醫療機構員工組織承諾、工作壓力與工作滿意度之相關研究

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Health & Medical Care > Hospital Administration & Medical Affair Management
College of Management > Graduate Institute of Health Care Management

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醫療機構員工組織承諾、工作壓力與工作滿意度之相關研究

A study on the relationship between organization commitment, job strain and job satisfaction of hospital employees

賴慧仙 , Masters　　Advisor：洪錦墩　　

繁體中文

結構方程模式；醫院；工作滿意度；工作壓力；組織承諾； Structural equation modeling analysis ； Hospital ； Job satisfaction ； Job strain ； Organization commitment

Abstract │ Reference (145) │ Times Cited (5) │ Altmetrics

Abstract 〈TOP〉

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Object: The higher job satisfaction of medical staff have, the better service they can provide.  It makes patients have better feelings about the medical service quality.  In addition to the basic characteristics of individuals, there are plenty of factors to affect the staff’s job satisfaction.  They are including three important dimensions: organization commitment, job strain and job satisfaction.  This study expects that it, through structural equation modeling, analyzes the factors and the impact on the employee’s job satisfaction.  In order to make the medical management fit to the staff’s expectations and enhance the service quality and the performance of employees, that provides the reference for the business management in policy-choosing and decision-making. 
Method： This is a case study of a certain regional hospital in central Taiwan, 1,701 questionnaires issued.  908 valid questionnaires were retrieved and effective retrieved rate of 53.38% , except the invalid ones.  Statistical methods are including the confirmatory factor analysis of the construct validity, descriptive unvaried analysis which is used to understand the actual situation.    Independent t-test, ANOVA, Pearson correlation analysis, regression analysis are applied to understand the related factors.  The last one is structural equation modeling analysis, analyzing the path dimensions relevance.
Result: The average score for organizational commitment is 3.11 ± .61 points, job strain is 3.50 ± .52 points, and job satisfaction is 3.01 ± .56 points.  After other factors are controlled, the independent effects of job satisfaction factors are significantly related to organizational commitment, job strain, sex, age, job functions. The organizational commitment of the medical staff has a significant positive impact on job satisfaction.  The job strain has negative effects on organizational commitment and it has indirectly negative impact on job satisfaction, through organizational commitment.
Conclusion: Different personal characteristics have significant differences in organizational commitment, job strain and job satisfaction.  The job strain and job satisfaction has an indirectly negative relationship. In the further, we found that employee have relatively higher job satisfaction with high organizational commitment and lower job strain by regression analysis in that the control of personal characteristics, such as the age, sex, and job function. Therefore, diminishing the strain and strengthening commitment not only are helpful to increase job satisfaction but also enable medical institutions to enhance service quality and sustainable development.

Reference ( 145 ) 〈TOP〉

王靜琳、楊惠如、施燕華、陳月枝、呂桂雲(2007)。職校改制專科後護理教師工作壓力與組織承諾之研究。實證護理，3(2)，139-148。
連結：
古金英(2004)。工作自主性、員工股權擁有滿意、自主性需求與組織承諾間關係之再探討：以台灣電子業員工為例-科技管理。科技管理，9(2)，131-161。
連結：
史麗珠、張薰榕、劉孟茹、鄭秀貴(2007)。醫療工作的壓力源感受量表之設計及信效度檢定。台灣衛誌，26(6)，452-461。
連結：
朱明若、李姣姿(2001)。公共衛生護理人員工作壓力感受、因應策略與壓力結果之探討—以互動型工作壓力模式為架構。臺灣衛誌，20(6)，413-422。
連結：
李逸(2004)。公共衛生護理人員工作壓力感受、因應策略與壓力結果之探討—以互動型工作壓力模式為架構。臺灣衛誌，33(5)，398-405。
連結：

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