A Quality of Working Life Survey Instrument for Hospital Nurses

醫院護理人員工作生活品質問卷

10.1097/jnr.0000000000000098

徐明儀(Ming-Yi Hsu)

護理人員 ； 工作生活品質 ； 建構效度 ； 問卷發展 ； 問卷 ； nurses ； quality of working life ； construct validity ； instrument development ； questionnaire

The Journal of Nursing Research

24卷1期（2016 / 03 / 01）

87 - 99

英文

背景：醫院護理人員的高離職率顯現出有些護理人員留任於醫院的時間只有幾個月。為了解這個問題，有必要充分了解醫院護理人員工作生活的概念和內涵。之前相關質性研究已經初步了解護理人員工作生活的定義及相關構面。故此研究目的在發展護理人員工作生活品質問卷。目的：此篇文章旨在介紹發展一個具良好信效度的護理人員工作生活品質問卷的過程。方法：本研究從台灣2家醫學中心6家區域醫院收集質性及量性資料。對象包含700名護理工作經驗兩年以上，職位為副護理長以下的內外科護理人員。結果：前一階段質性研究結果已經初步形成護理人員工作生活品質問卷的項目和構面之建構。本研究進一步確認6份量表共含33個因素可解釋護理人員工作生活的變異量為63%，顯現良好建構效度。量表分別測量護理人員工作生活的組織方面、工作方面、自我實現、人際關係、自我效能、和職業概念。各量表Cronbach’s alphas係數介於.80到.89 顯示良好的內在一致性。結論／實務應用：此問卷可以幫助醫院進行臨床工作環境的審核，其結果可幫助工作環境品質及職業健康的促進。

Background: The high turnover rate for hospital nurses worldwide means that some nursing staff remain at their posts for only a few months. To fully understand the problem, it is necessary to evaluate the concepts, constructs, and units of the working life of professional nurses. Previous qualitative work has identified and defined an initial set of items relevant to the working life of nurses. Therefore, the aim of this research is to develop a valid questionnaire for use in further examining the working life quality of nurses. Purpose: This article reports on the development of a questionnaire that is valid and reliable for examining the quality of working life of nurses. Methods: Qualitative and quantitative data collection methods were employed within two medical centers and six regional hospitals in Taiwan. Seven hundred registered nurses in medical or surgical wardswith at least 2 years of nursing experience and a position below assistant manager in a medical or surgical ward were included as participants. Results: Previous qualitative research findings generated items for the questionnaire with content and construct. Six scales with 33 factors were identified. The scales addressed the aspects of organization, work, self-actualization, interrelationships, self-efficacy, and vocational concepts. These factors explained 63% of the total variance. The Cronbach’s alphas ranged from .80 to .89, indicating acceptable internal consistency. Conclusions/Implications for Practice: The information obtained using the questionnaire may improve workplace audit outcomes, promote occupational health, and improve service quality.

1. Liu,L.F.,Lee, S.,Chia, P. F.,Chi, S. C.,Yin, Y. C.(2012).Exploring the association between nurse workload and nurse-sensitive patient safety outcome indicators.The Journal of Nursing Research,20(4),300-309.
   連結：
2. The National Union of Nurses' Associations. (2012). Statistics of Taiwan-Fujian area nurses. Retrieved from http://www.nurse.org.tw/DataSearch/Manpower.aspx (in Chinese)
3. International Council of Nurses. (2007). Positive practice environments. Retrieved from http://www.wpro.who.int/topics/nursing/ichrn_fact_sheet.pdf
4. International Council of Nurses. (2009). A global survey of nurses (May 2009). Retrieved from http://www.icn.ch/news/nursesin-the-workplace-expectations-and-needs/
5. Ahmadi, F.,Salavati, A.,Rajabzadeh, E.(2012).Survey relationship between quality of work life and organizational commitment in public organization in Kurdistan province.Interdisciplinary Journal of Contemporary Research in Business,4(1),235-246.
6. Aiken, L. H.,Sloane, D. M.,Bruyneel, L.,Van den Heede, K.,Sermeus, W.,RN4CAST Consortium(2013).Nurses' reports of working conditions and hospital quality of care in 12 countries in Europe.International Journal of Nursing Studies,50(2),143-153.
7. Brayfield, A. H.,Crockett, W. H.(1955).Employee attitudes and employee performance.Psychological Bulletin,52(5),396-424.
8. Brooks, B. A.,Anderson, M. A.(2004).Nursing work life in acute care.Journal of Nursing Care Quality,19(3),269-275.
9. Buiser, M.(2000).Surviving managed care: The effect on job satisfaction in hospital-based nursing.MEDSURG Nursing,9(3),129-134.
10. Cheng, C. Y.,Liou, S. R.,Tsai, H. M.,Chang, C. H.(2014).Job stress and job satisfactionamong newgraduate nurses during the first year of employment in Taiwan.International Journal of Nursing Practice
11. Chou, H. Y.,Hecker, R.,Martin, A.(2012).Predicting nurses' well-being from job demands and resources: A cross-sectional study of emotional labour.Journal of Nursing Management,20(4),502-511.
12. Cummings, T.G.,Worley, C. G.(1997).Organization development and change.Cincinnati, OH:South-Western College.
13. de Vaus, D. A.(1996).Surveys in social research.London, England:UCL.
14. Field, A.(2002).Discovering statistics using SPSS for Windows.London, England:Sage.
15. Fink, A.(2003).The survey kit.Thousand Oaks, CA:Sage Publications.
16. Hair, J. F.,Anderson, R. E.,Tatham, R. L.,Black, W. C.(2006).Multivariate data analysis.Englewood Cliffs, NJ:Prentice-Hall.
17. Harvey, V.,McMurray, N.(1994).Self-efficacy: A means of identifying problems in nursing education and career progress.Internet Journal of Nursing Studies,31(5),471-485.
18. Howitt, D. L.,Cramer, D.(2010).Introduction to research methods in psychology.Upper Saddle River, NJ:Prentice Hall.
19. Hsu, M. Y.(2003).Antrim, UK,University of Ulster.
20. Hsu, M. Y.,Kernohan, G.(2006).Dimensions of hospital nurses' quality of working life.Journal of Advanced Nursing,54(1),120-131.
21. Huang, Y. H.、Cheng, Y. Y.(1996)。The revision of general selfefficacy scale。Psychological Testing，43，279-285。
22. Irvine, D. M.,Evans, M. G.(1995).Job satisfaction and turnover amongnurses: Integrating research findings across studies.Nursing Research,44(4),246-253.
23. Knoop, R.(1995).Relationships among job involvement, job satisfaction, and organizational commitment for nurses.The Journal of Psychology,129(6),643-649.
24. Lattin, J.M.,Carroll, J. D.,Green, P. E.(2003).Analyzing multivariate data.Pacific Grove, CA:Thomson.
25. Lewis-Beck,M. S.(1994).Factor analysis and related techniques: International handbook of quantitative applications in the social sciences.London, England:Sage.
26. Lin, S. Y.,Chiang, H. Y.,Chen, I. L.(2011).Comparing nurses' intent to leave or stay: Differences of practice environment perceptions.Nursing and Health Sciences,13(4)
27. Lynn,M. R.(1986).Determination and quantification of content validity.Nursing Research,35(6),382-385.
28. Mosadeghrad, A. M.,Ferlie, E.,Rosenberg, D.(2011).A study of relationship between job stress, quality ofworking life and turnover intention among hospital employees.Health Service Management Research,24(4),170-181.
29. Niehoff, B. P.,Moorman, R. H.(1993).Justice as a mediator of the relationship between methods of monitoring and organizational citizenship behaviour.Academy of Management Journal,36(3),527-556.
30. Nursing Solutions, Inc.(2012).,未出版
31. Organ, D. W.(1997).Organizational citizenship behaviour: It's construct clean-up time.Human Performance,10(2),85-97.
32. Organ, D. W.,Ryan, K.(1995).A meta-analytic review of attitudinal and dispositional predictors of organizational citizenship behaviour.Personnel Psychology,48(4),775-802.
33. Pallant, J.(2001).SPSS survival manual: A step by step guide to data analysis using SPSS.Buckingham, UK:Open University.
34. Piccolo, R. F.,Colquitt, J. A.(2006).Transformational leadership and job behaviors: Themediating role of core job characteristics.Academy ofManagement Journal,49(2),327-340.
35. Pillai, R.,Schriesheim, C. A.,Williams, E. S.(1999).Fairness perceptions and trust asmediators for transformational and transactional leadership: A two-sample study.Journal of Management,25(6),897-933.
36. Polit, D. F.(2010).Statistics and data analysis for nursing research.Saratoga Springs, NY:Humanalysis.
37. Power, Z.,Campbell, M.,Kilcoyne, P.,Kitchener, H.,Waterman, H.(2010).The hyperemesis impact of symptoms questionnaire: Development and validation of a clinical tool.International Journal of NursingStudies,47(1),67-77.
38. Ross, R.(2009).,Saskatchewan:Minister of Health. Retrieved.
39. Stevens, J. P.(1992).Applied multivariate statistics for the social sciences.Hillsdale, NJ:Erlbaum.
40. Tabachnick, B. G.,Fidell, L. S.(1996).Using multivariate statistics.New York, NY:Harper and Row.
41. Tashakkori, A.,Teddlie, C.(1998).Mixed methodology: Combining qualitative and quantitative approaches.London, England:Sage.
42. Vagharseyyedin, S. A.,Vanaki1, Z.,Mohammadi, E.(2011).The nature nursing quality of work life: An integrative review of literature.Western Journal of Nursing Research,33(6),786-804.
43. Vardi, Y.,Wiener, Y.(1996).Misbehavior in organizations: A motivational framework.Organization Science,7(2),151-165.
44. Waltz, C. F.,Strickland, O. L.,Lenz, E. R.(1991).Measurement in nursing research.Philadelphia, PA:Davis Company.
45. Yousuf, A. S. M.(1996).Evaluating the quality of work life.Management and Labour Studies,21(1),5-15.