以組織氣候中介跨專業職能認知與工作滿足感關係之初探性研究：以衛生福利中高階人員為例

The exploratory research of inter-professional competence perception through organizational climate effect to job satisfaction: Case study of medium and high-level personnel of Ministry of Health and Welfare

10.6265/TJSW.201812_14(2).03

劉宜君(Ii-Chun Liu)；林昭吟(Chao-Yin Lin)；陳敦源(Tui-Yuan Chen)；賴怡樺(Yi-Hua Lai)

組織氣候 ； 跨專業職能 ； 工作滿足感 ； 中介變項 ； Organizational Climate ； Inter-professional Competence ； Job Satisfaction ； Mediator Variable

臺灣社會福利學刊

14卷2期（2018 / 12 / 01）

71 - 113

繁體中文

本研究主要以衛生福利部中高階人員為研究對象，以組織氣候為中介變項，初探組織跨專業職能認知與工作滿足感之間關係。以往關於此一主題的研究有兩個焦點，一為組織結構、員工工作滿足感以組織氣候為中介變項影響工作績效，另一為組織結構、員工工作滿足感直接影響工作績效，而過去文獻探討較少涉及因為組織結構變遷造成的跨專業問題，對於工作滿足感與組織氣候關係之討論。本研究選擇衛生福利部人員為調查對象的原因，是衛生福利部於2013年成立後，部內人員的核心職能由衛生醫療範圍擴增為社會福利服務的範疇，業務推動具有跨領域與跨專業的特質。本研究有別於以往關於組織承諾與工作滿足感的研究，聚焦於組織氣候作為中介的效果，並嘗試檢驗組織氣候對於跨專業職能認知與工作滿足感間具有系絡調節效果，探討人員對於衛政與社政專業職能的互動特質與運作困境的認知，對於跨專業職能認知與工作滿足感關係的影響，提供給衛生福利部做為未來人力規劃與訓練課程的參考。

Few previous studies have explored the issues concerning interdisciplinary professional knowledge caused by changes in organizational structure and the impact of these issues on job satisfaction. Previous studies in this field have mainly been conducted from two perspectives. One uses organizational climate as a mediating variable to study the impact of organizational structure and employee job satisfaction on job performance. The other examines the direct impact of organizational structure and employee job satisfaction on job performance. This study explores the relationship between interdisciplinary professional competence perception across the organization and job satisfaction. Staff members of the Ministry of Health and Welfare (MOHW) were used as research subjects. After the establishment of the MOHW in 2013, the core functions of its staff were expanded from health and medical to include social welfare services. Such changes in the organization have interdisciplinary and inter-professional characteristics. The organizational transformation at the Executive Yuan (Office) offers a relevant context for studying the relationship between interdisciplinary competence and job satisfaction. Therefore, this study examines the moderating effect of organizational climate on interdisciplinary knowledge and job satisfaction using organizational climate as a mediator Variable. In addition, the study examines the staff's understanding of the interactive nature and operational difficulties of health and social services delivery. Further, it explores how these have an impact on the relationship between interdisciplinary competence and job satisfaction. The findings from this research will serve as a reference for the MOHW in the implementation of future policies.

1. 張偉雄,林子堯(2015)。國際觀光旅館組織氣候、情緒勞務與犬儒主義之跨層次分析。運動休閒餐旅研究，10(4)，24-43。
   連結：
2. 陳正芬,官有垣(2011)。臺灣機構式長期照顧服務組織屬性與政府相關政策演變之探討。社會政策與社會工作學刊，15(1)，91-135。
   連結：
3. 黃源協,劉素珍,莊俐昕,林信廷(2010)。社區社會資本與社區發展關聯性之研究。公共行政學報，34，29-75。
   連結：
4. Abramson, J.,Mizrahi, T.(1996).When Social Workers and Physicians Collaborate: Positive and Negative Interdisciplinary Experiences.Social Work,41(3),270-281.
5. Baron, R. M.,Kenny, D. A.(1986).The Moderator-mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic, and Statistical Considerations.Journal of Personality and Social Psychology,51(6),1173-1182.
6. Barr, H.(1998).Competent to Collaborate: Towards a Competency-based Model for Interprofessional Education.Journal of Interprofessional Care,12(2),181-187.
7. Dalanon, J.,Diano, L. M.,Belarmino, M. P.,Hayama, R.,Miyagi, M.,Matsuka, Y.(2018).A Philippine Rural School's Organizational Climate, Teachers’ Performance, and Management Competencies.International Journal of Research,6(1),248-265.
8. Dunnette, M. D.(ed.)(1976).Handbook of Industrial and Organizational Psychology.Chicago:Rand McNally.
9. Forehand, G. A.,Gilmer, B. H.(1964).Environmental Variation in Studies of Organizational Behavior.Psychological Bulletin,62,361-382.
10. Glisson, C.,James, L. R.(2002).The Cross-level Effects of Culture and Climate in Human Service Teams.Journal of Organizational Behavior,23(6),767-794.
11. Halpin, A. W.,Croft, D. B.(1973).The Organizational Climate of School.Washington, D. C.:U.S. Office of Education.
12. Hope, J. M.,Lugassy, R. D.,Meyer, F.,Jeanty, S.,Myers, S.,Jones, J.,Bradley, R. M.,Cramer, E.(2005).Bringing Interdisciplinary and Multicultural Team Building to Health Care Education: The Downstate Team-building Initiative.Academic Medicine,80(1),74-83.
13. Hoppock, R. (1935). Job Satisfaction. New York: Harper.
14. Interprofessional Education Collaborative Expert Panel (2011). Core Competencies for Interprofessional Collaborative Practice. Retrieved Oct 2, 2015, from https://www.northeastern.edu/oralhealth/wpcontent/uploads/2013/09/01-Core-Competencies-for-InterprofessionalCollaborative-Practice.pdf.
15. James, L. R.,Choi, C. C.,Ko, Chia-Huei E.,McNeil, P. K.,Minton, M. K.,Wright, M. A.,Kim, K.(2008).Organizational and Psychological Climate: A Review of Theory and Research.European Journal of Work and Organizational Psychology,17(1),5-32.
16. Jehn, K. A.(1995).A Multimethod Examination of the Benefits and Detriments of Intragroup Conflict.Administrative Science Quarterly,40(2),256-282.
17. Jiang, J. J.,Klein, G.,Chen, Hong-Gee(2006).The Effects of User Partnering and User Non-Support on Project Performance.Journal of the Association for Information Systems,7(2),68-90.
18. Jusmin, A.,Said, S.,Bima, M. J.,Alam, R.(2016).Specific Determinants of Work Motivation, Competence, Organizational Climate, Job Satisfaction and Individual Performance: A Study among Lecturers.Journal of Business and Management Sciences,4(3),53-59.
19. Lingard, L.,Espin, S.,Evans, C.,Hawryluck, L.(2004).The Rules of the Game: Interprofessional Collaboration on the Intensive Care Unit Team.Critical Care,8(6),403-408.
20. Litwin, G. H.,Stringer, R. A.(1968).Motivation and Organizational Climate.Boston:Harvard University.
21. Miers, M.(2010).Learning for New Ways of Working.Understanding Interprofessional Working in Health and Social Care,Basingstoke:
22. Ohio Department of Health (2005). Public Health Social Work Standards and Competencies. Retrieved Oct 12, 2013, from https://nciph.sph.unc.edu/cetac/phswcompetencies_may05.pdf .
23. Pecukonis, E.,Doyie, O.,Bliss, D. L.(2008).Reducing Barriers to Interprofessional Training Promoting Interprofessional Cultural Competence.Journal of Interprofessional Care,22(4),417-428.
24. Pramadewi, A.(2015).Influence of Organizational Climate, Professional Competence of the Work Motivation and Impact on the Performance Faculty of Economics, University of Riau.European Journal of Business and Management,7(14),18-24.
25. Reich, S. M.,Reich, J. A.(2006).Cultural Competence in Interdisciplinary Collaborations: A Method for Respecting Diversity in Research Partnership.Community Psychologist,38,51-62.
26. Robbins, S. P.(2003).Organisational Behaviour.San Diego:Prentice Hall.
27. Selamat, N.,Samsu, N. Z.,Kamalu, N. S. M.(2013).The Impact of Organizational Climate on Teachers’ Job Performance.Educational Research,2(1),71-82.
28. Smith, P. C.,Kendall, L.,Hulin, C. L.(1969).The Measurement of Satisfaction in Work and Retirement.Chicago:Rand McNally.
29. Spencer, L. M.,Spencer, S. M.(1993).Competence at Work: Models for Superior Performance.New York:John Wiley & Sons, Inc.
30. Sukrapi, M.,Muljono, P.,Purnaningsih, N.(2014).The Relationship between Professional Competence and Work Motivation with the Elementary School Teacher Performance.Asian Journal of Humanities and Social Studies,2(5),689-694.
31. Syahrum, A.,Brahmasari, I. A.,Nugroh, R.(2016).Effect of Competence, Organizational Culture and Climate of Organization to the Organizational Commitment, Job Satisfaction and the Performance of Employees in the Scope of Makassar City Government.International Journal of Business and Management Invention,5(4),52-64.
32. Tagiuri, R.,Litwin, G. H.(1968).Organizational Climate: Explorations of a concept.Cambridge:Harvard University Law School.
33. Weiss, D. J.,Dawis, R. V.,England, G. W.,Lofquist, L. H.(1967).Manual of the Minnesota Satisfaction Questionnaire.Minneapolis:The University of Minnesota Press.
34. Wibowo, R. A.(2007).Manajemen Kinerja.Jakarta:Rajagrafindo Persada.
35. Ying, L.,Kunaviktikul, W.,Tonmukayakal, O.(2007).Nursing Competency and Organizational Climate as Perceived by Staff Nurses in a Chinese University Hospital.Nursing and Health Sciences,9(3),221-227.
36. 王傑如(2012)。臺北市，大同大學事業經營研究所。
37. 江大樹,梁鎧麟(2011)。長期照護體系組織改造策略分析：全觀型治理觀點。文官制度季刊，3(1)，1-25。
38. 吳明隆,涂金堂(2014).SPSS與統計應用分析.臺北:五南.
39. 李允傑(2011)。政策管理與執行力：跨域治理觀點。T&D飛訊，111，1-16。
40. 辛榕芝(2005)。嘉義縣，國立中正大學社會福利學系。
41. 林水波,長晏(2005).跨域治理.臺北:五南.
42. 林淑慧,張國銘,李燕華(2011)。薪酬制度、組織氣候與員工工作績效關聯性之研究─以台灣紡織業為例。勞資關係論叢，13(1)，72-107。
43. 林萬億(2006)。論我國衛生及社會安全部的組織設計。社區發展季刊，113，12-24。
44. 施孟涵,張雅琦,吳明根(2011)。臺灣地區長期照護政策現階段推動方向之研究。臺灣老人保健學刊，7(1)，72-83。
45. 梁瑞芸,魏志雄(2013)。自我效能對組織氣候與員工創造力之關係的中介角色研究。北商學報，24，47-70。
46. 陳燕禎(2009).老人服務與社區照顧：多元服務的觀點.臺北:威仕曼.
47. 陳靜敏(2008)。長期照顧管理中心運作現況與未來發展。研考雙月刊，32(6)，44-52。
48. 黃源協(2003)。身心障礙福利機構經營管理之研究。社會發展研究學刊，5，55-92。
49. 黃源協(2000)。社區照顧的理念基礎─正常化觀點的分析。東吳社會工作學報，6，1-34。
50. 楊蓉昌(2000).企業管理.臺北:五南.
51. 蒼開強(2004)。臺北市，銘傳大學公共事務學研究所。
52. 蕭玉煌(2006)。變革中的社會福利行政組織發展方向。社會發展季刊，113，35-43。
53. 賴兩陽(2002).社區工作與社會福利社區化.臺北:洪葉.