列關鍵字

personality traits, job stress, job satisfaction

參考文獻

5.行政院衛生署（2005）：衛生統計重要指標綜合類。

20.陳吳政（2002）：組織文化、領導行為、工作滿足與組織承諾之關係研究。國立成功大學企業管理學系碩士論文，台南。

3.行政院勞工安全衛生研究所(1995)職業壓力指標之探討。

4.行政院勞工安全衛生研究所（1995）勞工安全衛生研究報告-國人工作壓力量表之建立。行政院勞工委員會勞工安全衛生研究所編印。

8.李玉惠（1997）：國民小學女性校長工作壓力與社會支持需求之研究。國立台北師範學院國民教育研究所碩士論文，台北。