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題名:護理職場霸凌與離職傾向及其相關因素探討--以南部某醫學中心為例
書刊名:護理雜誌
作者:蔡曉婷韓錦樺陳麗芳周汎澔 引用關係
作者(外文):Tsai, Shiau-tingHan, Chin-huaChen, Li-fangChou, Fan-hao
出版日期:2014
卷期:61:3
頁次:頁58-68
主題關鍵詞:霸凌護理職場離職傾向BullyNursing workplaceionTurnover intent
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(9) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:9
  • 共同引用共同引用:134
  • 點閱點閱:120
背景:近年護理人力短缺問題已使醫療系統營運及病人安全問題拉高警報,而職場霸凌會讓護理人力短缺問題加劇。 目的:探討國內南部某醫學中心護理人員職場霸凌與離職傾向之關係及其相關因素。 方法:本研究採橫斷式、相關性研究設計,利用負向行為量表—修正版(Negative Acts Questionnaire-Revises, NAQ-R)、離職傾向量表等結構式問卷收集資料;方便取樣具護理師執照、國台語可溝通且臨床工作年資大於六個月、NAQ-R得分大於23分(排除未受到職場霸凌者)的護理人員708位;資料以SPSS 19.0 for Windows套裝軟體進行統計分析。 結果:85%的護理人員在過去六個月中曾遭受過不同程度的職場霸凌,且整體離職傾向偏右、傾向高程度,離職傾向與霸凌總分呈中度正相關(r = .39, p < .05)。逐步複迴歸顯示霸凌相較於其他因子,為離職傾向最重要的預測因子(15.10%)。 結論:建議應提升護理人員對職場霸凌的知覺,且應全力推展磁性醫院,提供正向的工作環境,改善職場霸凌現象,降低離職傾向,以提升護理人員的留任率。
BACKGROUND: The chronic shortage of nursing staffs in hospitals continues to increasingly and negatively impact the ability of medical care systems to deliver effective care and ensure the safety of patients. Bullying is one factor known to exacerbate turnover in the nursing workplace. PURPOSE: This study explores workplace bullying and turnover intention among nurses working at a medical center in Southern Taiwan. METHODS: A cross-sectional and correlation research design was conducted using the Negative Acts Questionnaire-Revised (NAQ-R) and the Turnover Intention Questionnaire. A convenience, purposive sample of 708 nurses was recruited. Inclusion criteria included: holding an RN license, able to communicate in both Mandarin and Hokkienese, > 6 months of clinical experience, and an NAQ-R score higher than 23. Data were analyzed using SPSS19.0 software. RESULTS: Approximately 85% of participants had experienced some degree of workplace bullying during the previous 6-month period. The trend of the turnover intention tended to the right at a high degree. A moderate, positive, and significant correlation was found between turnover intention and bullying total scores (r = .39, p < .05). Multiple regression showed bullying as the most important predicator of turnover intention (15.10%). CONCLUSIONS /IMPLICATIONS for PRACTICE: Based on our findings, we suggest that nurses should enhance their awareness of the negative consequences of workplace bullying. Furthermore, hospitals should implement appropriate mechanisms to decrease the phenomenon of inter-staff bullying, improve the nursing workplace environment, and reduce the rate of turnover intention.
期刊論文
1.林木泉、吳鏘亮、陳俊賢、李仁傑、陳福士(20090600)。醫院從業人員工作特質與疲勞關係之探討。醫務管理期刊,10(2),93-110。new window  延伸查詢new window
2.Einarsen, S.、Hoel, H.、Notelaers, G.(2009)。Measuring exposure to bullying and harassment at work: validity, factor structure and psychometric properties of the Negative Acts Questionnaire-Revised。Work & Stress,23(1),24-44。  new window
3.馬淑清、王秀紅、陳季員(20110800)。職場霸凌的概念分析。護理雜誌,58(4),81-86。new window  延伸查詢new window
4.張嘉娟(20071200)。磁性醫院概論。長庚護理,18(4)=60,518-525。new window  延伸查詢new window
5.林佑樺(20031200)。新進護理人員感受臨床護理工作挫折之探討。慈濟護理雜誌,2(4),83-94。  延伸查詢new window
6.蔡曉婷、宋雅雯、鄒理萍、黃夢婷、黃敏瑢、邱啟潤(20110800)。護理職場霸凌的因應方式。護理雜誌,58(4),87-92。new window  延伸查詢new window
7.Hoban, V.(2004)。Bullying and nursing。Nursing Times,100(15),16-18。  new window
8.Hogh, A.、Hoel, H.、Carneiro, I. G.(2011)。Bullying and employee turnover among healthcare workers: A three-wave prospective study。Journal of Nursing Management,19(6),742-751。  new window
9.Hutchinson, M.、Jackson, D.、Wilkes, L.、Vickers, M. H.(2008)。A new model of bullying in the nursing workplace: Organizational characteristics as critical antecedents。Advances in Nursing Science,31(2),60-71。  new window
10.Johnson, S. L .、Rea, R. E.(2009)。Workplace bullying: Concerns for nurse leaders。JONA: The Journal of Nursing Administration,39(2),84-90。  new window
11.Meeusen, V.、Van Dam, K.、Brown-Mahoney, C.、Van Zundert, A.、Knape, H.(2011)。No differences in job perceptions amongst Dutch nurse anaesthetists with and without nursing background。Anestezjologia Intensywna Terapia,43(3),157-162。  new window
12.Sawatzky, J. A.、Enns, C. L.(2012)。Exploring the key predictors of retention in emergency nurses。Journal of Nursing Management,20(5),696-707。  new window
13.Simons, S.(2008)。Workplace bullying experienced by Massachusetts registered nurses and the relationship to intention to leave the organization。Advances in Nursing Science,31(2),48-59。  new window
14.Spence Laschinger, H. K.、Wong, C. A.、Grau, A. L.(2012)。The influence of authentic leadership on newly graduated nurses' experiences of workplace bullying, burnout and retention outcomes: A cross-sectional study。International Journal of Nursing Studies,49(10),1266-1276。  new window
15.Thomas, S. P.(2003)。"Horizontal hostility": Nurses against themselves: How to resolve this threat of retention。AJN: American Journal of Nursing,103(10),89-91。  new window
16.Tsuno, K.、Kawakami, N.、lnoue, A.、Abe, K.(2010)。Measuring workplace bullying: reliability and validity of the Japanese version of the negative acts questionnaire。Journal of Occupational Health,52(4),216-226。  new window
17.Wilson, B. L.、Diedrich, A.、Phelps, C. L.、Choi, M.(2011)。Billies at work: The impact of horizontal hostility in the hospital setting and intent to leave。JONA: The Journal of Nursing Administration,41(11),453-458。  new window
18.Woelfle, C. Y.、McCaffrey, R.(2007)。Nurse on nurse。Nursing Forum,42(3),123-131。  new window
19.尹祚芊、林小玲(20090600)。醫學中心護理人員工作環境之研究。榮總護理,26(2),177-187。new window  延伸查詢new window
20.李選、白香菊、顏文娟(20100400)。臺灣護理人員職場暴力經驗及其相關因素研究。護理雜誌,57(2),61-69。new window  延伸查詢new window
21.蕭伃伶、劉淑娟、黃金蓮、謝佑珊、徐姍姍、黃嗣棻、蕭淑代(20051200)。臺北市護理人員離職狀況及其相關因素之探討。領導護理,6(2),11-19。  延伸查詢new window
22.Dellasega, C. A.(2009)。Bullying among nurses。AJN: American Journal of Nursingy,109(1),52-08。  new window
23.鄧景宜(20080300)。Moderating Effects of Professional Commitment in the Relationship between Turnover Intention and Factors of Job Satisfaction。長庚護理,19(1)=61,24-40。new window  new window
24.張慧蘭、盧美秀、林秋芬(20100900)。應屆畢業新進護理人員離職相關因素之探討。醫護科技期刊,12(3),161-172。new window  延伸查詢new window
25.陳國瑚、陳麗如、蘇喜(20060600)。護理人員對護理工作認知與離職傾向之探討。臺灣公共衛生雜誌,25(3),177-188。new window  延伸查詢new window
26.邱珍琬(20010900)。國小校園欺凌行為與教師對應策略。屏東師院學報,15,41-80。new window  延伸查詢new window
27.王叢桂、羅國英(20080900)。華人對情緒智能與人情世故的認知:性別與世代的差異。應用心理研究,39,215-251。new window  延伸查詢new window
28.Mobley, William Hodges(1977)。Intermediate Linkages in the Relationship between Job Satisfaction and Turnover。Journal of Applied Psychology,62(2),237-240。  new window
29.Hutcbinson, M.、Vickers, M. H.、Wilkers, L.、Jackson, D.(2009)。The worse you behave, the more you seem, to be rewarded: Bullying in nursing as organizational corruption。Employee Responsibilities and Rights Journal,21(3),213-229。  new window
研究報告
1.中華民國護理師護士公會全國聯合會(2013)。台閩地區護理人員統計表。  延伸查詢new window
學位論文
1.吳政道(2003)。兩岸中間幹部離職因素之探討--以H公司為例(碩士論文)。國立中央大學。  延伸查詢new window
其他
1.黃俊杰(20131128)。鄉代掌摑護士!國民黨擬停權一年,http://news.cts.com.tw/cts/politics/201311/201311281344550.html。  延伸查詢new window
2.勞工委員會(20131230)。103年1月1日起,醫療保健服務業原適用《勞基法》第84條之1之工作者,全面回歸適用一般工時規定,http://gazette.nat.gov.tw/egFront/Gaz/searchResult.jsp。  延伸查詢new window
3.Canada Safety Council(2005)。Bullying in the workplace,https://canadasafetycouncil.org/workplace-safety/bullying-workplace。  new window
 
 
 
 
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