本研究以花蓮地區區域級以上醫院之護理人員為對象,探討組織文化對其工作滿足及離職原因之相關性。研究結果顯示,在組織文化的構面上,受測者對於所屬機構之組織文化較認同的是主管的指導方式,但一般對於現有之工作皆表示負荷過重,且對組織內部向心力的問題較表不認同。針對工作滿足的部分,其認同組織內部工作氣氛和睦、同仁彼此有善對待且主管與部屬間的溝通管道通暢、部屬與同仁間關係密切。但就工作量的部分,認為沒有足夠時間完成責任範圍內的工作,甚至經常因為工作未完成而延遲下班。對於離職傾向的部分,因工作量大,無法於正常上班時間內完成自己的工作,因護理工作屬責任制,並未因延遲下班而有額外的加給,故對於現有工作量與薪資的比較上,多認為目前的薪資並非合理。 本研究結果將可協助醫院在落實組織文化的同時,了解其所屬之護理同仁對於工作滿足的認知以及對於離職時的考慮因素,以有效降低並維持穩定的離職率。
The nurses of the Regional Hospitals and Medical Centers in the Hua-Lien area are the main targets of this research. The relationships among organizational culture, contentment with, and reasons for turnover are discussed. With respect to organizational culture, this study reveals that the testees were inclined to consent to being guided by their superiors. However, they disagreed with patterns of internal allegiance, and complained about being overloaded with work. With respect to job contentment, the testees agreed that the working relationships and atmosphere of their institution were positive; that the staff worked closely and took care of each other in a friendly manner, and that the channels of communication between the staff and the superiors are very clear. They thought that, with respect to workload problems, they must work overtime to finish uncompleted assignments that they had been routinely asked to perform within working hours. With respect to turnover, the testees complained that they did not receive reasonable pay for their overtime, making their payment unreasonable in relation to the workload and the real working hours. The results of this research will help the authorities of the hospitals to understand their health-care staff’s job satisfaction and reasons for which they give up work. Hence, the authorities can take necessary steps to reduce or at least fix the staff turnover rate.