臺北市某醫院護理人員激勵與工作滿意度之相關性研究

An Exploration of Motivation and Job Satisfaction of Nurses at a Regional Hospital in Taipei

胡玉英(Yuh-Ing Hwu)

指導教授 ： 李碧霞 博士

國立臺灣師範大學/教育學院/衛生教育學系/碩士(2002年)

摘要

本研究旨在瞭解醫院護理人員之激勵與工作滿意度的現況，以及探討其相關因素。以臺北市某醫院之全體護理人員為研究對象，採分層隨機抽樣法，共抽出330人，以自填問卷方式施測，得有效樣本共290名。所得資料以描述性統計、皮爾森積差相關、斯皮爾曼等級相關、t-test、單因子變異數分析、無母數分析、多元逐步迴歸分析等統計分析。重要結果如下：
一、醫院護理人員於激勵方面，以獲得內在激勵的滿足感較高；於工作滿意度方面，以工作伙伴獲得的滿意度最高。
二、醫院護理人員之激勵會因年齡、服務年資、婚姻狀況、子女數、職位、科別單位的不同，有顯著差異。年齡、服務年資、子女數、職位，與外在激勵、內在激勵、整體激勵呈顯著相關。工作滿意度會因年齡、服務年資、婚姻狀況、子女數、職位的不同，有顯著差異。年齡、服務年資、子女數、職位，與直屬上司、工作本身、升遷成長、工作伙伴、整體工作滿意度有顯著相關；服務年資則與薪酬待遇有顯著相關。
三、醫院護理人員之外在激勵、內在激勵、整體激勵，與直屬上司、工作本身、升遷成長、薪酬待遇、工作伙伴、整體工作滿意度有顯著相關。外在與內在激勵為整體工作滿意度、直屬上司、升遷成長、工作伙伴之預測變項。外在與內在激勵、服務科別單位為工作本身之預測變項。外在激勵為薪酬待遇之預測變項。
依本研究結果，提出應重視工作滿意度議題，善用各項激勵因素，以提升護理人員的工作士氣與照護品質等建議，並作為未來研究、護理實務應用、行政措施之參考。

關鍵字

醫院護理人員 ； 激勵 ； 工作滿意度

並列摘要

The main purpose of this study was to understand motivation and job satisfaction of nurses. It was also to explore the relationship between motivation and job satisfaction. Subjects were recruited from a regional hospital in Taipei. A stratified sampling method was used to randomly select 330 nurses. Two hundred and ninety nurses were completed. The statistical method included descriptive statistics、Pearson's product -moment correlation、Spearman rank correlation、one-way ANOVA、Nonparametric test (Kruskal-Wallis one-way analysis of variance by ranks) and multiple stepwise regression.
The major results of this study were as follows：
1.Nurses were most satisfied with the intrinsic motivation on motivation aspect. On job satisfaction aspect, the co-worker satisfaction got higher degree.
2.Nurses’ age, tenure, marital status, the number of child, position and work unit had significant influence on nurses’ motivation. The age, tenure, the number of child and position had significantly positively correlated with the extrinsic motivation, intrinsic motivation and the entire motivation. The age, tenure, marital status, the number of child and position had significantly influenced on nurses’ job satisfaction. The age, tenure, the number of child and position had significantly positively correlated with the supervisor satisfaction, work-itself satisfaction, promotion satisfaction, co-worker satisfaction and the entire job satisfaction. The tenure had significantly positively correlated with the payment satisfaction.
3.Nurses’ extrinsic motivation, intrinsic motivation and the entire motivation had significantly positively correlated with the supervisor satisfaction, work-itself satisfaction, payment satisfaction, promotion satisfaction, co-worker satisfaction and the entire job satisfaction. The extrinsic motivation and the intrinsic motivation were significant predictors of the supervisor satisfaction, the promotion satisfaction, the co-worker satisfaction and the entire job satisfaction. The extrinsic motivation, intrinsic motivation and work unit were significant predictors of the work-itself satisfaction. The extrinsic motivation was a significant predictor of the payment satisfaction.
Based on the research results, it was recommended that the job satisfaction programs ought to pay lots of attentions on using all motivating factors and on the enhancing of work morale and the quality of nursing as the reference to future research, nursing practice and administration.

並列關鍵字

nurses ； motivation ； job satisfaction

參考文獻

劉雪娥、顧乃平(1986)．某教學醫院護理人員工作滿足程度之探討，護理雜誌，33(1)，72-83。

潘依琳、張媚(1998)．醫院護理人員之工作特性、成就動機對工作投入、工作滿足與留職意願之影響。中華衛誌，17(1)，48-57。

楊樹昌、蘇喜(1996)．某些省市立醫院組織氣候、工作滿意度及士氣之研究。中華衛誌，15(1)，162-167。

張峰鳴、林綽娟、郭憲文、鄧玉貴、李俊年(1995)．臺灣省衛生所護理相關人員工作評價及滿意度之調查。中華衛誌，14(1)，78-85。

劉長安、施婉華、曾貴英(1997)．某醫學中心臨床護理人員工作滿意情形及影響因素之探討。榮總護理，14(2)，143-163。