長照機構人員住民支持與留任意願：組織忠誠與工作敬業之中介效果

Resident Support and Intention to Stay for Long-term Care Staff: The Mediating Effects of Organizational Loyalty and Job Engagement

高鳯霞(Feng-Hsia Kao) ； 李怡盈(Yi-Ying Li)

《中華心理衛生學刊》 36卷2期 (2023/06) Pp. 157-183

https://doi.org/10.30074/FJMH.202306_36(2).0002

摘要

研究目的：臺灣已正式步入高齡社會，照護人力不足仍是高齡社會最大的窘境之一，如何留任長照機構人員受到研究學者與實務管理者的高度關注。本研究欲從社會支持的角度切入，探討住民支持與留任意願之關係，並試圖釐清組織忠誠、工作敬業在住民支持與留任意願間，是否具有中介效果。研究方法：本研究針對長照機構人員進行問卷施測，回收有效樣本為217份，有效回收率為93%。研究結果：發現住民支持與留任意願呈現正相關；組織忠誠、工作敬業在住民支持與留任意願間，具有中介效果。研究結論：總體而言，本研究釐清住民支持與留任意願的關係，並驗證住民支持會透過組織面、工作面的心理機制影響留任意願，可做為相關管理實務推動的應用，並提供未來研究參考方向。

關鍵字

住民支持 ； 組織忠誠 ； 工作敬業 ； 留任意願

並列摘要

Purpose: Taiwan is an aging society. Nursing home administrators in Taiwan have found that the lack of human resources to provide care is one of their biggest challenges. We adopted a social support perspective to explore the relationship between the amount of support staff feel from residents (resident support) and the intention of staff to remain in their jobs. We also examined whether organizational loyalty and job engagement are important mediators between the level of resident support and the intention of employees to stay. Methods: We used the temporal separation method to collect 217 valid responses via a questionnaire from nursing home staff. The independent variable (level of resident support) was collected at Time 1, and the mediation (organizational loyalty and job engagement) and dependent variable (intention to stay) were collected at Time 2, which was one week later. Results: We found that resident support is positively related to the intention to stay. Organizational loyalty and job engagement have a mediating effect between resident support and intention to stay. Conclusions: Resident support is an important work resource for staff of long-term care institutions. Establishing a good interactive care model with residents may be a considerable factor in a staff member’s decision of whether or not to remain on the job.

並列關鍵字

intention to stay ； job engagement ； organizational loyalty ； resident support

參考文獻

丁學勤、陳世杰 (2011)。教師和學校的一致性、組織衝突、關係品質、組織忠誠度與團隊合作之關係研究。教育學術彙刊，3，81-106。https://doi.org/10.6434/BER.201102.0081

王郁智、朱正一、洪光良、章淑娟 (2004)。〈護理人員留任意願文獻探討。慈濟護理雜誌，3，8-12。https://doi.org/10.6974/TCNJb.200412.0008

王靜琳、黃瓊玉、呂桂雲、何美瑤 (2007)。護理人員工作壓力與社會支持之探討。榮總護理，24，59-68。https://doi.org/10.6142/VGHN.24.1.59

白崇亮 (1986)。組織承諾研究：理論與實證。管理評論，5，30-51。https://doi.org/10.6656/MR.1986.5.2.CHI.30

吳淑惠、張永源、余秋霞 (2014)。醫院員工人格特質、組織忠誠度對工作態度影響之研究－以高雄市立醫院為例。高雄護理雜誌，31，10-25。https://doi.org/10.6692/KJN-2014-31-3-3