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博碩士論文 etd-0621112-162313 詳細資訊
Title page for etd-0621112-162313
論文名稱
Title
護理長人格特質與工作表現之關係-以領導行為為調節角色
Personality and Job Performance: Test of the Moderating Effects of Leadership Style Among the Head Nurses
系所名稱
Department
畢業學年期
Year, semester
語文別
Language
學位類別
Degree
頁數
Number of pages
82
研究生
Author
指導教授
Advisor
召集委員
Convenor
口試委員
Advisory Committee
口試日期
Date of Exam
2012-06-07
繳交日期
Date of Submission
2012-06-21
關鍵字
Keywords
五大人格特質、領導行為、護理長、工作表現、包絡分析、Tobit迴歸
Head Nurse, Job Performance, DEA, Tobit Regression, Leadership, Five-Factor Model
統計
Statistics
本論文已被瀏覽 5804 次,被下載 2416
The thesis/dissertation has been browsed 5804 times, has been downloaded 2416 times.
中文摘要
社會環境變遷及醫療制度改革下,醫院的轉型經營突顯了占醫療機構人力成本較高之護理人力問題。在面臨薪資壓力、護理人力緊縮,如何穩固及經營正向工作環境,維持良好照護品質及工作表現,護理領導則扮演重要環節。另外,在過去人格特質和與領導行為分別對工作表現之關係一直都被許多研究證實有間接或直接關係,但鮮少有研究同時探討其三者間的關聯,故藉此來探討第一線照顧病患之領導者角色-護理長,以此為樣本探討人格特質、領導行為及工作表現之關係。
本研究發放問卷於高屏區某三家區域醫院病房護理站護理長之人格特質共計35份,回收率100%;護理同仁評量其單位主管的領導風格共計174份有效問卷,回收率99%。另外,透過次級資料蒐集護理站有效業務資料31 份,回收率89% 。本研究描述統計分析人格特質及領導行為分佈情形,利用t檢定檢視基本變項與工作表現有無顯著差異,最後以Tobit迴歸分析人格特質、領導行為與工作表現之間的關聯性。
研究發現護理長人格特質以友善性集中於高度傾向,開放性及嚴謹性集中於中高度傾向,外向性與神經質集中於中低傾向。護理長領導風格在倡導結構領導傾向有19位,體恤領導傾向為16位,同時為倡導結構與體恤領導傾向的有15位。分析結果護理長服務年資對神經質人格特質有顯著差異;護理長的外向性(Z=2.307, p=0.021)與開放性(Z=1.994, p=0.046)人特質與護理站工作表現有正向關係;外向性人格特質之護理長會因體 恤領導行為(Z=2.073, p=.038)而對工作表現有正向調節作用。
護理長人格特質對工作表現有關聯,領導行為可提升更好的工作表現,醫院未來可提供護理長在領導統馭之教育訓練及護理領導者選用之參考。建議未來研究使用不同層級醫院及蒐集更豐富樣本使得研究更具代表性;使用其他量表輔助工作表現之呈現。
Abstract
Due to the social environment transition and the health care reform, hospital’s transformation has made the high cost nurse resource of the medical organization issue. While facing salary pressure and nursing shortages, nursing leadership has taken an important role in stabilizing/establishing a positive work environment and maintaining good health care quality and job performance.
In the past, personality and leadership have been proved to relate to job performance, but few studies show the relationship between these three variables. This study investigates which dimensions of the Five-Factor Model of personality of the head nurse (HN) are related to job performance. This study also analyzes the HN and investigates whether leadership style moderates personality-job performance relations.
This study carried out a survey research and secondary date analysis in three regional hospitals of Kaohsiung-Pingtung area. The sample included 35 HN and 174 nurses who worked with their HN for over 6 months. t-test was used to examine the difference of personalities and leadership style in different demographic variables. In addition, the Tobit regression model explained significant portions of variance in these criterions.
Results support the hypothesis that openness and extraversion are positively related to job performance. Results also support the hypothesis that consideration is appeared to moderate relationships between openness and job performance.
This study show that personality influences job performance. Moreover, it shows that the leadership style could be the moderator between personality and job performance. This study suggested that personality might be a crucial factor in selection and recruiting of head nurses. In addition, providing training in leadership will facilitate the job performance. This study suggests that future studies should increase the sample size in terms of decision making units as well as random selection from different hospital levels.
目次 Table of Contents
論文審定書 i
致謝 ii
摘要 iii
Abstract iv
目錄 v
圖次 viii
表次 viii
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究問題與目的 3
第二章 文獻探討 4
第一節、人格特質 4
一、人格(Personality) 4
二、五大人格特質(Five-Factor Model, FFM) 5
第二節、領導行為 8
ㄧ、領導的定義 8
二、領導理論 8
三、領導行為論 9
第三節 人格特質、領導行為與工作表現之關係 12
一、人格特質與工作表現 12
二、人格特質、領導行為與工作表現之關係 13
第三章 研究方法 14
第一節 研究假設與架構 14
一、研究假設 14
二、研究架構 16
第二節、研究對象及資料蒐集 17
一、研究對象 17
二、資料蒐集 17
第三節、問卷設計 18
ㄧ 、問卷編著 18
二、研究變項之操作型定義 19
第四節、問卷信度 24
第五節、資料包絡分析法(DEA)及研究變項 25
一、資料包絡分析法 25
二、投入產出變項 26
第六節 資料處理與統計方法 27
一、描述性統計 27
三、推論性統計 27
第四章 研究分析與結果 29
第一節 描述性統計分析 29
ㄧ、人格特質量表 29
二、領導行為描述量表 31
三、決策單位投入產出變項 33
第二節 推論性統計分析 35
一、基本變項對人格特質之影響 35
二、護理單位投入產出變項相關分析 40
三、資料包絡分析 41
四、Tobit迴歸分析 44
五、研究結果摘要 49
第五章 討論與建議 51
第一節 研究討論 51
ㄧ、護理長基本變項、人格特質及領導行為 51
二、人格特質、領導行為與工作表現之關係 51
第二節 研究限制 53
第三節 建議 54
參考文獻 55
一、中文文獻 55
二、英文文獻 57
附錄 64
一、人體試驗委員會同意函 64
二、領導行為描述量表翻版本作者同意函 66
三、醫院組織領導人員人格特質量表 67
四、護理長領導行為描述問卷 70
參考文獻 References
一、中文文獻
徐南麗、王瑋、馮容荘、尹淑莉(1993) 。護理人力生産力的評估與應用。護理研究,1(2),101-112。
方崇雄、張肅婷、陳冠利(2009)。運用 SEM 分析方法探討醫療產業主管領導型態與工作滿意度,組織承諾及工作績效之研究-以台灣省某區域教學醫院為例。中華管理評論,12(4),1-20。
行政院衛生署(2010)。99年度醫療服務量。擷取日期 4/28,2012,取自http://www.doh.gov.tw/CHT2006/DisplayStatisticFile.aspx?d=68031&s=1
行政院衛生署(2009)。行政院衛生署建議本土化護理人員留任策略模式。擷取日期 3/25,2012,取自http://www.doh.gov.tw/CHT2006/DM/DM2_p01.aspx?class_no=211&now_fod_list_no=9447&level_no=1&doc_no=70401
李朱慧、林孟鋒(2008)。以人格特質與組織文化探討高科技產業內知識分享與組織績效之研究。致遠管理論叢,3(1),18-37。
李秀花、周汎澔 (2011)。從護理管理看正向護理工作環境的塑造。領導護理, 12(1),13-21。
李育融(2011)。影響參與臨床試驗之動機研究:以健康受試者為例(未出版之碩士論文)。國立中山大學,高雄市。
林月桂、盧美秀(2000)。運用競值途徑於醫院護理部門組織文化,領導型態與組織效能關係之研究。新臺北護理期刊,2(1),5-24。
林瑜雯、莊子萱、劉曦宸、陳韻柔、陳富莉(2011)。從醫療職場工作特質探討醫院護理長與臨床護理人員之工作壓力源。臺灣公共衛生雜誌,30(3),245-256。
林宗鴻(譯)(2006)。人格心理學(原作:Burger, J. M.)[Personality, 6th ed.],(第3版)。臺北市:新加坡商亞洲湯姆生國際出版。
池進通、李鴻文、陳芬儀(2008)。五大人格特質與工作績效關係之研究。經營管理論叢,4(2),1-9。
王馥庭、李弘暉. (2008)。交易型領導, 信任與組織公民行為之關係。護理雜誌, 55(4),87-92。
莊逸洲、黃崇哲(2000)。醫療機構管理制度。台北: 華杏出版股份有限公司。
康裕民(譯)(2008)。組織行為(原作者:Kreitner, R., & Kinicki, A.)[Organizational behavior, 7th ed],(第3版)。臺北市: 麥格羅希爾出版。
葉光輝(譯)(2005)。性格心理學理論與研究(原作者:Pervin, LA, Cervone, D., & John, OP)[Personality: theory and research, 9th ed],(第9版)。台北市: 雙葉書廊。
薄喬萍(2005)。績效評估之資料包絡分析法。臺北市: 五南。
魏文欽、朱聖和(2008)。人格特質,工作態度,服務品質,工作績效及顧客滿意度關連性之實證研究-以國內金融控股公司爲例。International Journal of Lisrel,1(2),1-24。
黃敏萍、鄭伯壎、王建忠(2003)。轉型領導,團隊內互動,及團隊與成員效能: IPO 模式之驗證。
黃家齊(譯)(2011)。組織行為學(原作者:Robbins, S. P., & Judge, T.A.)[ Organizational behavior, 13th ed],(第13版)。臺北市:華泰文化。(原著出版年:2011)

二、英文文獻
Allport, G. W. (1937). Personality: A psychological interpretation.
Allport, G. W. (1961). Pattern and growth in personality.
American Organization of Nurse Executives(AONE).(2005). Nurse Executive Competencies. Nurse Leader, 3(1), 50-56.
Bakker, A. B., Killmer, C. H., Siegrist, J., & Schaufeli, W. B. (2000). Effort–reward imbalance and burnout among nurses. Journal of Advanced Nursing, 31(4), 884-891.
Barrick, M. R., & Mount, M. K. (1991). The big five personality dimensions and job performance: A meta-analysis.44(1), 1-26.
Barrick, M. R., Mount, M. K., & Judge, T. A. (2001). Personality and performance at the beginning of the new millennium: What do we know and where do we go next? International Journal of Selection and Assessment, 9(1‐2), 9-30. doi:10.1111/1468-2389.00160
Barrick, M. R., Stewart, G. L., Neubert, M. J., & Mount, M. K. (1998). Relating member ability and personality to work-team processes and team effectiveness. Journal of Applied Psychology; Journal of Applied Psychology, 83(3), 377.
Bass, B. M. (1990). Bass and Stogdill’s handbook of leadership: Theory, research and managerial applications (3rd ed.) New York: Free Press.
Bass, B. M. (1997). Does the transactional–transformational leadership paradigm transcend organizational and national boundaries? American Psychologist, 52(2), 130.
Benet-Martinez, V., & John, O. P. (1998). Los cinco grandes across cultures and ethnic groups: Multitrait-multimethod analyses of the big five in spanish and english. Journal of Personality and Social Psychology, 75(3), 729.
Blake, R., & Mouton, J. (1964). The managerial grid: The key to leadership excellence. Houston: Gulf Publishing Company,
Blake, R. R., & McCanse, A. A. (1991). Leadership dilemmas--grid solutions Gulf Publishing Company.
Bowers, D. G., & Seashore, S. E. (1966). Predicting organizational effectiveness with a four-factor theory of leadership. Administrative Science Quarterly, , 238-263.
Boyle, D. K., Bott, M. J., Hansen, H. E., Woods, C. Q., & Taunton, R. L. (1999). Managers' leadership and critical care nurses' intent to stay. American Journal of Critical Care, 8(6), 361-371.
Burisch, M. (1984). Approaches to personality inventory construction: A comparison of merits. American Psychologist, 39(3), 214.
Capuano, T., Bokovoy, J., Hitchings, K., & Houser, J. (2005). Use of a validated model to evaluate the impact of the work environment on outcomes at a magnet hospital. Health Care Management Review, 30(3), 229.
Caspi, A. (2000). The child is father of the man: Personality continuities from childhood to adulthood. Journal of Personality and Social Psychology; Journal of Personality and Social Psychology, 78(1), 158.
Cattell, R. B. (1956). Validation and intensification of the sixteen personality factor questionnaire. Journal of Clinical Psychology,
Chang, H. Y., Teng, C. I., Chu, T. L., Chang, H. T., & Hsu, W. H. (2012). Impact of nurse agreeableness and negative mood of nursing supervisors on intention to help colleagues. Journal of Advanced Nursing,
Charnes, A., Cooper, W. W., & Rhodes, E. (1978). Measuring the efficiency of decision making units. European Journal of Operational Research, 2(6), 429-444.
Conte, J. M., & Gintoft, J. N. (2005). Polychronicity, big five personality dimensions, and sales performance. Human Performance, 18(4), 427-444.
Costa Jr, P. T., & McCrae, R. R. (1990). Personality disorders and the five-factor model of personality. Journal of Personality Disorders, 4(4), 362-371.
Cummings, G. G., MacGregor, T., Davey, M., Lee, H., Wong, C. A., Lo, E., . . . Stafford, E. (2010). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies, 47(3), 363-385. doi:10.1016/j.ijnurstu.2009.08.006
Day, D. V., & Silverman, S. B. (1989). Personality and job performance: Evidence of incremental validity. Personnel Psychology, 42(1), 25-36.
Digman, J. M. (1990). Personality structure: Emergence of the five-factor model. Annual Review of Psychology, 41(1), 417-440.
Duxbury, M. L., Armstrong, G. D., Drew, D. J., & Henly, S. J. (1984). Head nurse leadership style with staff nurse burnout and job satisfaction in neonatal intensive care units. Nursing Research,
Eysenck, M. W. (1990). Happiness: Facts and myths L. Erlbaum.
Ferlie, E. B., & Shortell, S. M. (2001). Improving the quality of health care in the united kingdom and the united states: A framework for change. Milbank Quarterly, 79(2), 281-315.
Fiske, D. W. (1949). Consistency of the factorial structures of personality ratings from different sources. The Journal of Abnormal and Social Psychology, 44(3), 329.
Fleishman, E. A. (1973). Twenty years of consideration and structure. In E. A. Fleishman & J. G. Hunt (Eds.), Current developments in the study of leadership (pp. 1–40). Carbondale, IL: Southern Illinois University Press.
Freud, B., & Freud, H. (1930). A theory of the ring method for the determination of surface tension. Journal of the American Chemical Society, 52(5), 1772-1782.
Furnham, A., & Fudge, C. (2008). The five factor model of personality and sales performance. Journal of Individual Differences, 29(1), 11.
Gilmartin, M., D’Aun, T.A. ( 2007). Chapter 8: Leadership research in healthcare. The Academy of Management Annals, 1(1), 387–438.
Goldberg, L. R. (1990). An alternative" description of personality": The big-five factor structure. Journal of Personality and Social Psychology; Journal of Personality and Social Psychology, 59(6), 1216.
Halpin, A. W., and Winer, B. J. (1957). A factorial study of the Leader Behavior
Descriptions. In R.M. Stogdill, and A.E. Coons (Eds.), Leader Behavior: Its Description and Measurement. Columbus: The Ohio State University, Bureau of Business Research, Monograph No. 88.
Hogan, R., & Nicholson, R. A. (1988). The meaning of personality test scores. American Psychologist, 43(8), 621.
Holdnak, B. J., Harsh, J., & Bushard, S. C. (1993). An examination of leadership style and its relevance to shift work in an organizational setting. Health Care Management Review, 18(3), 21.
Houser, J. (2003). A model for evaluating the context of nursing care delivery. Journal of Nursing Administration, 33(1), 39.
Hsieh, P. C. (1998). The relationship between unit characteristic and nursing interaction processes in an acute care medical center in taiwan [dissertation]. University of Texas, TX. 183.
John, O. P., Donahue, E. M., & Kentle, R. L. (1991a). The big five inventory--versions 4a and 54. Berkeley, CA: Berkeley Institute of Personality and Social Research, University of California,
John, O. P., Naumann, L. P., & Soto, C. J. (2008). Paradigm shift to the integrative big five trait taxonomy. Handbook of Personality: Theory and Research, , 114-158.
Judge, T. A., & Bono, J. E. (2000). Five-factor model of personality and transformational leadership. Journal of Applied Psychology, 85(5), 751.
Judge, T. A., Bono, J. E., Ilies, R., & Gerhardt, M. W. (2002). Personality and leadership: A qualitative and quantitative review. Journal of Applied Psychology, 87(4), 765.
Judge, T. A., Piccolo, R. F., & Ilies, R. (2004). The forgotten ones? the validity of consideration and initiating structure in leadership research. Journal of Applied Psychology, 89(1), 36-51.
Kahai, S. S., Sosik, J. J., & Avolio, B. J. (1997). Effects of leadership style and problem structure on work group process and outcomes in an electronic meeting system environment. Personnel Psychology, 50(1), 121-146.
LePine, J. A., Colquitt, J. A., & Erez, A. (2000). Adaptability to changing task contexts: Effects of general cognitive ability, conscientiousness, and openness to experience. Personnel Psychology, 53(3), 563-593.
Likert, R. (1961). New patterns of management.
Lord, R. G., De Vader, C. L., & Alliger, G. M. (1986). A meta-analysis of the relation between personality traits and leadership perceptions: An application of validity generalization procedures. Journal of Applied Psychology, 71(3), 402.
McCrae, R. R., & Costa Jr, P. T. (1997). Personality trait structure as a human universal. American Psychologist; American Psychologist, 52(5), 509.
McCrae, R. R., & Costa, P. T. (1985). Comparison of EPI and psychoticism scales with measures of the five-factor model of personality. Personality and Individual Differences, 6(5), 587-597.
McCrae, R. R., & Costa, P. T. (1987). Validation of the five-factor model of personality across instruments and observers. Journal of Personality and Social Psychology, 52(1), 81.
Norman, W. T. (1963). Toward an adequate taxonomy of personality attributes: Replicated factor structure in peer nomination personality ratings. The Journal of Abnormal and Social Psychology, 66(6), 574.
Peiro, J. M., Roma, V. G., Ramos, J., & Zornoza, A. (1996). Relationships between leadership and professionals' job attitudes and perceptions: Comparison of two leadership models. Work & Stress, 10(3), 195-208.
Plomin R, C. A. (1999). Behavioral genetics and personality
Sheridan, J. E., & Vredenburgh, D. J. (1979). Structural model of leadership influence in a hospital organization. Academy of Management Journal, , 6-21.
Strang, S. E., & Kuhnert, K. W. (2009). Personality and leadership developmental levels as predictors of leader performance. The Leadership Quarterly, 20(3), 421-433.
Teng, C. I., Hsu, K. H., Chien, R. C., & Chang, H. Y. (2007). Influence of personality on care quality of hospital nurses. Journal of Nursing Care Quality, 22(4), 358.
Tett, R. P., Jackson, D. N., & Rothstein, M. (1991). Personality measures as predictors of job performance: A meta‐analytic review. Personnel Psychology, 44(4), 703-742.
Tupes, E. C., & Christal, R. E. (1961). Recurrent personality factors based on trait ratings. ( No. 61-97).USAF ASD Tech. Rep.
Valdmanis, V. G., Rosko, M. D., & Mutter, R. L. (2008). Hospital quality, efficiency, and input slack differentials. Health Services Research, 43(5p2), 1830-1848.
Vinchur, A. J., Schippmann, J. S., Switzer III, F. S., & Roth, P. L. (1998). A meta-analytic review of predictors of job performance for salespeople. Journal of Applied Psychology, 83(4), 586-597.
Wan, T. T. H., Hsu, N., Feng, R., Ma, A., Pan, S., & Chou, M. (2002). Technical efficiency of nursing units in a tertiary care hospital in taiwan. Journal of Medical Systems, 26(1), 21-27.
Warr, P., Bartram, D., & Martin, T. (2005). Personality and sales performance: Situational variation and interactions between traits. International Journal of Selection and Assessment, 13(1), 87-91.
Zhao, H., Seibert, S. E., & Lumpkin, G. T. (2010). The relationship of personality to entrepreneurial intentions and performance: A meta-analytic review. Journal of Management, 36(2), 381.
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