簡易檢索 / 詳目顯示

研究生: 江納雅
Jiang, Na-Ya
論文名稱: 護理人員工作負荷對離職傾向之影響─以知覺主管支持及使命感為調節變項
The Effect of Nursing Staff Workload on Turnover Intention: Perceived Supervisor Support and Sense of Calling as Moderators
指導教授: 蕭顯勝
Hsiao, Hsien-Sheng
康雅菁
Kang, Ya-Chin
口試委員: 施貞仰
Shi, Zhen-Yang
張敬珣
Chang, Jing-Hsun
蕭顯勝
Hsiao, Hsien-Sheng
康雅菁
Kang, Ya-Chin
口試日期: 2022/09/13
學位類別: 碩士
Master
系所名稱: 科技應用與人力資源發展學系
Department of Technology Application and Human Resource Development
論文出版年: 2022
畢業學年度: 110
語文別: 中文
論文頁數: 90
中文關鍵詞: 工作負荷知覺主管支持使命感離職傾向護理人員
英文關鍵詞: Workload, Perceived Supervisor Support, Sense of Calling and Turnover Intention, Nursing staff
研究方法: 調查研究
DOI URL: http://doi.org/10.6345/NTNU202201565
論文種類: 學術論文
相關次數: 點閱:90下載:15
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
  • 本研究為探討護理人員工作負荷對離職傾向的影響,並以知覺主管支持及使命感作為調節變項。本研究為量化、橫斷性之研究設計,以台灣現職護理人員為研究對象,依據地區進行分層並搭配滾雪球方法進行抽樣,透過電子版問卷進行發放,共蒐集得到有效問卷378份,再以SPSS統計軟體進行描述性統計、單因子變異數分析、相關分析及迴歸分析等方法進行資料分析並驗證研究假設。得到主要結論為:(1)護理人員工作負荷對於離職傾向有正向關聯;(2)知覺主管支持在護理人員工作負荷與離職傾向之間不具有調節作用;(3)使命感在護理人員工作負荷與離職傾向之間不具有調節作用。最後再針對本研究結果討論提出實務管理意涵,以供醫療機構人力資源管理相關部門、護理工作從業人員及後續研究之參考。

    The purpose of this study was to investigate the effect of nursing staff workload on turnover intention, perceived supervisor support and sense of calling as moderators. This study is a quantitative and transverse research design. The in-service nursing staffs in Taiwan’s hospitals are the research object, stratifying according to the region and sampling with the snowball method. The online questionnaires were sent and a total of 378 valid respondents were collected. Data were analyzed by SPSS statistical software package. We conducted the descriptive statistics, one-way analysis of variance, Pearson’s correlation analysis and regression analysis for data analysis and verification of research hypotheses. The main results were summarized as follows: (1) Nursing staff workload is positive associated to turnover intention; (2) The moderating effect of perceived supervisor support between nursing staff workload and turnover intention is not significant; (3) The moderating effect of sense of calling between nursing staff workload and turnover intention is not significant. Finally, the practical management implications are discussed in the viewpoint of the results of this study, which can be as a reference for the relevant departments of human resource management of medical institutions, nursing practitioners and future research.

    第一章 緒論1 第一節 研究動機及背景1 第二節 研究目的與待答問題3 第三節 重要名詞解釋4 第四節 研究範圍及限制5 第五節 研究流程5 第二章 文獻探討7 第一節 工作負荷與離職傾向之關聯性7 第二節 知覺主管支持11 第三節 使命感13 第三章 研究設計與實施17 第一節 研究假設與研究架構17 第二節 研究方法與研究樣本18 第三節 研究工具20 第四節 研究設計26 第五節 預試問卷分析29 第六節 資料處理與統計分析41 第四章 研究結果與發現43 第一節 樣本資料描述43 第二節 工作負荷、知覺主管支持、使命感與離職傾向之現況及相關分析46 第三節 不同背景變項對工作負荷、知覺主管支持、使命感與離職傾向之差異分析49 第四節 簡單迴歸分析62 第五節 知覺主管支持及使命感在工作負荷與離職傾向之調節效果63 第五章 結論與建議67 第一節 研究結論67 第二節 實務管理意涵68 第三節 研究限制及未來相關研究建議72 參考文獻75 一、中文部份75 二、外文部份76 附 錄 85

    毛義方、蔡忠融、徐雅媛、徐儆暉、毛鏡琪、盧士一、陳美蓮(2011)。
 我國醫院員工超時工作與輪班研究。勞工安全衛生研究季刊,19(2),
 223-232。doi: https://10.7005/JOSH.201106.0223
    王昭儀(2006)。醫學中心護理人員之勞動條件對其工作壓力、工作負荷及疲勞影響之研究。[未出版之碩士論文]。國立臺灣大學。
    朱正一、王英輝(2003)。基層護理人員工作滿意度、組織承諾與組織公民行為研究-以lisrel模式分析,弘光科技大學研討會。
    吳明隆(2008)。SPSS 操作與應用-問卷統計分析實務(初版二刷)。五南。
    吳明隆、涂金堂(2012)。SPSS與統計應用分析(二版)。五南。
    李佳怡(2000)。知覺組織支持對員工工作態度影響之研究(未出版之碩士論文)。中山大學。
    李芸蘋、陳以亨、陳先郡、陳啓文(2014),台灣警務人員之使命感
 研究。公共行政學報,46,29-58。
 doi:https://10.30409/JPA.201403_(46).0002
    余杏容(1977)。離職相關因素之探討。思與言,15,26-32。
    邱淑瑾、王萬琳、應立志、江蕙娟、林川雄(2013)。護理人員之工作環境與工作負荷對護理品質影響之研究。休閒事業研究,11
 (2),41-53。doi: https://10.6746/LIR.201306_11(2).0003
    胡佩怡、蕭淑銖、郭育良(2014)。我國護理人員執業環境及身心健康之探討(初版)。勞動部勞動及職業安全衛生研究所。
    陳村河(2001)。國營事業民營化留用員工工作壓力之研究-以台肥公司員工為例。[未出版之碩士論文]。中山大學。
    張火燦(2000)。策略性人力資源管理,揚智文化事業股份有限公司。
    黃麗玲、黃薇瑄、葉德豐、鍾燕宜、林川雄、黃建財(2015)。護理人員超時工作與疲勞之相關性分析.休閒運動保健學報,8,10- 
 25。doi: https://10.6204/JRSHP.2015.08.02
    廖佳音(2009)。工作特性對工作績效之影響-工作負荷認知與自我效能感調節效之探討。[未出版之碩士論文]。國立中央大學企業管理學系。
    熊昭、張媚(2015)。104年度「未來十年護產人力供需評估研究計畫」。衛生福利部104年度委託科技研究計畫,未出版。
    顏忠漢(2009)。員工組織承諾、工作滿意度與離職傾向之關聯性研 究—以臺北市健康服務中心為例。[未出版之碩士論文]。國立臺灣大學醫療機構管理所。
    衛生福利部疾病管制署(2021)。嚴重特殊傳染性肺炎-疾病介紹。
 https://sites.google.com/cdc.gov.tw/2019ncov/taiwan。
    衛生福利部疾病管制署(2022年1月6日)。COVID-19統計。https://www.cdc.gov.tw/。
    AbuAlRub, R.F. (2004). Job stress, job performance, and social support among hos- pital nurses. Journal of Nursing Scholarship, 36 (1),73-78. doi: https://org/10.1111/j.1547-5069.2004.04016.x
    Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalki, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. The Journal of the American Medical Association, 288(16), 1987-1993. doi: https://10.1001/jama.288.16.1987
    Al-Kandari, F., & Thomas, D. (2009). Factors contributing to nursing task incompletion as perceived by nurses working in Kuwait general hospitals. Journal of clinical nursing, 18 (24), 3430-3440. doi: https://org/10.1111/j.1365-2702.2009.02795.x
    Arthur, M. B., & D. M. Rousseau (1996). Introduction: The boundaryless career as a new employment principle. In M. B. Arthur, & D. M. Rousseau (Eds.), The boundaryless career – A new employment principle for a new organizational era (pp. 3-20). Oxford University Press.
    Arthur, M. B., Hall, D. T., & B. S. Lawrence (1989). Handbook of career theory. Cambridge University Press.
    Aydogdu, S., & B. Asikgil. (2011). An empirical study of the relationship among job satisfaction, organizational commitment and turnover intention. International Review of Management and Marketing, 1(3), 43-55.
    Baumeister, R. F. (1991). Meanings of life. Guilford Press.
    Blau. P.M. (1986). Exchange and power in social life, Routledge.
    Booher (Ed.), Manprint: An approach to systems integration. Van Nostrand Reinhold.
    Bothma, C. F., & Roodt, G. (2013). The validation of the turnover intention scale. SA Journal of Human Resource Management, 11(1), 507-519. doi: https://10.4102/sajhrm.v11i1.507
    Bratt, M. M., Broome, M., Kelber, S. T. & Lostocco, L. (2000). Influence of stress and nursing lead- ership on job satisfaction of pediatric intensive care unit nurses. American Journal of Critical Care, 9(5), 307-317.
    Caplan, R. D., Cobb, S., French, J. R. P., Harrison, R. V., & S. R. Pinneau (1980). Job demands and worker health: Main effects and occupational differences. Ann Arbor, MI: University of Michigan, Institute for Social Research.
    Chun-Hsi Vivian Chen, Shih-Jon Wang, Wei-Chieh Chang, Chin-Shin Hu
    (2008). The effect of leader-member exchange, trust, supervisor support on organizational citizenship behavior in nurses. Journal of Nursing Research, 16 (4), 321-328. doi:https://10.1097/01.JNR.0000387319.28010.5e
    Chen, T., Li, F., Leung, K. (2016). When does supervisor support encourage innovative behavior? Opposite moderating effects of general self-efficacy and internal locus of control. Personnel Psychology, 69, 123-158. doi: https://10.1111/peps.12104
    Dalton, J. C. (2001). Career and calling: finding a place for the spirit in work and community. New directions for student services, 95, 17-25. doi: https://10.1002/ss.19
    Ana Maria Müller de Magalhães 1, Clarice Maria Dall'Agnol, Patricia Beryl 
 Marck (2013). Nursing workload and patient safety—a mixed method 
 study with an ecological restorative approach. Revista Latino-
 Americana de Enfermagem, 21, 146-154. doi:https://10.1590/S0104-
 11692013000700019
    Dik. B. J., & M. F. Steger (2008). Randomized trial of a calling-infused career workshop incorporating counselor self-disclosure. Journal of Vocational Behavior, 73, 203-211. doi: https://10.1016/j.jvb.2008.04.001
    Dik. B. J., & R. D. Duffy (2009). Calling and vocation at work: definitions and prospects for research and practice. The Counseling Psychologist, 37(3), 424-450. doi:https://10.1177/0011000008316430
    Dreher, D. E., Holloway, K. A., & Schoenfelder, E. (2007). The vocation identity questionnaire: measuring the sense of calling. Research in the Social Scientific Study of Religion, 18, 99-120. doi: https://10.1163/ej.9789004158511.i-301.42
    Duffy, R. D., & W. E. Sedlacek (2007). The presence of and search for a calling: Connections to career development. Journal of Vocational Behavior, 70, 590-601. doi:https://10.1016/j.jvb.2007.03.007
    Duffield, C., Roche, M., O’Brien-Pallas, L., Diers, D., Aisbett, C., King, M., Aisbett, K., & Hall, J. (2007). Glueing it together: Nurses, their work environment and patient safety. Centre for Health Services Management, University of Technology. https://www.health.nsw.gov.au/publications/Pages/publications.aspx. doi:https://10.1186/1472-6963-10-S2-A24
    Duffield, C., Diers, D., O'Brien-Pallas, L., Aisbett, C., Roche, M., King, M., & Aisbett, K. (2011). Nursing staffing, nursing workload, the work environment and patient outcomes. Applied nursing research, 24(4), 
 244-255. doi:https://10.1016/j.apnr.2009.12.004
    Eisenberger, R., Armeli, S., Rexwinkel, B., Lynch, P. D., & Rhoades, L.
    (2001). Reciprocation of perceived organizational support. Journal of Applied Psychology, 86(1), 42–51. doi:https://10.1037/0021-9010.86.1.42
    Eisenberger, R. , Stinglhamber, F. , Vandenberghe, C. , Sucharski, I. , & Rhoades, L. ( 2002). Perceived supervisor support: contributions to perceived organizational support and employee retention. Journal of Applied Psychology, 87, 565-573. doi: https://10.1037/0021-9010.87.3.565
    Eisenberger, R., Armeli, S., Rexwinkel, B., Lynch, P. D., & Rhoades, L. (2001). Reciprocation of perceived organizational support. Journal of applied psychology, 86(1), 42. doi: https://10.1037/0021-9010.86.1.42
    Hall, D. T., & Chandler, D. E. (2005). Psychological success: When the career is a calling. Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior, 26(2), 155-176. doi: https://10.1002/job.301
    Hart, S. G., & Wickens, C. D. (1990). Workload assessment and prediction. Manprint (pp. 257-296). Springer. doi: https://10.1007/978-94-009-0437-8_9
    Heslin, P. A. (2005). Conceptualizing and evaluating career success. Journal of Organizational Behavior, 26, 113-136. doi:10.1002/job.270
    International Council of Nurses. (2020, May 6). ICN calls for data on healthcare worker infection rates and deaths. https://www.icn.ch/news/icn-calls-data-healthcare-worker-infection-rates-and-deaths. doi:https://10.1177/153321010100700209
    Jamal, M. (1990). Relationship of job stress and type-a behavior to employees’ job satisfaction, organization commitment, psychosomatic health problems, and turnover motivation. Human Relations, 43, 727-738. doi: https://10.1177/001872679004300802
    Kottle JL, Sharkfinski CE. The effect of organizational justice, perceived organizational support, and perceived supervisor support on marketing employees’ level of trust. Journal of Business Research 2010, 63(12), 1349-1355. doi: https://10.1016/j.jbusres.2010.01.003
    Kraut, A. I. (1975). Predicting turnover of employees from measured job attitudes. Organizational Behavior and Human Performance, 13(2), 233-243. doi: https://10.1016/0030-5073(75)90047-1
    Karasek, R., Brisson, C., Kawakami, N., Houtman, I., Bongers, P., & Amick, B. (1998). The Job Content Questionnaire (JCQ): An Instrument for Internationally Comparative Assessments of Psychosocial Job Characteristics. Journal of Occupational Health Psychology, 3, 322-335. doi:https://10.1037/1076-8998.3.4.322
    Labrague, L. J., McEnroe–Petitte, D. M., Tsaras, K., Cruz, J. P., Colet, P. C., & Gloe, D. S. (2018). Organizational commitment and turnover intention among rural nurses in the Philippines: Implications for nursing management. International Journal of Nursing Sciences, 5(4), 403-408. doi:https://10.1016/j.ijnss.2018.09.001
    LaRocco, J. M., House, J. S., & French, J. R. (1980). Social support, occupational stress, and health. Journal of Health and Social Behavior, 21(3), 202-218. doi:https://10.2307/2136616
    LePine, J. A., Podsakoff, N. P., & LePine, M. A. (2005). A meta-analytic test of the challenge stressor–hindrance stressor framework: An explanation for inconsistent relationships among stressors and performance. Academy of management journal, 48(5), 764-775. doi: https://10.5465/amj.2005.18803921
    Levinson, H. (1965). Reciprocation: the relationship between man and organization. Administrative Science Quarterly, 9, 370-390. doi: https://10.2307/2391032
    McCormick, E. J., & M. S. Sanders (1982). Human factors in engineering and design. McGraw-Hill. doi:https://10.1061/9780872623736.125
    McGrath, A., Reid, N.,& Boore,J. (2003). Occuptional stress in nursing. International Journal of Nursing studies, 40(5), 555-565. doi:https://10.1016/S0020-7489(03)00058-0
    Michaels, C. E., & Spector, P. E. (1982). Causes of employee turnover: A test of the Mobley, Griffeth, Hand, and Meglino model. Journal of applied psychology, 67(1), 53. doi:https://10.1037/0021-9010.67.1.53
    Miller, H. E., Katerberg, R., & Hulin, C. L. (1979). Evaluation of the Mobley, Horner, and Hollingsworth model of employee turnover. Journal of Applied Psychology, 64(5),509-517. doi:https://10.1037/0021-9010.64.5.509
    Munch, R. (1993). Sociological theory: From the 1850s to the present. 
 Nelson-Hall Publishers. doi:https://10.1177/0038038593027004008
    Mobley, W. H. (1977). Intermediate linkages in the relationship between job satisfaction and employee turnover. Journal of applied psychology, 62(2), 237. doi:https://10.1037/0021-9010.62.2.237
    Mobley, W. H., Horner, S. O., & Hollingsworth, A. T. (1978). An evaluation of precursors of hospital employee turnover. Journal of Applied psychology, 63(4), 408. doi:https://10.1037/0021-9010.62.2.237
    Newman, J.E. (1974). Predicting Absenteeism and Turn- over: A Field Comparison of Fishbein's Model and Traditional Job Attitude Measures. Journal of Ap- plied Psychology, 59(10), 610-615. doi:https://10.1037/h0037334
    Noor Azzah S, Rudzi M. (2010). Job Characteristics and Job Satisfaction: A Relationship Study on Supervisors Performance. ICMIT 2010; International Conference of Management, Information and Technology Singapore. doi:https://10.1109/ICMIT.2010.5492732
    Price, J. L. (1977). The study of turnover. Iowa State Press. 
 doi:https://10.31274/rtd-180813-6180
    Reid, G. B., & T. E. Nygren (1988). The subjective workload assessment technique: a scaling procedure for measuring mental workload. Advances in psychology, 52, 185-218. doi:https://10.1016/S0166-4115(08)62387-0
    Rhoades, L., Eisenberger, R., & Armeli, S. (2001). Affective commitment to the organization : The contribution of perceived organizational support. Journal of Applied Psychology. 86, 825-836. doi:https://10.1037/0021-9010.86.5.825
    Ribelin, P. J. (2003). Retention reflects leadership style. Nursing Management, 34(8), 18-19. doi:https://10.12968/bjon.2011.20.11.672
    Spector, P. E., & Jex, S. M. (1998). Development of four self-report measures of job stressors and strain: Interpersonal conflict at work scale, rganizational constraints scale, quantitative workload inventory, and physical symptoms inventory. Journal of Occupational Health Psychology, 3, 356-367. doi:https://10.1037/1076-8998.3.4.356
    Shaw, B.J., & Weekley, A.J. (1985). The Effects of Objective Work-Load Variations of Psychological Strain and Post-Work-Load Performance, Journal Applied of management, 11(1), 87-98. doi:https://10.1177/014920638501100108
    Staw, B. M., & Ross, J. (1985). Stability in the midst of change: A dispositionalapproach to job attitudes. Journal of Applied Psychology, 70(3), 469-480. doi:https://10.1037/0021-9010.70.3.469
    Steinhardt, M. A., Dolbier, C. L., Gottlieb, N. H., & McCalister, K. T. (2003). The Relation-ship between hardiness, suspervisor support, Group cohesion, and job stress as predicitors of job satisfaction.American. Journal of Health Promotion,17(6), 382-389. doi:https://10.4278/0890-1171-17.6.382
    Swanberg, J. E., McKechnie, S. P., Ojha, M. U., James, J. B. (2011). Schedule control, supervisor support and work engagement: A winning combination for workers in hourly jobs? Journal of Vocational Behavior, 79, 613-624. doi:https://10.1016/j.jvb.2011.04.012
    Veltman, J. A., & A. W. K. Gaillard (1996). Physiological indices of workload in a simulated flight task. Biological Psychology, 42, 323-342. doi: https://10.1016/0301-0511(95)05165-1
    Yin, J. C. & Yang, K. P. (2002). Nursing turnover in Taiwan: a meta-analysis of related factors. International Journal of Nursing studies, 39(6), 573-581. doi:https://10.1016/S0020-7489(01)00018-9
    Waller, M. J., Gupta, N., & R. C. Giambatista (2004). Effects of adaptive behaviors and shared mental models on control crew performance. Management Science, 50(11), 1534-1544. doi:https://10.1287/mnsc.1040.0210
    Weiss, J. W., Skelley, M. F., Haughey, J. C., & D. T. Hall (2003). Calling, new careers and spirituality: A reflective perspective for organizational leaders and professionals. Research in Ethical Issues in Organization, 5, 175-201. doi:https://10.1016/S1529-2096(03)05009-0
    Wiener, Y. (1982). Commitment in organization: a normative view. Academy of Management Review, 7, 418-428. doi:https://10.2307/257334

    下載圖示
    QR CODE