研究生: |
林欣怡 Li, Shin-Yi |
---|---|
論文名稱: |
公共衛生人員之組織充能,心理充能與工作滿意度,組織承諾相關因素之探討 The research on the relationship between organizational empowerment, psychological empowerment and work satisfaction, organizational commitment for public health workers. |
指導教授: |
劉潔心
Liu, Chieh-Hsing |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2006 |
畢業學年度: | 94 |
語文別: | 中文 |
論文頁數: | 91 |
中文關鍵詞: | 公共衛生人員 、組織充能 、心理充能 、工作滿意度 、組織承諾 、結構方程模式 |
英文關鍵詞: | public health worker, organizational empowerment, psychological empowerment, work satisfaction, organizational commitment, structural equation model |
論文種類: | 學術論文 |
相關次數: | 點閱:319 下載:49 |
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充能的相關研究結果漸漸受到組織與管理者所重視;然組織機構若能提供一充能環境將有助於提升員工充能的程度,進而增加其工作滿意度、組織承諾,緩和因工作壓力所造成之工作疲匱或離職意圖。相對於目前須面臨工作業務轉型之衛生所人員而言,實為重要考量因素。故本研究旨在瞭解公共衛生人員社會人口學基本資料、組織充能、心理充能與工作滿意度、組織承諾之現況及其相關因素;並且進一步運用結構方程模式建構公共衛生人員組織充能、心理充能與工作滿意度、組織承諾之模式,以瞭解變項之間直接與間接影響關係。
本研究引用「基層醫療人員充能教育模組發展與成效評價(1/2)」(劉潔心等,2004)第一年調查之部份資料進行次級資料分析。研究對象選取北區各公共衛生所人員,共計約670人,回收649份,有效樣本回收率為85.97%。本研究依Kanter(1977,1979,1993)提出充組織能理論與Spreitzer (1995)則基於Thomas與Velthouse (1990)所提出之心理充能模式為主;選取問卷之部份變項以重新建構為本研究架構之重要變項。
研究結果顯示,公共衛生人員以女性居多,年齡層以31~40歲所佔人數比例最多、已婚、專科畢業者人數佔最多;職務工作經驗豐富,但面臨目前衛生所之業務轉型與組織改造之困境,僅有少數之公共衛生人員參與在職進修。組織充能(Mean=3.23,SD=0.62)、心理充能(Mean=3.61,SD=0.53)、工作滿意度(Mean=3.19,SD=0.48)、組織承諾(Mean=3.38,SD=0.52)皆於中等程度;且彼此之間皆存有高度相關。而在結構方程模式中,潛在變項直接與間接效果之探討部份,組織充能為有效預測心理充能與工作滿意度的重要指標;而在預測組織承諾之直接效果上並未達顯著,其影響效果主要則需透過工作滿意度,其次為心理充能之因素所產生之間接效果。
由以上可知,若能夠強化衛生所之組織環境以提升其員工自覺充能與工作滿意度,則有助於緩和因工作壓力所造成之工作疲匱或離職意圖等;亦可提升衛生所人員之服務品質與工作效率的程度。研究結果則可做為衛生行政組織之政策或人事管理之參考。
The research of empower is growing to attach important to apparatus and organization. However, if the organization can provide a empowerment environment which can improve their perceived of empowerment, then improve their work satisfaction, organizational commitment. Additionally, alleviate the burnout or turnover intention that derived from working pressure. As regards the public health workers who confronted by occupational activities had been conditioned, that factors should certainly be cogitated. The research proposed to realize that public health workers’ demography based-data, organizational empowerment, psychological empowerment, work satisfaction, organizational commitment and the correlation between these variables. And further, building a model of these four variables, so clearing the influence of indirect and direct, demonstrating theory of organizational empowerment and psychological empowerment.
Using secondary data analysis of a year quasi-experimental test design-The empowerment instructional model and evaluation of primary health professionals. The subject of the research was the public health workers from the north in Taiwan, that counted up the samples are 670. There are 649 copies of questionnaires received( 85.97% of considered valid response rate). This research according to Kanter’s organizational empowerment theory (1977,1979,1993) , Spreitzer (1995) bottomed on psychological empowerment which be claimed by Thomas and Velthouse(1990). Extracting from a part of variables from the questionnaire , then built the major variables of this research.
The research achievements are listed as follows: 1. Public health workers consisted mostly of women(99.5%), 31-40years old (39.8%), married(82.1%), with academy education (60.53%), and abundant in work experience. Besides, public health workers that facing the occupational activities and organization reform of health center, only a minority of public health workers participated in in-service education or training. 2. Organizational empowerment, psychological empowerment, work satisfaction, organizational commitment were average and these are high correlation with each other. 3. At the directed and indirect effect of latent variables: organizational empowerment could direct effective to predict psychological empowerment and work satisfaction, but couldn’t on organizational commitment. However, organizational empowerment should get past the work satisfaction or psychological empowerment, so it could indirectly effective to predict organizational commitment.
According to this result, advising the health centers should strengthen the work environment, so the members will promote their perceived of empowerment and work satisfaction. Then, it could avail to alleviate burnout and turnover intent which derived from working pressure, and improve the public health workers’ service quality and work efficiency. The research result could be regarded as the policy or management consultation in public health administrative organization.
[中文文獻]
尹祚芊、楊克平、劉麗芳(2001).臺灣地區醫院護理人員留任措施計畫成效
之評值.護理研究,9(3),247-258。
王大秀(2001).台灣地區公共衛生護理人員留任因素、組織參與感、工作滿
足感之探討.未發表的碩士論文,台北:國防醫學院護理研究所。
王保進(2004).多變量分析:套裝程式與資料分析.臺北市:王保進出版:
高等教育總經銷。
王秀珍、盧秀美(1998).護理人員工作相關灌能之探討-比較護理人員實際
感受與期望間之差異.護理研究,6(1),19-29。
白玉珠(1993).在職進修學士學位護理人員工作滿意度及其相關因素之研
究.未發表的碩士論文,臺北市:國防醫學院護理學研究所碩士論文。
李逸(2004).公共衛生護理人員工作壓力感受、因應策略與壓力結果之探討
-以互動型工作壓力模式為架構.台灣衛誌,23(5),398-405。
李淑婷、謝臥龍、邱啟潤(2001).衛生所護理師角色功能之探討-德爾菲研
究.護理研究,9(3),269-278。
李麗華(1999).公共衛生護士工作特性、工作價值觀與工作滿足之相關研
究.未發表的碩士論文,台北市:國立台灣大學護理研究所。
林上青(2001).由營造健康社區看基層衛生組織.護理雜誌,48(1),36-
42。
吳明隆(2005).問卷分析與應用統計-統計應用學習實務.台北市:知城數位
科技。
邱皓政(2003).結構方程模式: LISREL的理論,技術與應用(CD-ROM).台
北市:雙葉書局。
胡文玲(1987).某醫院護理人員工作滿足感調查分析.護理雜誌,34(1),
41-52。
胡庭禎(1999).組織承諾與專業生涯承諾之探討-以護理人員為例.弘光學
報,4,115-133。
陳玉枝、林麗華(2002) .護理人員授能與組織使命感相關因素之探討.慈濟
護理雜誌,1(4),53-63。
陳玉枝、邱台生、陳真瑗(1994).護理管理特性與護理長之工作滿意度及組
織使命感相關性探討.榮總護理,11(1),14-28。
陳淑玲、趙必孝、黃英忠(2001).新人類工作價值觀、工作生活品質與工作
滿意度關係之研究.勞資關係論從,10,75-101。
許士軍(1974).工作滿足、個人特徵與組織氣候.政治大學學報.35,13-
56。
姚敏貞(2003).後SARS時代公共衛生管理應有的省思與努力.中化藥訊,
57,42-44。
黃珊、林麗滿、許玲女、陳美杏、黃瑞珍(2003).比較手術室護理人員實際
感受與期望工作灌能之差異.新臺北護理期刊,5(1),83-91。
曾珍麗、沈樨、張隆杭(1987).護理人員工作滿意度調查.榮總護理,4
(4),367-377。
張音、葉乃銘、楊澤泉(2001).醫院成員之工作滿足、組織承諾及對合作經
營態度之關係研究.勞資關係論從,10,49-74。
張峰銘、林綽娟、郭憲文、鄧玉貴、李俊年(1995).台灣省衛生所護理相關
人員工作評價及滿意度之調查.中華衛誌,14(1),78-87。
張遠萍、許玲女(2000).某教學醫院護理人員對工作滿意情形之探討.長庚
護理,11(2),63-73。
張麗春、李怡娟(2004).賦權概念分析.護理雜誌,51(2),84-90。
楊國樞、文崇一、吳聰賢、李亦園(1989).社會及行為科學研究法上冊(第
十三版).台北市:台灣東華。
潘依琳、張媚(1998).醫院護理人員之工作特性、成就動機對工作投入、工
作滿足與留職意願之影響.中華衛誌,17(1),40-57。
劉長安、施婉華、曾貴英(1997).某醫學中心臨床護理人員工作滿意情形及
影響因素之探討.榮總護理,14(2),143-153。
劉潔心、李怡娟、張麗春、廖靜宜、林欣怡(2004).基層醫療人員充能教育
模組發展與成效評價(第一年研究成果).行政院國家科學委員會補助專題
研究計畫(報告編號:NSC93-B-0310),未出版。
劉潔心、李怡娟、張麗春、廖靜宜、林欣怡(2005).基層醫療保健人員組織
充能、心理充能對組織承諾及工作滿意度影響之研究.實證護理,2(1),
5-13。
劉淑如、鄭靜瑜(2002).高屏地區護理人員組織承諾之探討.慈濟護理雜
誌,1(1),56-65。
戴琬琳(1992).個人屬性、工作滿足、組織承諾與缺席行為之相關性研究-
以台北市政府為個案分析.未發表的碩士論文,臺北市:國立政治大學公
共行政研究所碩士論文。
蕭伃伶、盧美秀(1996).臨床護理人員之組織承諾、組織留任與專業留任的
相關性研究.護理研究,4(2),137-149。
鄭仁偉、廖華立(2001).團隊能力、工作滿足、組織承諾與團隊績效的關
係.人力資源管理學報,1(3),59-83。
魏千金(2001).授權賦能與工作態度之研究-以護理人員為例.未發表的碩
士論文,台中:逢甲大學企業管理研究所。
[英文文獻]
Agho, A. O., Price, J. L., & Mueller, C. W. (1992).
Discriminant validity of measures of job satisfaction,
positive affectivity. Journal of Occuptional and
Organizational Psychology, 65, 185-196.
Aiken, L. H., Smith, H. L., Lake, E. T. (1994). Lower
medicate mortality among a set of hospitals known for
good nursing care. Medicinal Care, 32(8), 771-787.
Al-Aameri, A. S. (2000). Job satisfaction and
organizational commitment for nurses. Saudi medical
journal, 21(6), 531-535.
Allen, N. J., & Meyer, J. P. (1990). The measurement and
antecedents of affective, continuance and normative
commitment. Journal of Occupational Psychology, 63, 1-
18.
Avolio, B. J.,Zhu, W., Koh, W., Bhatia, P. (2004).
Transformational leadership and organizational
commitment: mediating role of psychological empowerment
moderating role of structural distance, Journal of
Organizational Behavior, 25, 951-968.
Aranya, N., Kushnir, T. & Valency, A. (1986).
Organizational commitment in a MaleDominated
Profession. Human Relation, 39, 433-448.
Baggs, J. G., Ryan, S. A. (1990). ICU nurse-physician
collaboration and nursing satisfaction. Nursing
Research, 8(6), 386-392.
Bagozzi, R. P, & Yi, Y. (1988). On the evaluation of
structural equation models. Journal of the Academy of
Marketing Science, 16, 74-94.
Bandura, A. (1977). Self-efficacy: toward a unifying theory
of behavioral change. Psychological Review, 84, 191-
215.
Bandura, A. (1986). Social foundations of thought and
action: a social-cognitive view. Englewood Cliffs, NJ:
Prentice-Hall.
Beaulieu, R., Shamian, J., Donner, G., Pringle, D. (1997).
Empowerment and commitment of nurses in long-term care.
Nursing Economic, 15(1), 32-41.
Bateman, T. S. & Strasser, S. (1984). A longitudinal
analysis of the antecedents of organizational
commitment. Academy of Management Journal, 27, 95-112.
Beaver, R., Sharp, E., & Cotsonis, G. (1986). Burnout
experienced by nurse-midwives. Journal of Nurse-
Midwifery, 31(1), 3-17.
Bentler, P. M. (1990). Comparative fit indices in
structural model. Psychological Bulletin, 107, 238-246.
Blegen, M. A. (1993). Nurses’ job satisfaction: a meta-
analysis of related variables. Nursing Research, 42(1),
36-41.
Blegen, M. A. & Mueller, C. W. (1987). Nurses’ job
satisfaction theory to the nursing profession. Nursing
Leadership, 5(1), 27-33.
Brief, A. & Nord, W. R. (1990). Meaning of occupational
work. Lexington. MA: Lexington Books.
Brief, A. P., Wallace, J. J., & Adalag, R. J. (1977).
Moderators of the relationships between self and
superior evaluations of job performance. Journal of
Occupational Psychology, 50, 129-134.
Bollen, K. A. (1989). Structural equations with latent
variable. New York: John Wiley & Sons.
Boomsma, A. (1983). On the robustness of LISREL (maximum
likehood estimation) against small sample size and non-
normality. Unpublished doctoral dissertation,
University of Groningen.
Bostrom, J., & Zimmerman, J. (1993). Restructing nursing
for a competitive health care environment. Nursing
Economic, 11(1), 35-41, 54.
Brook, P., Russell, D., & Proce, J. (1988). Discriminant
Validation of Measures of Job Satisfaction, Job
Involvement and Organizational Commitment. Journal of
Applied Psychology, 73(2), 129-145.
Browne, M. W. & Cudeck, R. (1993). Alternative ways of
assessing model fit. In K. A. Bollen & J. S. Long
(eds.), Testing structural equation models(pp. 136-
162). Newbury Park, CA: Sage.
Campbell, M. (1987). Productivity in canadian nursing. In
D. Colburn, G. D’Arcy, &, & J. New (Eds.) Health in
Canadian society: Sociological perspectives(2nd ed.).
Toronto: McHenry & Whiteside.
Chandler, G. E. (1986). The relationship of nursing work
environment to empowerment and powerlessness.
Unpublished doctoral dissertation, Salt Lake City,
Utah: University of Utah.
Chandler, G. E. (1991). Creating an environment to empower
nurses. Nursing Management, 22(8), 20-23.
Chernis, C. (1991). Career commitment in human service
professionals: A biographical study. Human
Relationship, 44(5), 149-437.
Cohen, A. R., Josefowitz, N. (1980). Effective behavior in
organizations. Homewood, IL: Richard D. Irwin Inc.
Conger, J. A. & Kanungo, R. N. (1988). The empowerment
process: integrating theory and practice. Academy of
Management Review, 13(3), 471-482.
Cowin, L., Davies, R., Estall, G., Berlin, T., Fitzgerald,
M. Hoot, S. (2003). De-escalating aggression and
violence in the mental health setting. International
Journal of Mental Health Nursing, 12(1), 64-73.
Davis, K.(1972). Human behavior at work. New York: McGraw-
Hill.
Davis, H.(1977). Human Behavior at Work: Organizational
Behavior(5th ed). New York: Mcgraw-Hill.
DeCotiis, T. A. & Summers, T. P. (1978). A path analysis of
a model for the antecedents and consequences of
organizational commitment. Human Relations, 40(7), 445-
470.
DeCharms, R. (1968). Personal causation: The internal
affective determinants of behavior. New Your: Academic
Press.
Deci, E. L. & Ryan, R. M. (1985). Intrinsic motivation and
self-determination in human behavior. New Your:
Plenum.
Frank, (1993). Operating room nurses’ perceptions of job
access to power and opportunity. Unpublished masters
thesis, London,Ontario:Canada: University of Western
Ontario.
Gangadhraiah, H. M., Nardev, G., & Reddy, M. V. (1990).
Nurses’ job satisfaction in mental and neuro-science
setting. Nursing Journal of India, 81, 201-204.
Gregory, W. L. (1981). Expectancies for controllability,
performance attributions, and behavior. In H. M.
Lefcourt (Ed.), Research with the locus of control
construct(Vol. 1, pp.67-124). New York: Academic Press.
Hackman, J. R., & Oldham, G. R. (1975). Motivation through
the design of work: Testing of a theory. Organizational
Behavior and Human Performance, 11, 250-279.
Hatcher, S., &Laschinger, H. K. (1996). Staff nurses’
perceptions of power and opportunity and level of
burnout: A test of Kanter’s structural theory of
organizational behavior. Canadian Journal of Nursing
Administration, 9(2), 74-94.
Haugh, E. B., Laschinger, H. S. (1996). Power and
opportunity in public health nursing work environments.
Public health nursing, 13(1), 42-49.
Hinshaw, A. S. (1987). Innovative retention strategies for
nursing staff. Journal of Nursing Administration, 17
(6), 8-16.
Hodson, R. (1991). Workplace behaviors: dood soldiers,
smooth operators, and saboteurs. Work and Occupations.
An International Sociological Journal, 18(3), 271-290.
Hoelter, J. W. (1983). The analysos of covariance
structures: Goodness-of-fit indices. Sociological
Methods and Research, 11, 325-344.
Hoppock, R. (1935). Job satisfaction. New Your: Harper &
Brother.
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit
indexes in covariance structural equation modeling, 6
(1), 1-55.
Huffman, J. J. (1995). Staff nurses’ perceptions of work
empowerment and control over nursing practice in
community hospital setting. Unpublished masters thesis.
London, Ontario: University of Western Ontario.
Hunt, S. D., & Morgan, R. M. (1994). Organizational
commitment: one of many commitments or key mediating
constructs? Academy of Management, 37(6), 1568-1587.
Ingersoll, G. L., Olsan, T., Drew-Cates, J., DeVinney, B.
C., Davies, J. (2002). Nurses' job satisfaction,
organizational commitment, and career intent. The
Journal of nursing administration, 32(5):250-263.
Irvine, D. M., Evans, G. M.(1995). Job satisfaction and
turnover among nurses: Integrating research findings
across studies. Nurse Research, 44(4), 246-253.
Irvine, D., Laett, P. Evans, M., & Baker, R. (1999).
Measurement of staff empowerment within health service
organizations. Journal of Nursing Measurement, 7(1), 79
-95.
Johnston, M. W. A. & Futrell, C. M. (1989). Functional
scales force turnover: An empirical investigation into
the positive effects of turnover, Journal of Business
Research, 18, 141-157.
Jöreskog, K. G. & SörBom, D. (1986). LISREL VI: Analysis of
linear structural relationships by maximum likelihood
and least square method. Chicago: International
Educational Services.
Jöreskog, K. G. & SörBom, D. (1993). LISERL8: Structural
equation modeling with the SIMPLIS command language.
Chicago: International Educational Services.
Kanter, R. M. (1977). Men and women of the corporation. New
York: Basic Books.
Kanter, R. M. (1979). Power failure in management circuits.
Harvard Business Review, 57, 65-75.
Kanter, R. M. (1993). Men and Women of the corporation (2nd
ed). New York: Basic Books.
Knoop, R. (1995). Relationships among job involvement, job
satisfaction and organizational commitment for nurses.
Journal of Psychology, 29, 643-649.
Ko, J. W., Price, J. L. & Mueller, C. W.(1997). Assessment
of meyer and allen’s three-component model of
organizational commitment in South Korea. Journal of
Applied Psychology, 82(6), 961-973.
Kramer, M. L., Seibert, S., Liden, R. C. (1999).
Psychological empowerment as a multidimensional
construct: a test of construct validity. Educational &
Psychological Measurement, 59(1), 127-142.
Koelbel, P. W., Fuller, S. G., & Miserner, T. R. (1991).
Job satisfaction of nurse practitioners: an analysis
using Herzberg’s theory. Journal of Primary Health
Care, 16(1), 46-52, 55-56.
Kuokkanen, L. & Leino-Kilpi, H. (2000). Power and
empowerment in nursing: three theoretical approaches.
Journal of Advanced Nursing, 31(1), 235-241.
Laschinger, H. K. S. (1996). A theoretical approach to
studying work empowerment in nursing: A review of
studies testing Kanter’s theory of structural power in
organization. Nursing Administration Quality, 20(2), 25
-41.
Laschinger, H. K. S., Almost, J., & Tuer-Hodes, D. (2003).
Workplace empowerment and magnet hospital
characteristics: Making the Link. Journal of Nursing
Administration, 33, 410-422.
Laschinger, H. K. S. & Finegan, J.(2005). Using empowerment
to build trust and respect in the workplace: a strategy
for addressing the nursing shortage. Nursing Economic,
23(1), 6-13.
Laschinger, H. K. S., Finegan, J., & Shamian, J. (1999).
Impact of workplace empowerment on staff nurse
organizational trust, job tension, and organizational
commitment and work satisfaction: Testing Kanter's
theory of organizational empowerment. Paper presented
at the Midwest Nursing Research Society 23rd Annual
Research Conference, Indianapolis, IN.
Laschinger, H. K. S., Finegan, J., Shamian, J; Almost, J.
(2001a). Testing Karasek's Demands-Control Model in
restructured healthcare settings: effects of job strain
on staff nurses' quality of work life. The Journal of
nursing administration, 31(5), 233-43.
Laschinger, H. K. S. & Finegan, J., Shamian, J. (2001b).
The impact of workplace empowerment, organizational
trust on staff nurses' work satisfaction and
organizational commitment. Health Care Management
Review Summer, 26(3), 7-23.
Laschinger, H. K. S., Finegan, J., Shamian, J., & Wilk,
P. (2001c). Impact of structural and psychological
empowerment on job strain in nursing work setting:
expanding Kanter’s model. Journal of Nursing
Administration, 31, 260-272.
Laschinger, H. K. S., Shamian, J., & Thomson, D. (2001d).
Impact of Magnet Hospital Characteristics on Nurses'
Perceptions of Trust, Burnout, Quality of Care, And
Work Satisfaction. Nursing Economic, 19(5), 209-219.
Laschinger, H. K. S. & Finegan, J., Shamian, J. (2001e).
Promoting nurses’ health: Effect of empowerment on
job strain and work satisfaction. Nursing Economic, 19
(2), 42-52.
Laschinger, H. K. S., & Havens, D. (1996). Staff nurse work
empowerment and perceived control over nursing practice-
Conditions for work effectiveness. Journal of Nursing
Administration, 26(9), 27-35.
Laschinger, H. K. S., Shamian, J. (1994). Staff nurses' and
nurse managers' perceptions of job-related empowerment
and managerial self-efficacy. The Journal of nursing
administration, 24(10), 38-47.
Likert, R., Katz, D. (1979). Supervisory practices and
organizational structures as they affect employee
productive and morale. In: Robbins SP, ed.
Organizational Behavior. Englewood Cliffs, NJ: Prentice-
Hall Inc, 56-57.
Lyons, T. F. (1971). Role clarity, need for clarity,
satisfaction, tension and withdrawal. Organizational
behavior and performance, 6, 99-110.
Manojlovich, M. & Laschinger, H. K. (2002). The
Relationship of empowerment and selected personality
characteristics to nursing job satisfaction. Journal of
Nursing Administration, 32(11), p586-95.
Maslach, C. & Jackson, S. E. (1981). The Measurement of
experienced burnout. Journal of Occupational Behavior,
2, 99-113.
McCloskey, J. C., (1990). Two requirements for job
contentment: autonomy and social integration. Image:
Journal of Nursing Scholarship, 22, 140-143.
McDermott, K., Lashinger, H. K. S. (1996). Work
empowerment and organizational commitment. Nursing
Management, 27(5), 44-47.
McDermott, K., Lashinger, H. K. S., & Shamian, J. (1994).
Work empowerment and organizational commitment. Nursing
Management, 27(5), 44-47.
McDonald, R. P., Ho, M. R. (2002). Principle and practice
in reporting structural equation analysis.
Psychological Methods, 7, 64-82.
McNeese-Smith, D. K. (1997). The Influence of manager
behavior on nurses' job satisfaction, productivity, and
commitment. Psychiatric Services, 49(10), 1323-1327.
Meyer, J. P., Allen, N. J. & Smith, C. A. (1993).Commitment
to organizational and Occupations: Extension and test
of a three-component conceptualization. Journal of
Applied Psychology, 78, 583-551.
Milisa M., & Laschinger. H. K. S. (2002). The relationship
of empowerment and selected personality characteristics
to nursing job satisfaction. Journal of Nursing
Administration, 32(11), 586-595.
Misener, T. R., Haddock, K. S., Gleaton, J. U., & Ajamieh,
A. R. A. (1996). Toward an international measure of job
satisfaction. Nursing Research, 45, 87-91.
Morris, J. H. & Sherman, J. D. (1981). Generalizability an
organizational commitment model. Academy of Management
Journal, 24, 512-516.
Mowday, R. T., Steers, R. M., Porter, L. W. (1979). The
measurement of organizational commitment. Journal of
Vocational Behavior, 14(2), 224-247.
Mowday, R. T., Porter, L. W. & Steers, R. M.
(1982).Employee-organization linkages, academic press.
New York.
Mueller, R. O. (1996). Basic principles of structural
equation modeling─An introduction to LISREL and EQS.
New York: Springer-Verlag.
Mulaik, S. A., James, L. R., Van Altine, J., Bennett, N.,
Lind, S., & Stilwell, C. D. (1989). Evaluation of
goodness-of –fit indices for structural equation
models. Psychological Bulletin, 105, 430-445.
Porter, L. W., Crampon, W. J., & Smith, F. J. (1976)
Organizational commitment and managerial turnover: a
longitudinal study. organizational Behavior & Human
Performance, 15(1), 87-98.
Porter, L. M., Steers, R. M., Mowday, R. T. & Boulion, P.
V. (1974). Organizational commitment model. Academy of
Management Journal, 59, 603-609.
Przestrelski, D. (1987). Decetralization: Are nurses
satisfied? Journal of Nursing Administration, 17(11), 23
-28.
Roedel, R. R. & Nystrom, P. C. (1988). Nursing jobs and
satisfaction. Nursing Management, 14(2), 34-38.
Rotter, J. B. (1966). Generalized expectancies for internal
versus external of reinforcement. Psychological
Monographs 80.(Whole No. 609).
Rubin, D. B. (1976). Inference and missing data.
Biometrical, 63, 467-474.
Rusbult, C. E. & Farrell, D. (1983). A longitudinal test of
the investment model: The impact on job satisfaction,
commitment, and turnover of variation in reward, cost,
alternatives and investments. Journal of Applied
Psychology, 68, 429-483.
Sabiston, J. A., & Laschinger, H. K. S. (1995). Staff nurse
work empowerment and perceived autonomy. Journal of
Nursing Administration, 25(9), 42-50.
Satorra, A. (1989). Alternative test criteria in covariance
structure analysis: a unified approach. Psychometrika,
54, 131-1511.
Seashore, S. E., and Taber, T. D. (1975). Job satisfaction
indicator and their correlation. American Behavioral
Scientists, 18, 333-368.
Shore, L. M., Barksdale, K. & Shore, T. H. (1995).
Managerial perceptions of employee commitment to the
organization. Academy of Management, 138, 1593-1615.
Simms, H. R., Erbin-Roesemann, M., Daraga, A., & Coeling,
H. (1990). Breaking the burnout barrier: resurrecting
work excitement in nursing. Nursing Economics, 8(3), 177
-187.
Smith, K., & BaZini-Barakat, N. (2003). A public health
nursing practice model: Melding public health
principles with the nursing process. Public Health
Nursing, 46(2), 134-143.
Smith, P. C., Kendall, L. M., and Hulin, C. L. (1969). The
Measurement of satisfaction in work and Retirement.
Chicago: Rand McNally..
Spreitzer, G. (1995). Psychological empowerment in the
workplace: dimensions, measurement, and validity.
Academy of Management Journal, 38(5), 1442-1462.
Spreitzer, Gretchen M. (1996). Social structural
characteristics of psychological empowerment. Academy
of Management Journal. 39(2), 483-504.
Su, H. R. (1993). The study of job stressors and stress
response of clinical nurse. The Journal of Nursing
Research, 1(1), 83-93.
Staw, B. M. (1977). Stress two side of commitment, paper
presented of the national meeting of the academy of
management. Orlando, Florida.
Steers, R. M. (1977). Antecedents and Outcomes of
Organizational Commitment. Administrative Science
Quarterly, 22(1), 46-56.
Tansky, J. W., & Cohen, D. J. (2001). The relationship
between organizational support, employee development,
and organizational commitment: An empirical study,
Human Resource Development Quarterly, 12(3), 285-300.
Taunton, R. L., Krampitz, S. Wood, C. (1989). Manager
impact on retention of hospital staff: part 1. Journal
of Nurse Administration, 19(3), 14-19.
Teet, R. P., Meyer, J. P. (1993). Job satisfaction,
organizational commitment, turnover intention, and
turnover: Path analyses based on meta-analytic finding.
Personnel Psychology, 46(2), 259-293.
Thomas, K. W. & Velthouse, B. A. (1990). Cognitive elements
of empowerment: an 'interpretive' model of intrinsic
task motivation. Academy of Management Review, 15(4),
666-681.
Wallerstein, N. (1992). Powerlessness, empowerment and
health: implication for health promotion programs.
American Journal of Health Promotion, 6(3), 197-205.
Weiglein, S. A. (1988). Relationship of quality circles in
nursing to leadership, job satisfaction, patient care,
and cost containment. Ed. D. diss., Western Michigan
University.
Whyte, H. L. (1995). Registered nurses’ perceptions of
empowerment and job satisfaction in a hospital setting.
Unpublished master’s research project. The University
of Western Ontario, London, Ontario.
Williams, L. J. & Hazer, J. T. (1986). Antecedents and
consequence of satisfaction and commitment in turnover
models: a reanalysis using latent variable structural
equation models. Journal of Applied Psychology, 71, 219
-231.
Wilson, B., & Laschinger, H. K. S. (1994). Staff nurses
perception of job empowerment and organizational
commitment:A test of Kanter’s theory of structural
power in organizations. Journal of Nursing
Administratio, 24(4S), 39-47.
Zimmerman, M. A., & Rappaport, (1988). Citizen
participation, perceived control, abd psychological
empowerment. American Journal of Community Psychology,
16, 725-750.
基隆市衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.klchb.gov.tw/
臺北縣衛生局(無日期),所屬衛生所組織架構圖.2004年5月17日取自:
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桃園縣衛生局 (無日期).所屬衛生所組織架構圖.2004年5月17日取自:
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http://www.hcchb.gov.tw/
新竹縣衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.hchg.gov.tw/hcshb/
苗栗縣衛生局(無日期),所屬衛生所組織架構圖.2004年5月17日取自:
http://www.mlshb.gov.tw/571/main/18all.htm
臺中市衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.tcchb.doh.gov.tw/profile_branch.htm
臺中縣衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.hbtc.gov.tw/news/whpmas.nsf/0/C013043135D88C8B48256FEB0021A9B6?OpenDocument
彰化縣衛生局(無日期) .所屬衛生所組織架構圖.2004年5月17日取自:
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雲林縣衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.ylshb.gov.tw/
嘉義市衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.cichb.gov.tw/
嘉義縣衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.hd.cyhg.gov.tw/
臺南市衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.tnchb.gov.tw/index1.htm
臺南縣衛生局(無日期) .所屬衛生所組織架構圖.2004年5月17日取自:
http://www.tainan.gov.tw/index_news.php3?mode=new&tn=n5
高雄縣衛生局(無日期),所屬衛生所組織架構圖.2004年5月17日取自:
http://www.khshb.gov.tw/org/org-menu.htm
屏東縣衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.ptshb.gov.tw/tel/101.htm
南投縣衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.ntshb.gov.tw/index.htm
宜蘭縣衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.ilshb.gov.tw/
花蓮縣衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
http://www.hlshb.gov.tw/in.htm
台東縣衛生局(無日期).所屬衛生所組織架構圖.2004年5月17。取自:
http://www.ttshb.gov.tw/body.php