本研究目的在探討臨床護理人員之工作價值觀、專業承諾與離職傾向之相關性。為描述性相關性之研究設計,採橫斷性調查法,以台灣地區四所區域級教學醫院,任職半年以上之護理人員為研究對象,採方便取樣(Convenience Sampling),於民國九十七年二月ㄧ日至三月十日進行資料收集,研究工具包含「工作價值觀」、「專業承諾」、「離職傾向」之結構式問卷,共發出300份問卷,有效回收289份,有效回收率96.3%。所得以SPSS 12.0版進行描述性與推論性統計、獨立樣本t檢定(independent t-test)、單因子變異數(one-way ANOVA)、皮爾森積差關係(Pearson’s correlation coefficient)、逐步迴歸(stepwise regression analysis)之統計分析。 研究結果顯示:(1)年齡愈高、教育程度愈高、工作年資愈高、工作職務愈高、每月薪資愈高、個人信仰佛教、已婚、子女數為兩個以上則工作價值觀及專業承諾愈高。(2)年齡愈高、工作年資愈高、工作職務愈高、每月薪資愈高、個人信仰佛教、已婚、子女數為兩個以上離職傾向愈低。(3)整體工作價值觀愈高則專業承諾愈高,離職傾向愈低。整體專業承諾愈高則離職傾向愈低。(4)影響臨床護理人員離職傾向重要預測因子包括:專業承諾、機構屬性、個人信仰佛教、每月薪資共四個變項,可解釋離職傾向52.2%的變異量。 本研究結果可作為學校教育及臨床護理行政管理改進之參考及招募人才、培育人才、提昇工作價值觀教育訓練課程之參考。
The purpose of this study was to explore the relationship between working values, professional commitment and turnover intention among clinical nurses. The cross-sectional survey and convenience sampling were adopted for 300 nurses who have worked for at least half a year in four teaching hospitals in Taiwan. The structural questionnaire, including working values, professional commitment, and turnover intention were applied for this study. The response rate was 96.3%. Independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and stepwise regression analysis were used to analyze subjects’ responses. The major findings of this study were as follows: 1.There are positive correlations between age, education level, working years, working duty, salary and working values as well as professional commitment. Moreover, those who are Buddhist, married, with two or more children present higher working values and professional commitment. 2.There are negative correlations between age, working years, working duty, and salary and turnover intention. Moreover, those who are Buddhist, married, and with two or more children present lower turnover intention. 3.Those who with higher total working values scores show higher professional commitment scores and lower turnover intention scores. Moreover, those who with higher total professional commitment show lower turnover intention scores. 4.The significant factors which effect on the turnover intention of clinical nurses include professional commitment, institution characteristics, Buddhist, and salary, which accounted for 52.2% the variation of turnover intention. The findings of this study provide guidance to school educators and hospital administrators in recruitment, education, training and assignment of human resources.