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題名:護理人員工作生活品質對工作投入、情感承諾、角色績效與離職意圖之影響:以長期照顧機構為例
作者:陳威全
作者(外文):CHEN, WEI-CHUAN
校院名稱:逢甲大學
系所名稱:商學博士學位學程
指導教授:陳建文
林清同
學位類別:博士
出版日期:2018
主題關鍵詞:工作生活品質工作投入情感承諾離職意圖職內績效組織公民行為Quality of work lifeWork engagementAffective CommitmentTurnover IntentionIn-role PerformanceOrganizational Citizenship Behavior
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隨著高齡化時代的來臨,台灣高齡人口急遽增加,使得長期照顧機構的需求與照護品質的重要性與日俱增;然而面對護理人員高離職率,而資深護理人員不斷的在訓練新人,造成資深人員的工作負擔,同時新進護理人員所提供的照護品質不穩定,影響整體的醫療品質。因此,如何確保長期照顧機構護理人員工作生活品質,增加工作投入、情感承諾、職內績效與組織公民行為,並且降低離職意願,是長期照顧機構管理者及政府部門值得重視的議題。
本研究以台灣北部與中部長期照顧機構之護理人員為對象,總共回收301份有效問卷,研究結果顯示:對護理人員工作生活品質對工作投入、組織公民行為有正向影響,並對離職意圖有負向影響,但對情感承諾、職內績效沒有顯著影響;工作投入對情感承諾、職內績效、組織公民行為有正向影響,對離職意圖也有顯著負向影響。因此,長期照顧機構經營者與政府需提供良好的工作環境,改善護理人員工作生活品質、提升工作投入,才能確保長期照顧機構住民的照護品質。
關鍵詞:工作生活品質、工作投入、情感承諾、離職意圖、職內績效、組織公民行為
With the advent of the age of aging, the high age population in Taiwan has increased rapidly, making the importance of the needs and care quality of long-term care institutions increasing day by day. However, facing the high turnover rate of nursing staff, the number of trained nursing staff continues to leave, while senior nursing staff are constantly training new nurses creates a burden on the senior staff. At the same time, the quality of care provided by new nursing staff is unstable and affects the overall care quality. Therefore, how to ensure the quality of work life of nursing staff in long-term care institutions, enhance work engagement, affective commitment, in-role performance and organizational citizenship behavior, and reduce turnover intention will be an important issue for long-term care of institutional proprietors and government agencies.
In this study, a total of 301 valid questionnaires were collected from the nursing staff of the long-term care institutions in northern and central Taiwan. The results of the study showed that the quality of work life of nursing staff has a positive impact on work engagement, organizational citizenship behavior, and have a negative impact on the turnover intention, but there was no significant effect on affective commitment and in-role performance. Moreover, work engagement has a positive impact on affect commitment, in-role performance and organizational citizenship behavior, and has a significant negative impact on turnover intention. Therefore, long term care proprietors and government need to provide good a working environment, improve the quality of work life of nursing staff, and increase their work engagement, so as to ensure the care quality of the residents in long-term care institutions.
Keywords: Quality of work life, Work engagement, Affective Commitment, Turnover Intention, In-role Performance, Organizational Citizenship Behavior.
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