交易型領導、信任與組織公民行為意向關係之研究 : 以桃竹苗地區醫院護理人員為例

The Relationship among Transactional Leadership, Trust and Organizational Citizenship Behavior Intend---- A Case Study on hospital nurses

王馥庭(Fu-Ting Wang)

指導教授 ： 李弘暉

元智大學/管理學院/管理研究所/碩士(2004年)

摘要

在全民健保制度下，醫院不但面對健保總額支付制度之衝擊，還需面對SARS事件後醫療生態結構之改變，生存實在不易，故更須以重視醫療服務品質並兼顧內部合理的成本控制，隨時因應時代變遷；對於護理人員的管理應視其需求，藉以提高護理人員組織公民行為之意願，進而達成醫院整體目標與策略。本研究目的為了解護理長之交易型領導型態、信任與護理人員從事組織公民行為意向之間的關係，首先將三個構面作簡要定義說明，並針對桃竹苗地區醫院之護理人員進行便利抽樣，共發放236份問卷；有效問卷194份，有效率為82.2%經相關分析、複回歸及徑路分析，將交易型領導、信任及組織公民行為之關係一一釐清，並對統計結果提出討論及建議。
結果發現：
一、交易型領導、信任與組織公民行為各構面呈現顯著的正相關。
二、在護理人員屬性上，婚姻、服務年資、最高學歷及護理長領導時間 等…均有顯著差異。
三、交易型領導直接影響組織公民行為，信任對組織公民行為影響未達顯著效果，近一步發現：子構面之「權宜獎賞」可經由「情感型信任」之中介效果影響「公民美德」。

關鍵字

交易型領導 ； 信任 ； 組織公民行為 ； 護理人員

並列摘要

Under the health-care insurance system in Taiwan, the hospitals have not only to challenge the impacts of post-SARS era, but also to conquer the system change induced by Health-Insurance Department. In order to adapt these changes, it is needless to say that the nursing department in hospital put more emphasis on both quality and operating-cost control. To reach the goals set by hospital, the management of nursing system has should try the best to promote the intention of Organizational-Citizenship Behavior (OCB) by the means of matching faculty’s demands. The purposes of this study are to explore the relationships among transactional leadership, trust and the intention of OCB in hospital nurses. In the beginning, the researcher will define related concepts about leadership, trust and OCB from literature. A questionnaire study was initiated at 13 hospitals in Tau-Yuan, Shin-Tsu and Miao-Li counties. A total of 194 effective datas were enrolled. The statistical analyses were performed using independent test, One-way ANVOVA, Pearson Correlation Analysis, and Multiple Regression.
Significant findings are as followings:
1. There is a positive correlation among each dimension of transactional leadership, trust and OCB.
2. There are statistical difference among each characteristic, such as marriage, seniority, education and leadership-interval.
3. Through multiple regression analysis, transactional leadership influence OCB directly, but trust doesn’t show as an intermediary role toward transactional leadership and OCB; besides, the contingent reward factor indeed influence civic virtue through the intermediary role by affect-based trust.
Keywords:
Transactional Leadership, Trust, Organizational Citizenship Behavior, Nurses

並列關鍵字

Transactional Leadership ； Trust ； Organizational Citizenship Behavior ； Nurses