簡易檢索 / 詳目顯示

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
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 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.

    第一章 緒論................................................1 第一節 研究動機與重要性....................................1 第二節 研究目的...........................................3 第三節 待答問題...........................................4 第四節 研究假設...........................................5 第五節 名詞界定...........................................6 第二章 文獻探討.............................................8 第一節 組織充能與心理充能之理論架構..........................8 第二節 組織充能與心理充能之相關研究.........................12 第三節 工作滿意度與組織承諾之定義及相關因素..................15 第四節 運用結構方程模式以建構公共衛生人員之組織充能、心理充能與工作 滿意度、組織承諾之架構模式...........................20 第三章 材料與方法...........................................23 第一節 研究架構...........................................23 第二節 研究對象...........................................25 第三節 研究工具...........................................26 第四節 資料分析與處理......................................30 第五節 研究限制...........................................32 第四章 研究結果與討論.......................................34 第一節 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...................................34 第二節 公共衛生人員之社會人口學基本資料、組織充能、心理充能與工作滿 意度、組織承諾之相互關係..............................47 第三節 公共衛生人員組織充能、心理充能與工作滿意度、組織承諾之結構方 程模式..............................................62 第五章 結論與建議...........................................68 第一節 結論................................................68 第二節 建議................................................70 參考文獻...................................................73 中文文獻..........................................73 西文文獻..........................................75 參考附錄...................................................86

    [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:
    http://www.tpshb.gov.tw/unit/index.jsp
    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:
    http://www.tychb.doh.gov.tw/
    新竹市衛生局(無日期).所屬衛生所組織架構圖.2004年5月17日取自:
    http://www.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:
    http://www.chshb.gov.tw/index.asp
    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

    QR CODE