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中文論文名稱 護理人員角色壓力、工作滿意、職業承諾與離職傾向關聯性之研究
英文論文名稱 A Study on the Relationships among Role Stress, Job Satisfaction, Career Commitment and Turnover Intentions of Nurse
校院名稱 淡江大學
系所名稱(中) 企業管理學系碩士在職專班
系所名稱(英) Department of Business Administration
學年度 99
學期 2
出版年 100
研究生中文姓名 劉嘉仁
研究生英文姓名 Chia-Jen Liu
學號 798610282
學位類別 碩士
語文別 中文
口試日期 2011-06-04
論文頁數 82頁
口試委員 指導教授-吳坤山
委員-張巧真
委員-李月華
中文關鍵字 護理人員  角色壓力  工作滿意  職業承諾  離職傾向 
英文關鍵字 Nurse  Role Stress  Job Satisfaction  Career Commitment  Turnover Intention 
學科別分類 學科別社會科學管理學
中文摘要 本研究主要目的為探討護理人員的角色壓力、工作滿意度、職業承諾與離職傾向之關聯性。
在確定研究動機及研究目的後,對國內外相關文獻加以歸納整理,再根據其理論基礎建立本研究之架構與假說並進行實證分析。問卷調查對象以中央健保局臺北區(臺北市、新北市)之健保特約醫院從業護理人員為主要研究對象,本研究採用滾雪球抽樣法,總計回收有效問卷409份,針對回收的有效樣本409份資料,進行敘述性統計、因素分析、信度分析、變異數分析、相關分析、迴歸分析,最後根據實證之結果提出主要研究結論如下:
1. 護理人員的角色壓力對工作滿意度及職業承諾有顯著的負向影響。
2. 護理人員的角色壓力對離職傾向有顯著的正向影響。
3. 護理人員的工作滿意度對職業承諾有顯著的正向影響。
4. 護理人員的工作滿意度對離職傾向有顯著的負向影響。
5. 護理人員的職業承諾對離職傾向有顯著的負向影響。
6. 工作滿意度在角色壓力與職業承諾之間具有部分中介效果。
7. 工作滿意度在角色壓力與離職傾向之間具有部分中介效果。
8. 職業承諾在角色壓力與離職傾向之間具有部分中介效果。
9. 職業承諾在工作滿意度與離職傾向之間具有部分中介效果。
英文摘要 The main purpose of this thesis is to investigate the relationship among nurses’ role stress, job satisfaction, career commitment and turnover intention. In determining the motivation, development of research and research purposes, using related literatures collected from around the world to confirm the framework and hypothesis of this study and to perform the empirical study. The main subjects of this thesis were the nurses of NHI (National Health Insurance) contracted hospitals in Taipei (Taipei City and Taipei County). The questionnaire survey was used as the research instrument to collect the empirical data. This study adopts judgment sampling to get the samples. To effective 409 materials of sample retrieving, analyze the descriptive statistics, reliability analysis, factor analysis, one way ANOVA, correlation analysis and regression analysis. After the empirical research, the major findings as follows:
1. Role Stress negatively affects the nurses’ job satisfaction. There is a negative relationship between role stress and career commitment.
2. Role stress has positively impacts on turnover intention of nurse.
3. Job satisfaction positively impacts on career commitment of nurse.
4. Job satisfaction negatively affects the nurses’ turnover intention.
5. Career commitment has negatively impacts on turnover intention of nurse.
6. The relationship between role stress and career commitment is partially mediated by job satisfaction.
7. The relationship between role stress and turnover intention is partially mediated by job satisfaction.
8. The relationship between role stress and turnover intention is partially mediated by career commitment.
論文目次 目錄
目錄 I
表目錄 IV
圖目錄 VI
第一章 緒 論 1
第一節 研究背景與動機 1
第二節 研究目的 3
第三節 研究範圍與對象 3
第四節 研究流程 3
第二章 文獻探討 5
第一節 角色壓力 5
一、 角色壓力的概念 5
二、 角色壓力的分類 6
第二節 護理人員工作滿意度 7
一、 工作滿意度的意涵 7
二、 護理人員工作滿意度的影響因素 8
第三節 職業承諾 9
一、 職業承諾的定義 9
二、 職業承諾影響因素 10
第四節 離職傾向 12
一、 離職傾向的定義 12
二、 護理人員離職傾向的影響因素 13
第五節 研究變項關係探討 14
一、 角色壓力與工作滿意度、職業承諾、離職傾向之關聯探討 14
二、 工作滿意與職業承諾、離職傾向之關聯 15
三、 職業承諾與離職傾向之關聯 16
第六節 臺灣護理現況 17
第三章 研究方法 23
第一節 研究架構 23
第二節 研究假說 24
第三節 研究變項操作型定義與衡量 24
一、 角色壓力 24
二、 工作滿意 25
三、 職業承諾 26
四、 離職傾向 26
五、 個人屬性 27
第四節 抽樣設計 28
第五節 統計分析 28
第四章 資料分析 30
第一節 樣本結構分析 30
一、 問卷回收概況 30
二、 敘述性統計 30
第二節 因素及信度分析 35
一、 因素分析 35
二、 信度分析 37
三、 因素分析後之研究架構 38
第三節 研究變項間之相關分析 39
一、 角色壓力與工作滿意之相關性 39
二、 角色壓力與職業承諾之相關性 39
三、 角色壓力與離職傾向之相關性 40
四、 工作滿意與職業承諾之相關性 40
五、 工作滿意與離職傾向之相關性 40
六、 職業承諾對離職傾向之相關性 40
第四節 研究變項間之影響性分析 42
一、 角色壓力對工作滿意度之影響分析 42
二、 角色壓力對職業承諾之影響分析 43
三、 角色壓力對離職傾向之影響分析 45
四、 工作滿意度對職業承諾之影響分析 46
五、 工作滿意度對離職傾向的影響 46
六、 職業承諾對離職傾向的影響 47
第五節 中介效果分析 48
一、 角色壓力-工作滿意度-職業承諾之中介效果分析 48
二、 角色壓力-工作滿意度-離職傾向之中介效果分析 49
三、 角色壓力-職業承諾-離職傾向之中介效果分析 50
四、 工作滿意度-職業承諾-離職傾向之中介效果分析 51
第六節 差異性分析 52
一、 性別、專業執照及職務層級在角色壓力、工作滿意、職業承諾、離職傾向上的差異性分析 52
二、 問答者的基本資料在角色壓力、工作滿意、職業承諾、離職傾向上的差異性分析 54
第五章 研究與建議 62
第一節 研究結論與發現 62
一、護理人員的角色壓力對工作滿意度有顯著的負向影響 62
二、護理人員的角色壓力對職業承諾有顯著的負向影響 63
三、護理人員的角色壓力對離職傾向有顯著的正向影響 63
四、護理人員的工作滿意度對職業承諾有顯著的正向影響 63
五、護理人員的工作滿意度對離職傾向有顯著的負向影響 63
六、護理人員的職業承諾對離職傾向有顯著的負向影響 64
七、工作滿意在角色壓力與職業承諾、角色壓力及離職傾向中具有部分中介效果 64
八、職業承諾在角色壓力與工作滿意、角色壓力及離職傾向中具有部分中介效果 64
九、護理人員背景變項在角色壓力、工作滿意、職業承諾、離職傾向之差異性 64
第二節 管理意涵 65
第三節 研究限制 66
一、 研究對象 66
二、 研究區域 66
三、 問卷方式 66
第四節 建議 66
一、 對政府、醫院及護理人員之建議 66
二、 後續研究的建議 67
參考文獻 68
問卷調查 80

表目錄
表2-1 我國醫院評鑑護理相關重點項目 20
表2-2 臺北市、新北市醫院護理人員數前20大排名 22
表3-1 角色壓力之衡量題項 25
表3-2 工作滿意度之衡量題項 26
表3-3 職業承諾之衡量題項 26
表4-1 性別分佈狀況 30
表4-2 年齡分佈狀況 31
表4-3 專業執照分佈狀況 31
表4-4 教育程度分佈狀況 31
表4-5 婚姻及家庭分佈狀況 32
表4-6 工作醫院健保特約別分佈狀況 32
表4-7 護理年資分佈狀況 33
表4-8 工作部門分佈狀況 33
表4-9 職務層級分佈狀況 34
表4-10 月平均收入分佈狀況 34
表4-11 離開目前單位及放棄護理專業主要因素分佈狀況 35
表4-12 角色壓力構面之KMO值及BARTLETT球形檢定 36
表4-13 角色壓力構面之因素分析 36
表4-14 職業承諾構面之KMO值及BARTLETT球形檢定 37
表4-15 職業承諾構面之因素分析 37
表4-16 各研究構面之信度分析表 38
表4-17 角色壓力、工作滿意、職業承諾與離職傾向的相關係數表 41
表4-18 角色壓力對工作滿意度之迴歸分析彙整表 42
表4-19 角色壓力構面對工作滿意度之複迴歸分析彙整表 43
表4-20 角色壓力對職業承諾之迴歸分析彙整表 43
表4-21 角色壓力構面對職業承諾之複迴歸分析彙整表 44
表4-22 角色壓力構面對職業承諾構面之複迴歸分析彙整表 45
表4-23 角色壓力對離職傾向之迴歸分析彙整表 45
表4-24 角色壓力構面對離職傾向之複迴歸分析彙整表 46
表4-25 工作滿意度對職業承諾之迴歸分析彙整表 46
表4-26 工作滿意度對離職傾向之迴歸分析彙整表 47
表4-27 職業承諾對離職傾向之迴歸分析彙整表 47
表4-28 職業承諾構面對離職傾向之複迴歸分析彙整表 48
表4-29 角色壓力-工作滿意度-職業承諾之中介效果彙整表 49
表4-30 角色壓力-工作滿意度-離職傾向之中介效果彙整表 50
表4-31 角色壓力-職業承諾-離職傾向之中介效果彙整表 51
表4-32 工作滿意度-職業承諾-離職傾向之中介效果彙整表 51
表4-33 性別對角色壓力、工作滿意、職業承諾、離職傾向各變項之差異分析 52
表4-34 專業執照別對角色壓力、工作滿意、職業承諾、離職傾向各變項之差異分析 53
表4-35 職務層級別對角色壓力、工作滿意、職業承諾、離職傾向各變項之差異分析 54
表4-36 年齡對角色壓力、工作滿意、職業承諾、離職傾向各變項之差異分析 55
表4-37 教育程度對角色壓力、工作滿意、職業承諾、離職傾向各變項之差異分析 56
表4-38 婚姻及家庭狀況對角色壓力、工作滿意、職業承諾、離職傾向各變項之差異分析 57
表4-39 工作醫院健保特約別對角色壓力、工作滿意、職業承諾、離職傾向各變項之差異分析 58
表4-40 護理年資對角色壓力、工作滿意、職業承諾、離職傾向各變項之差異分析 59
表4-41 工作部門對角色壓力、工作滿意、職業承諾、離職傾向各變項之差異分析 60
表4-42 月平均收入對角色壓力、工作滿意、職業承諾、離職傾向各變項之差異分析 61
表5-1 研究假說驗證彙整表 62
圖目錄
圖1-1 研究流程圖 4
圖2-1 護理專業的範疇及影響因素 18
圖2-2 臺灣護理人員臨床專業能力進階制度概念與架構 19
圖3-1 研究架構圖 23
圖4-1 因素分析後之研究架構 39
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三、 網路文獻
1. 中華民國護理師護士公會全國聯合會網站,2011年4月
(http://www.nurse.org.tw/DataSearch/Manpower.aspx)
2. 法務部,全國法規資料庫,全民健康保險法施行細則,2010年10月
(http://law.moj.gov.tw/LawClass/LawContent.aspx?pcode=L0060002)
3. 行政院衛生署,醫事機構開業登記資料查詢。2010年10月14日(http://www.doh.gov.tw/DOHS/)
4. 行政院衛署,衛生法規資料檢索系統。2011年5月3日
(http://dohlaw.doh.gov.tw/Chi/FLAW/FLAWDAT0201.asp?lsid=FL014029)
5. 今日新聞網。2011年5月21日
(http://www.nownews.com/2011/05/21/10844-2714298.htm)
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