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博碩士論文 etd-0725101-002148 詳細資訊
Title page for etd-0725101-002148
論文名稱
Title
護理人員組織承諾、工作滿足與組織公民 行為之研究 ~ 以臺灣南部醫療機構為例
A Study on the Relationship Among Organizational Commitment, Job Satisfaction, and Organizational Citizenship Behavior of Nursing Personnel
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
123
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
2001-05-18
繳交日期
Date of Submission
2001-07-25
關鍵字
Keywords
組織公民行為、工作滿足、護理人員、組織承諾
Nursing personnel, job satisfaction, organizational commitment
統計
Statistics
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The thesis/dissertation has been browsed 5670 times, has been downloaded 6682 times.
中文摘要
護理專業本身的特質為工作時間不定、工作量太大、無法適應夜生活;而社區之公共衛生護理人員,工作地段區分明確,工作時間較為安定。 Deluga (1994) 指出在信任的基礎中,員工相信在其付出努力後,組織或管理者會有對等的回饋,從而提高員工組織公民行為的意願。在護理人力較穩定的現階段中,如何讓護理人員表現出對組織有利的行為,顯然相當重要。本研究以護理人員任職之醫療機構屬性、護理人員之個別特徵為自變數,組織承諾、工作滿足為中介變數,組織公民行為為依變數,並以護理主管對護理人員信任程度,對臺灣南部1357位護理人員為對象,填寫問卷調查。資料分析方法,則採用信效度及因素分析、描述性統計分析、差異檢定分析、相關分析、及複迴歸模式分析等探討各變項間的關係。

研究結果發現:
1. 醫院護理人員的組織承諾、工作滿足及獲得主管的信任程度,均低於社區護理人員;而人際利他行為表現卻高於社區護理人員。
2. 整體性之未婚者的道德性承諾與持續性承諾均低於已婚者;而已婚無小孩的護理人員,較獲得主管的信任,且人際利他行為表現好。
3. 整體性之大學(含)以上學歷者的組織承諾與工作滿足均為較低表現。但組織公民行為中均有較高表現,亦獲得主管的親信與信任,唯對主管的能力滿意度低。
4. 40歲以上與年資10年以上者之護理人員,組織承諾、工作滿足與主管評值及員工自評的人際利他行為,呈現負向影響關係。
5. 醫院與社區護理主管對員工的信任程度及員工的組織承諾有顯著差異。
6. 護理人員的組織承諾、工作滿足與組織公益行為呈正相關。
7. 醫院護理人員的工作獨立自主滿足與持續性承諾無關。
8. 社區護理人員其持續性承諾與工作滿足無關。
9. 醫院與社區護理人員,主管評值與員工自評的組織公民行為呈正相關。
10. 主管評值之堅守本份行為表現顯著高於員工的自我評值。

由上述的結果,護理人員的組織公民行為表現,其員工自我認知與主管
評值的價值尚具一致性。本研究的建議為實施護理專業能力進階制度,規範
護理人員正式傳承的責任制度;創造非正式護理傳承的管道,藉由非護理專
業之議題,共同討論,促進溝通以達共識;實施參與式管理,依護理人員的
個別特質,提供參與活動之機會,以利授權、民主式領導的落實。並提供社會
規範中付予南丁格爾使命及社會輿論中默默耕耘的護理人員管理之參考。

Abstract
The drawbacks of nursing are long hours, hard work and working nights. But definite working territory and rather steady working times were noted in Community Nurse. Deluga(1994) pointed out in the Basis of Faith, the staff believed that if they work hard, the organization or manager can feedback it. So the organizational citizenship behavior is increasing. So how to increasing organizational citizenship behavior is rather important at present. The study uses the characteristics of medical organization, nurses as independent variable, organizational commitment, job satisfaction as intermediate variable, organizational citizenship behavior as dependent variable. We use questionnaire, data analysis to study 1357 nurses. The statistics are as follows: reliability analysis, validity analysis, factor analysis, descriptive statistics analysis, correlation analysis, and regression analysis to probe the relation of all the variables.

The results showed that:
1.Organizational commitment has a positive impact on job satisfaction.
2.The higher the feeling of commitment of the staff, the trustworthier they are.
3.To stand fast of the responsibility in director evaluation is higher than the staff self-evaluation, but there is no correlation.
4.Organizational commitment and job satisfaction is higher in staffs that are older than 40 years old and the past service more than 10 years. It is also negative impact with benefit others of the director evaluation.
5.The higher organizational commitment, the higher job satisfaction and competency satisfaction of the director in senior high school staff.
6.There is no difference of standing fast of the responsibility, organization commonwealth behavior between director evaluation and staff self-evaluation in those who on night duty and nil.
7.As regards marriage, organizational citizenship behavior is higher in married than unmarried in staff self-evaluation.
8.Moral commitment and persistent commitment is lower in unmarried than married. Those staff who married without children is trust worthier of their director. They also show better behavior when they have been given other benefits.
9.Organization commonwealth behavior of staff self-evaluation has a positive impact on director evaluation but there is no significance. It is also positive impact with director's faith.
10.Organizational citizenship behavior of director evaluation has positive impact and more predictor with director's faith.

From our study, we demonstrated organizational citizenship behavior;
Self-recognition and evaluation of directors in nursing are consistency. So we suggest that nursing will reach the coherence by nursing professional innovation system, formal hereditary responsibility system and other effective communication. We also proposed that through participation to empower, to fulfill democratic leadership. It may be referable to the nursing management.

目次 Table of Contents
目 錄
頁次
謝辭中文摘要英文摘要
表目錄................................. Ⅱ
圖目錄................................. Ⅲ

第一章 緒論
第一節 研究動機........................... 1
第二節 研究目的........................... 3

第二章 文獻探討
第一節 醫院護理與社區護理及其護理人員之職務性質........... 4
第二節 組織承諾之定義與相關研究................... 6
第三節 工作滿足之定義與相關研究................... 10
第四節 組織公民行為之定義與相關研究................. 13
第五節 組織承諾、工作滿足與組織公民行為的關係............ 15
第六節 信任之定義、相關研究與組織公民行為的關係......... 17

第三章 研究方法
第一節 研究架構........................... 19
第二節 研究假設........................... 20
第三節 操作性定義........................... 21
第四節 信度與效度分析........................... 23
第五節 樣本來源與抽樣方法..................... 26
第六節 分析方法........................... 29
第七節 研究限制........................... 30

第四章 研究結果
第一節 組織承諾、工作滿足、組織公民行為變項間之描述性分析...... 31
第二節 組織承諾、工作滿足、組織公民行為變項間之差異性分析...... 43
第三節 組織承諾、工作滿足、組織公民行為變項間之相關性分析...... 74
第四節 組織承諾、工作滿足、組織公民行為變項間之預測性分析...... 79

第五章 結論與建議
第一節 結論............................... 85
第二節 建議............................... 96

參考文獻............................... 98
附錄:研究問卷............................... 107

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