某醫學中心護理人員對護理排班之滿意度及相關因素探討

Investigation of the Factors Influencing Nurse Scheduling Satisfaction in a Medical Center

10.6540/NTJN.2015.2.003

吳家榛(Chia-Chen Wu)；陳麗芳(Li-Fang Chen)；韓錦樺(Chin-Hua Han)

護理排班滿意度 ； 留任意願 ； Nurses’ satisfaction with nursing scheduling ； Intention to stay

新臺北護理期刊

17卷2期（2015 / 09 / 01）

25 - 36

繁體中文

目的：探討南部某醫學中心全院護理人員對護理排班滿意度及相關因素。方法：為橫斷式相關性研究，以結構性問卷收集資料，有效問卷共514份。結果：（1）護理排班滿意度得分3.57±0.84（最高分5分），滿意者僅55.6%；（2）自覺睡眠品質與其對護理排班滿意度呈正相關（r＝.318）；（3）自覺留任意願與其對護理排班滿意度呈正相關（r＝.569）；（4）不同護理工作年資、工作科別、層級及每月假日休假天數，對護理排班滿意度有顯著差異；（5）單一工作單位經歷者對護理排班滿意度較高。另任職型態、婚姻狀況及有無子女對護理排班滿意度並無顯著差異。結論：建議護理管理者應重視人員護理排班滿意度，滿足護理人員需求，以提高留任意願。

Purpose: The purpose of this study was to investigate the nurses’ satisfaction with nursing scheduling and its related factors. Methods: A cross-sectional correlation design was used to sample participants of nurses in a medical center in southern Taiwan. A structured questionnaire was used to collect data. A total of 514 valid questionnaires were collected. Results: The results showed that 1) nurses satisfaction with nursing scheduling score of was 3.57±0.84(5: the highest score), and overall satisfaction was 55.6%; 2) nurses’ perceptions of sleep quality was positively correlated with the satisfaction of nursing scheduling(r = .318); 3) nurses’ intent to stay was positively correlated with the satisfaction of nursing scheduling(r=.569); 4) nurses’ years of nursing experience, work unit, level of clinical ladder, and holidays in each month had a significant influence on the satisfaction of nursing scheduling; 5) only one unit of nurses’ experiences showed a higher satisfaction score of the nursing scheduling; and 6) no significant differences in terms of satisfaction with the nursing scheduling were found in nurses’ work status and marital status, and the number of child amongthem. Conclusions/Implications for practice: The results recommend that improvement in scheduling help to enhance satisfaction in nurses and aid in nurse retention. It can be regarded as a reference for supervisor introspection and administrative management.

1. Niu, S. F.,Chung, M. H.,Chen, C. H.,Hegney, D.,O'Brien, A.,Chou, K. R.(2011).The effect of shift rotation on employee cortisol profile, sleep quality, fatigue, and attention level: A systematic review.Journal of Nursing Research,19(1),68-81.
   連結：
2. 黃允成,康家榮(2011)。應用整合式電腦排班模型改善護理排班品質之研究。品質學報，18(3)，187-209。
   連結：
3. 黃允成,簡仕翰,康家榮(2009)。考慮人員偏好下護理排班與休假問題之整合探討。醫護科技期刊，11(1)，57-69。
   連結：
4. Azaiez, M. N.,Al Sharif, S. S.(2005).A 0--1 goal programming model for nurse scheduling.Computers and Operations Research,32,491-507.
5. Baumann, A.,Pitters, M.,Crea-Arsenio, M(2010).Strategies to advance 70% full-time nurse employment. Toolkit.Health Human Resources Series,18
6. Bluett, L.(2008).Self-scheduling: Facilitate, don't control.Nursing Managemen,39(6),12-14+54.
7. Hayes, L. J.,O’Brien-Pallas, L.,Duffield, C.,Shamian, J.,Buchan, J.,Hughes, F.,Laschinger, H. K.,North, N.,Stone, P. W.(2006).Nurse turnover: A literature review.International Journal of Nursing Studies,43,237-263.
8. Health Employers Association of British Columbia. (2003) Community wage schedules. Retrieved from http://www.heabc.bc.ca/Page75.aspx
9. Kawanata, H.,Yamamoto, K.,Yoshikawa, T.,Shinogi, T.,Tsuruoka, S.(2001).Genetic algorithm with the constraints for nurse scheduling problem.Proceedings of the IEEE Conference on Evolutionary Computation
10. Landstrom, G. L.,Biordi, D. L.,Gillies, D. A.(1989).The emotional and behavioral process of staff nurse turnover.Journal of Nursing Administration,19(9),23-28.
11. M’Hallah, R,Alkhabbaz, A.(2013).Scheduling of nurses: A case study of a Kuwaiti health care unit.Operations Research for Health Care,2(1),1-19.
12. Posthuma, R.,Maertz, C.,Dworkin, J.(2007).Procedural justice's relationship with turnover: Explaining past inconsistent findings.Journal of Organizational Behavior,28(4),381-398.
13. Ruggiero, J. S.(2005).Health, work variables, and job satisfaction among nurses.The Journal of Nursing Administration,35(5),254-263.
14. Ruggiero, J. S.,Pezzino, J. M.(2006).Nurses' perceptions of the advantages and disadvantages of their shift and work schedules.The Journal of Nursing Administration,36(10),450-453.
15. Seymour, E.,Buscherhof, J. R.(1991).Sources and consequences of satisfaction and dissatisfaction in nursing: Findings from a national sample.International journal of nursing studies,28(2),109-124.
16. Strachota, E.,Normandin, P.,O’Brien, N.,Clary, M.,Krukow, B.(2003).Reasons registered nurses leave or change employment status.Journal of Nursing Administration,33(2),111-117.
17. Velibor, P. J. M. P.,Angelique, E. de R,Nicolle, P. G. B.(2009).Nurses' satisfaction with shiftwork and associations with work, home and health characteristics: A survey in the Netherlands.Journal of Advanced Nursing,65(12),2689-2700.
18. 徐子玲(2002)。台北，台北醫學院醫學資訊研究所。
19. 徐南麗（編）(2004).護理行政與管理.台北:華杏.
20. 翁新惠,鄭詩慈,馮容莊(2009)。護理排班系統的創新與擴散。榮總護理，26(3)，237-243。
21. 黃榮華,蔡智豪(2003)。護理人員之僱用及排班整合問題。輔仁管理評論，10(3)，105-138。

1. 黃靖媛,陳妤謙,許芝穎,常家馨,翁瑞宏(2022)。照顧服務員持續投入機構住宿式長照服務工作之意願與相關影響因素。國立金門大學學報，10(2)，1-21。