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題名：單位分享自治模式之建立與實施成效
書刊名：護理研究
作者：李春蘭／楊克平／吳聖良／李麗傳
作者(外文)：Lee, Chen-lan／Yang, Ke-ping／Wu, Shang-liang／Lee, Li-chuan
出版日期：2001
卷期：9:2
頁次：頁125-136
主題關鍵詞：單位為基礎的分享自治模式；專業自治感受；工作滿意度；Unit-based shared governance model；Professional nursing governance；Work satisfaction
原始連結：連回原系統網址new window
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　　　　　本類實驗性研究目的為建立一個適用於單位之分享自治管理模式。立意選取某醫院護理部的53名護理人員，以單位專業自治感受前測平均分數依序分配於實驗(n = 29)及對照(n = 24)兩組各三個單位，以統計方式控制年齡、年資及教育等變項。用Martin建議的分享自治系統評估法，以（1）管理者及護理人員準備度開放式問卷；（2）護理人員專業自治感受量表(IPNG)與工作滿意度量表(IWS)做組織成效的測量；（3）參與人員實際的執行意願等結構與非結構量表收集。本研究資料由準備期收集前測資料後，經教育期暨執行期進行分享自治概念的強化與實施介入模式，至後測資料收集之評值期後，歷經約四個月。資料以獨立t及Ｘ2雙尾檢定分析差異情形。結果在建立一個本土化、適用於單位的分享自治管理模式後，可提升護理人員專業自治的感受與工作滿意度，更可凝聚工作團隊之向心力，使護理人員有自主表達、擁有權威的感受；管理者能感受到同仁的表現且發現工作更易推展。本研究建議管理者和護理人員應在組織目標下，重新定位護理實務專業權責的角色，在相互的信任及充分授權下，擴大現行委員會中之基層人員代表與參與權。
　　　　　The purpose of the nonequivalent control group study was to establish a regional unit-based shared governance model. Fifty-three subjects distributing to experimental (n=29) and control (n=24) groups-age, working years, and education were matched statistically-were selected by “purposeful sampling” of Index of Professional Nurse Governance pretest mean scores from six units at a nursing department. Based on Martin's “systematic” evaluation model for shared governance, the study collected: (1) manager's and staff's perception of existing governance using open-ended questions, (2) measure of organizational efficiency using the IPNG and the Index of Working Satisfaction, and (3) the research team's assessment of the unit's willingness to continue this model in the future. The reliability and validity of the questionnaires were established. Intervention of the model was approximately four months, including: preparatory and evaluating phase: data was collec- ted; educative phase: empowering managers and staff were educated in the shared governance concepts; implementing phase: shared governance team was built up. Two-tailed t and X2 tests were used to detect differences between the two groups. Results showed, after establishing the unit-based model, (1) an increase in the nursing professional governance and work satisfaction among nurses; (2) an enhanced partnership between mana- gers and nurses; (3) staff nurses perceived increased autonomy, authority, and more frequently expressed their opinions to managers; (4) managers perceived their staff to have more potential competence, then task pushed effectively. The findings suggest that managers and nurses need to refine their professional roles based on the organizational mission, as well as to expand nurses' representation and participation in current organization-wide committees by trust and full delegation from their managers.
期刊論文
1.Yang, K. P.、Simms, L. M.、Yin, J. C.(1999)。Factors influencing nursing-sensitive outcomes in Taiwanese nursing homes。Online Journal of Issues in Nursing，1999(Aug.)，1-23。  new window
2.Slavitt, D. B.、Stamps, P. L.、Piedmont, E. B.、Haase, A. M. S.(1978)。Nurses' satisfaction with their work situation。Nursing Research，27(2)，114-120。  new window
3.楊克平(19890700)。臺灣地區護理人員流動因素之探討。護理雜誌，36(3)，51-64。new window  延伸查詢new window
4.Hess, R. G.(1998)。Measuring nursing governance。Nursing Research，47(1)，35-42。  new window
5.O'May, F.、Buchan, J.(1999)。Shared governance: A literature review。International Journal of Nursing Studies，36(4)，281-300。  new window
6.李麗傳、楊克平(1999)。護理工作環境對組織效能之影響：一個管理模式。榮總護理，16(4)，438-452。  延伸查詢new window
7.Collins, M. E.(1996)。Successfully implementing self-directed work teams in health care: Things to consider, thing to know。The Journal of Shared Governance，2(2)，17-21。  new window
8.Edwards, G. B.、Farrough, M.、Gardner, M.、Harrison, D.、Sherman, M.、Simpson, S.(1994)。Unit-based shared governance can work。Nursing Management，25(4)，74-77。  new window
9.Gomberg, S.、Sinesi, L. S.(1994)。A collaborative interaction model and the implementation of shard governance。Holistic Nursing Practice，8(3)，12-21。  new window
10.Hibbert, J. M.、Storoz, C. E.、Andrews, H. A.(1992)。Implementing shared governance - a false start。Nursing Clinical of North American，27(1)，11-22。  new window
11.Joiner, G.(1996)。Learning to lead through the process of shared governance。The Journal of Shared Governance，2(1)，19-21。  new window
12.Jones, C. B.、Stasiowski, S.、Simons, B. J.、Boyd, N. J.、Lucas, M. D.(1993)。Shared governance and the nursing practice environment。Nursing Economic，11(4)，208-214。  new window
13.Jones, P. K.(1994)。Developing a collaborative professional role for the staff nurse in a shared governance model。Holistic Nursing Practice，8(3)，32-37。  new window
14.Jones, L.(1995)。Empowertor anarchy。The Journal of Shared Governance，1(4)，11-12。  new window
15.Kennerly, S. M.(1996)。Effects of shared governance on perceptions of work and work environment。Nursing Economics，14(2)，111-116。  new window
16.King, M.、Pettigrew, A.(1996)。How to better understand yourself and your work team for effective shared governance。The Journal of Shared Governance，2(4)，17-22。  new window
17.Ludemann, R. S.、Brown, C.(1989)。Staff perceptions of shared governance。Nursing Administration Quarterly，13(4)，49-56。  new window
18.Martin, P. A.(1995)。Evaluation of shared governance。The Journal of Shared Governance，1(3)，11-15。  new window
19.Maurer, G. M.(1995)。True empowerment: From shared governance to self-managed work groups on a patient care unit。The Journal of Shared Governance，1(1)，25-27。  new window
20.Hazel, C. M.、Pierce, L. L.、Mion, L. C.(1996)。Effect of a professional practice model on autonomy, job satisfaction and turnover。Nursing Management，27(2)，48M-48T。  new window
21.Porter-O'Grady, T.(1998)。So you're heard about empowerment。The Journal of Shared Governance，4(2)，3-17。  new window
22.Price, S. B.(1997)。Shared governance-sharing power and opportunity。Journal of Nursing Administration，27(3)，28-35。  new window
23.Seaquist, D. R.(1998)。The evolution of shared governance。The Journal of Shared Governance，4(2)，7-8。  new window
24.Song, R.、Daly, B. T.、Rudy, E. B.、Douglas, S.、Dyer, M. A.(1997)。Nurses' Job Satisfaction, Absenteeism, and Turnover after Implementing a Special Care Unit Practice Model。Research in Nursing & Health，20(5)，443-452。  new window
25.Stahl, D. A.(1998)。Reengineering: The key to survival and growth under PPS。Nursing Management，29(3)，14-15。  new window
26.Westrope, R. A.、Vanghn, L.、Bott, M.、Tauhton, R. L.(1995)。Shared governance - from vision to reality。Journal of Nursing Administration，25(12)，45-54。  new window
27.Wiens, A. G.(1990)。Expanded nurse autonomy - Models for small rural hospitals。Journal of Nursing Administration，20(12)，15-22。  new window
研究報告
1.李麗傳、馬桐齡(1987)。探討一級教學醫院護士的工作滿意度與流動率的相關性。沒有紀錄：行政院國家科學委員會。  延伸查詢new window
學位論文
1.李麗傳(1990)。A Study of the Relationship of Quality Circles to Job Satisfaction, Absenteeism and Turnover of Nurses and Patients' Satisfaction with Nursing Care in Taiwan，沒有紀錄。  new window
2.Mancin, V. T.(1990)。The relationship between a shared governance management structure and registered nurse job satisfaction: A comparison of two hospitals，Massachusetts。  new window
3.Minors, S. P.(1993)。A twelve group time series analysis of job satisfaction and financial effects of nursing shared governance，Georgia。  new window
圖書
1.Porter-O'Grady, T.(1992)。Adecade of organizational change。Implementing Shared Governance。St. Louis：Mosby-Year。  new window
2.Porter-O'Grady, T.、Wilson, C. K.(1995)。The leadership revolution in health care-altering systems, changing behaviors。The leadership revolution in health care-altering systems, changing behaviors。Maryland：Aspen。  new window
3.Smith, S.(1992)。Nursing staff roles in unfolding shared governance。Implementing shared governance。St. Louis：Mosby-Year。  new window
4.Stichler, J. F.(1992)。A conceptual basis for shared governance。Implementing shared governance。St. Louis：Mosby-Year。  new window
其他
1.National Institution of Health(2000)。Shared governance structure bylaws，沒有紀錄。  new window
 
 
 
 
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