都會區及鄉鎮區醫院護理人員專業承諾、工作價值、工作環境與留任意願之相關性研究

Professional Commitment, Work Value, Work Environment, and Intent to Stay of Urban and Rural Hospitals Nurses

謝秀梅(Hsiu-Mei Hsieh) ； 黃慧文(Hui-Wen Huang) ； 呂旻芬(Ming-Fen Lu) ； 許靖岱(Ching-Tai Hsu) ； 黃芷苓(Chih-Ling Huang)

《台灣醫學》 25卷1期 (2021/01) Pp. 36-45

https://doi.org/10.6320/FJM.202101_25(1).0003

摘要

本研究目的為比較都會區及鄉鎮區醫院護理人員留任意願之相關因素。採橫斷性研究設計，於二所區域教學醫院，採方便取樣292位護理人員；問卷內容含基本資料、專業承諾、工作價值、工作環境因素和留任意願。單變量分析發現兩院區護理人員在團隊合作次量表得分和護病關係次量表得分有顯著性差異；鄉鎮區醫院護理人員的教育程度和工作年資在留任意願有顯著性差異。回歸分析發現專業發展性是都會區醫院護理人員留任意願的重要因素；工作年資和工作滿足感是鄉鎮區醫院護理人員留任意願的重要因素。結果提供護理主管針對不同地區醫院護理人員的留任意願相關因素，提出合適性策略，以提升留任率。

關鍵字

工作價值 ； 專業承諾 ； 工作環境 ； 留任意願

並列摘要

This study was aimed to compare the related factors in retention willingness of nursing staffs between an urban hospital and a rural hospital. This is a cross-sectional design using a convenience sample. A total of 292 nurses were recruited from two regional teaching hospitals in southern Taiwan. Data was collected by a questionnaire including demographic data, professional commitment, work value, work environment and retention willingness. Univariate analyses showed that there were significant differences in team cooperation or nurse-patient relationship between the urban hospital and the rural hospital. Education level and work years were significantly associated with retention willingness among nurses in the rural hospital. Regression analysis indicated that professional development was a significant factor in retention willingness among nurses in the urban hospital, and work year and job satisfaction were significant factors in retention willingness among nurses in the rural hospital. The results provided nursing administration to develop appropriate strategies to promote retention willingness based on associated factors among nurses in different regional hospitals.

並列關鍵字

professional commitment ； work value ； work environment ； retention willingness

參考文獻

江郁汝、謝麗香、蘇文凱：促進護理人員留任意願之關鍵因素分析。彰化護理 2017;24:27-38。

黃麗玲、楊其璇：護理人員工作價值觀探討以台中市某區域教學醫院兩院之護理人員為例。澄清醫護管理雜誌 2010;6:32-8。

李瑞華、張芙美、賴惠玲等：台東縣公共衛生護專業承諾與工作價值之探討。志為護理 2008;7:79-92。

謝有菱、謝依伶：護理人員專業承諾對離職傾向的影響-以組織承諾為調節變項。醫務管理雜誌 2016;3:210-231。

江惠英：再談團隊資源管理。領導護理 2016;16:2-10。