領導型態、工作投入、破壞性行為對手術室護理人員留任意願的影響

Associations of Leadership, Work Engagement, and Disruptive Behavior With Operating Nurses' Retention

10.6142/VGHN.202109_38(3).0007

張美玉(Mei-Yu Chang)；王素秋(Su-Chiu Wang)；施錦珠(Jiin-Ju Shy)；張碧華(Pi-Hua Chang)

手術室護理人員 ； 領導型態 ； 工作投入 ； 破壞性行為 ； 留任意願 ； operating nurses ； leadership ； work engagement ； disruptive behavior ； retention

榮總護理

38卷3期（2021 / 09 / 01）

279 - 289

繁體中文

手術室護理人力短缺日趨嚴重，護理工作負荷增加將威脅到手術業務執行與病人安全，手術室護理人員留任與否是醫院人力資源管理的重要議題。本研究目的旨在探討領導型態、工作投入、手術室破壞性行為對手術室護理人員留任意願的影響。研究設計為橫斷式相關性研究，在中部某醫學中心150位任職手術室滿一個月（含）以上護理人員，進行問卷調查。結果顯示婚姻狀況、年齡、工作年資及職稱是工作投入、破壞性行為及破壞性行為反應的影響因素。與留任意願呈顯著正相關的變項有領導型態（r_s=.282）及工作投入（r_s=.502）；與留任意願呈顯著負相關的變項為破壞性行為（r_s=-.317）。護理主管察覺領導型態所帶來的正向影響力，增強護理人員的工作投入程度，正視破壞性行為的影響，將有助於護理人員在手術室工作的意願。

It is an important issue about operating nurses' retention to stay and human resource management in the hospital. The shortage of operating nursing workforce would be threatened to the operative schedules and patient safety if the nursing workload was increased. The purpose of this study was to explore the associations among leadership, work engagement, and disruptive behavior to operating nurses' retention. The study was a cross-sectional design and enrolled 150 nurses who worked more than one month. Four instruments were included leadership pattern, work engagement, disruptive behavior and response, and retention. The results were shown marital status, age, work years, and position were significant differences on work engagement, disruptive behavior and response. There were positive associations on retention with leadership pattern (r_s= .282) and work engagement (r_s= .502). One negative association was between disruptive behavior and retention (r_s= -.317). Nursing manager would be perceived the positive influence of leadership pattern, enhance nurses' work engagement, and face the impact of disruptive behavior. Finally, it may be helpful for nurses' retention in the operating room.

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