本研究提出一個活動能力模式以探討三種醫院規模等級之三階護理管理者對管理活動與才能重要性之認知。問卷之設計根據活動能力模式，初版問卷包括42項護理管理活動與有效執行這些活動所須知12項管理才能。這些活動與才能是經由文獻探討、工作分析與反覆的與領域專家訪談後產生。

研究發現顯示對管理活動重要性之認知，護理管理階層間有顯著差異，但醫院等級間不顯著。尤其，高、中階管理者對人力資源管理相關活動之重要性認知顯著的高於基層管理者。中階管理者對作業管理相關活動之重要性認知顯著的高於基層管理者。對目標訂定與規劃相關活動之重要性認知高階管理者顯著的高於中階管理者，且中階管理者顯著的高於基層管理者。基層管理者對材料與環境管理相關活動之重要性認知顯著的高於高階與中階管理者。本研究成果不僅可供護理管理者於管理才能發展、教育訓練與生涯規劃之參考準則外，也可作為人才招募與挑選適當護理管理者之準則。

This study proposed an activity competency model (ACM) to investigate the perceived importance of managerial activities and skills required of three levels of nurse managers from three levels of hospitals. A survey instrument was designed based on the ACM for data collection that encompasses forty-two initial nursing management activities and twelve managerial skills required to effectively perform these management activities that were identified through literature review, job analysis, and iterative personal interviews with domain experts.

Our findings indicate that the importance of nurse managerial activities is significantly different from the levels of management, but not significantly different from the levels of hospitals. In particular, top and middle levels of management perceived the human resources management related activities as more important than the supervisory management. Middle management perceived the importance of operation management significantly higher than supervisory management. Top management perceived the importance of goal setting & planning significantly higher than middle management. Middle management perceived the importance of goal setting & planning significantly higher than supervisory management. Supervisory management perceived the importance of material & environment management significantly higher than top and middle managements. The results from this study provide implication guidelines for management development programs, training, and the career planning for nurse managers. They also can serve as guideline for recruiting and selecting the effective nurse managers.

1. INTRODUCTION 1
2. LITERATURE REVIEW AND CONCEPTUAL MODEL 3
3. RESEARCH METHODOLOGY 9
3.1 INSTRUMENT DEVELOPMENT AND PILOT STUDY 9
3.2 SAMPLING 12
4. DATA ANALYSIS 13
4.1 SAMPLE CHARACTERISTICS 13
4.2 FACTOR ANALYSIS 13
4.3 DESCRIPTIVE STATISTICS OF MANAGEMENT ACTIVITIES AND SKILLS 15
4.4 TESTING OF HYPOTHESES 20
5. CONCLUSIONS 27
REFERENCES 29
APPENDIX A: 32
APPENDIX B: 32

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