题名

台灣地區醫院護理人員留任措施計畫成效之評值

并列篇名

Evaluation of the Effects of Hospital Nurse Retention Programs in Taiwan

DOI

10.7081/NR.200106.0247

作者

尹祚芊(Teresa J. C. Yin);楊克平(Ke-Ping Yang);劉麗芳(Li-Fong Liu)

关键词

留任政策 ; 留任措施 ; 醫院護理人員 ; retention policy ; retention program ; hospital nurses

期刊名称

護理研究

卷期/出版年月

9卷3期(2001 / 06 / 01)

页次

247 - 258

内容语文

繁體中文

中文摘要

本研究之目的在探討台灣地區醫院護理人員留任措施現況及其對工作滿意與留任意願間之相關性。針對民國85至87年度醫院評鑑合格之地區及區域醫院之護理人員,以等機率多層次抽樣法選取20所醫院中之471位任職2年以上之護理人員,以結構式問卷收集資料,並以無母數相關性檢定及邏輯式回歸統計進行分析。結果顯示護理人員對「衛生署獎勵地區及區域醫院護理人員留任措施」多持正面性的評價;參與補助醫院護理人員之工作度與留任意願均高於未參與者;三者之間具正相關。研究結果可供醫院行政與護理主管們謀求護理人力之穩定性,以提昇護理品質並降低醫院經營成本之參攷。

英文摘要

The purpose of the study was to examine the effectiveness of current nursing retention programs in hospitals in Taiwan and the relationships between job satisfaction and intention to stay. A proportional multi- stratified random sampling technique was used to recruit nurses who were working in accredited district and regional hospitals in the years 1996 to 1998. Data were collected through a structured questionnaire from 471 nurses with 2 years of nursing experience, and analyzed by non-parametric and logistic regression. The results showed that a majority of the respondents positively recognized the importance of the DOH retention policy and were satisfied with its implementation. Nurses whose working hospital had a retention program had higher job satisfaction and intention to stay than those without a retention program. Based on the findings, nursing and hospital administrators could develop retrievable data gathered during an ongoing organizational retention policy and develop strategic planning for stabilizing their clinical nursing workforce.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Acorn, S., Rather, P. A., Crawford, M.(1997).Decentralization as a determinant of autonomy job satisfaction and organizational commitment among nurse managers.Nursing Research,46(1)
  2. Bame, S. I.(1993).Organizational characteristics and administrative strategies associated with staff turnover.Health Care Management Review,18(4)
  3. Barter, M., McLaughlin, F. E., Thomas, S. A.(1997).Registered nurse role changes and satisfaction with unlicensed assistive personnel.Journal of Nursing Administration,27(1)
  4. Blegen, M. A.(1991).Management style and staff job satisfaction.Journal of Professional Nursing,7(2)
  5. Buerhaus, P. I.(1998).Is a nursing shortage on the way?.Nursing,28(8)
  6. Cammann, C., Fichman, M., Jenkins, Jr. G. D. , Klesh, J. R.(1983).Assessing organization change.New York:John Wiley.
  7. Curran, C. R.(1989).A model for hospital nurse retention: New findings.Nursing Economics,7(6)
  8. Evans, S. A., Carlson, R.(1992).Nurses-physician collaboration: Solving the nursing shortage crisis.Journal of American College Cardiology,20(7)
  9. Fishbein, K. A., Ajzzen, A.(1975).Belief, attitude, intention and behavior: An introduction to theory and research.Philadelphia:Addison-Wesley.
  10. Gauci, B. R., Norman, I. J.(1997).Factors influencing turnover and absence of nurses: A research review.International Journal of Nursing Studies,34(6)
  11. Helmer, F. T., McKnight, P.(1988).One more time solutions to the nursing shortage.Journal of Nursing Administration,18(11)
  12. Hinshaw, A. S., Smeltzer, C. H., Atwood, J. R.(1987).Innovative retention strategies for nursing staff.Journal of Nursing Administration,17(6)
  13. Mobley, W. H., Griffeth, R. W., Hand, H. H., Meglino, B. M.(1979).Review and Conceptual Analysis of the Employee Turnover Process.Psychological Bulletin,86(3)
  14. Moss, R., Rowles, C. J.(1997).Staff nurse job satisfaction and management style.Nursing Management,28(1)
  15. New York State Nurses Association(2000).NY nurses develop agenda to address shortage.
  16. Pierce, L. L., Hazel, C. M., Mion, L. C.(1996).Effect of a professional practice model on autonomy, job satisfaction and turnover.Nursing Management,27(2)
  17. Prescott, P. A., Bowen, S. A.(1987).Controlling nursing turnover.Nursing Management,18(6)
  18. Prestholdt, P. H., Lane, I. M., Mathews, R. C.(1988).Predicting staff nurses turnover.Nursing Outlook,36(3)
  19. Seybolt, J. W.(1986).Dealing with premature employee turnover.Journal of Nursing Administration,16(2)
  20. Shindul-Rothschild, J. A.(1990).Boston,Boston College.
  21. Simms, L. M., Ervin, N. E.(2000).Professional practice of nursing administration.Ann Arbor, MI:Delmar, Thomson Learning.
  22. Stephen, S.(1981).A service-based information project stimulates nurses to read in order to improve patient care.Nursing Times,77(42)
  23. Tumulty, G., Jernigan, I. E., Kohut, G.(1995).Reconceptualizing organizational commitment.Journal of Nursing Administration,25(1)
  24. 中華民國臺灣地區金融統計年報
  25. 尹祚芊 Yin, Teresa Joe-Chen(1998)。護理作業改善與人力再造 Enhancement of Nursing Practice and Reengineering Nursing Manpower。榮總護理 VGH Nursing,15(4)
  26. 王思峰 Wang, Sy-Feng(1992)。管理教育之新工具-學習實驗室。第四屆管理教育研討會論文集,臺北:
  27. 臺灣省統計年報
  28. 行政院衛生署(1997)。中華民國八十五年衛生統計-(一)、公務統計。台北:行政院衛生署。
  29. 行政院衛生署(1997)。護理人員留任措施之現況與未來發展。八十六年醫院護理人員留任觀摩會,臺北:
  30. 林壽惠 Lin, Shou-Hui、 尹祚芊 Yin, Teresa Joe-Chen、 張澤芸 、 陳琍 、 黃璉華 Huang, Lian-Hua、 楊月嬌 、 楊克平 Yang, Ke-Ping、 廖美南 Liao, Mei-Nan、 賴幼玲(2000)。影響護理人力供需的因素與政策分析。我國醫事人力規畫研討會,臺北:
  31. 張世青(1992)。臺北,國立陽明大學醫務管理研究所。
  32. 張媚 Chang, Yeh Mei、 余玉眉 Yu, Yu-Mei、 楊志良 Yaung, Chih-Liang、 周治蕙 Chou, Chih-Huey(1987)。最近十年領證之護理人員從事護理工作的概況調查-民國63年至72年。護理雜誌 The Journal of Nursing,34(1)
  33. 陳月枝 Chen, Yueh-Chih、 余玉眉 Yu, Yu-Mei、 江東亮 Chiang, Tung-Liang(1992)。護理人力供給研究。護理雜誌 The Journal of Nursing,39(1)
  34. 楊克平 Yang, Ke-Ping(1988)。護理人員流動的基本概念。榮總護理 VGH Nursing,5(3)
  35. 楊克平 Yang, Ke-Ping(1991)。人員流動之正面觀。護理雜誌 The Journal of Nursing,38(4)
  36. 楊克平 Yang, Ke-Ping(1999)。臺灣地區護理人員流動因素之統合分析臺灣地區護理人員流動因素之統合分析,行政院衛生署。
  37. 楊克平 Yang, Ke-Ping(1992)。臺灣地區護理人員短缺問題之現況調查﹣﹣臺灣地區護理人員短缺之正面探討階段之一 A Study on Retention of Nurses in Taiwan: A Positive Approach to the Nursing Shortage。護理雜誌 The Journal of Nursing,39(1)
  38. 楊克平 Yang, Ke-Ping(1989)。臺灣地區護理人員流動因素之探討。護理雜誌 The Journal of Nursing,36(3)
  39. 楊志良 Yaung, Chih-Liang(1974)。臺灣地區衛生人力供應調查研究:(I)護理、助產人員現況 A Study on Health Manpower Supply in Taiwan (1): Current Situation of Nurses and Midwives。臺灣醫學會雜誌 Journal of the Formosan Medical Association,72(3)
  40. 盧美秀 Lu, Meei-Shiou、 楊雪華 Yang, Hsieh-Hua、 林秋芬 Lin, Chiou-Fen(1992)。八十二年度小型醫院及診所加強護理人員留任措施之先期規劃。醫學繼續教育 Continuing Medical Education,2(4)
  41. 蕭淑貞 Shiau, Shu-Jen、 王如華 Wang, Ru-Hwa、 黃金蓮 、 林定國(1995)。我國臨床護理業務之課題研究報告我國臨床護理業務之課題研究報告,行政院衛生署。
  42. 蕭伃伶 Hsiao, Yu-Ling、 盧美秀 Lu, Meei-Shiou(1996)。臨床護理人員之組織承諾、組織留任與專業留任的相關性研究 A Study on the Organizational Commitment, Organizational Retention, and Professional Retention。護理研究 The Journal of Nursing Research,4(2)
  43. 藍忠孚 Lan, Chung-Fu、 徐秀英 、 顏貴紗 、 蔡欣玲 Tsai, Sing-Ling、 沈宴姿 、 邱碧如 Chiu, Pi-Ru、 王瑋 Wang, Bette Wei、 杜敏世 、 余玉眉 Yu, Yu-Mei、 蔡雀音(1991)。臺灣地區臨床護理人力異動及流失原因之探討。中華民國公共衛生學會雜誌 Journal of National Public Health Association Republic of China,10(5)
被引用次数
  1. 王郁心(2017)。護理人員工作愉悅感、工作挫折感對工作績效之影響—以溝通品質為中介變項。長榮大學醫務管理學系(所)學位論文。2017。1-151。