本研究旨在瞭解醫院麻醉護理人員之組織承諾與工作滿足的現況,並進一步探討其影響因素與相關性。研究樣本取自苗栗縣、台中縣、台中市、南投縣、彰化縣及雲林縣等六縣市的醫學中心、區域醫院及地區醫院等醫療院所的麻醉護理人員,以結構式問卷進行調查,共發出430 份問卷,有效回收問卷338 份(78.6%)。資料分析以SPSS12.0 for window 套裝軟體進行統計分析,使用t 檢定、單因子變異數分析、皮爾森積差相關分析檢定假設。結果顯示:(1)麻醉護理人員組織承諾以情感性承諾(M = 20.40, SD =3.37)得分的程度高於持續性承諾(M = 19.73, SD =3.53)及規範性承諾(M = 17.36, SD =3.33);(2)工作滿足方面,麻醉護理人員內在滿足(M = 34.67, SD = 4.94)程度高於外在滿足(M = 31.24, SD =5.55);(3)麻醉護理人員組織承諾的程度,會因年齡、婚姻狀態、職級、薪資、工作年資與單位年資的不同而有顯著差異(P <0.05);(4)工作滿足則會受到職級、薪資與管理部門所影響(P <0.05);(5)麻醉護理人員之整體組織承諾、情感性組織承諾、持續性組織承諾和規範性組織承諾,與內在、外在滿足及整體工作滿足均有顯著相關。研究結果可提供醫院管理階層、麻醉護理行政主管參酌,自麻醉護理人員組織承諾及外在滿足的相關教育訓練計劃及薪資福利制度著手,提昇護理人員對組織承諾的程度,進而提供更完善之照護品質。
This study aims to interpret organizational commitment and job satisfaction among nurse anesthetists, and to explore factors and relationship between organizational commitment and job satisfaction. The study population was recruited from medical centers, regional hospitals and district hospitals, in which included Miaoli county , Taichung county, Taichung city, Nantou County, and Yunlin County. A structured questionnaire was emailed out to 430 participants and the valid questionnaires were 338. The response rate was 78.6%. Data were analyzed by SPSS v.12. t test, one-way ANOVA, Pearson’s Product-Moment the Correlation were performed for the data analysis. The results indicated that nurse anesthetists had higher affective commitment (M=20.40, SD=3.37) than continuance commitment (M=19.73, SD =3.53) and normative commitment (M=17.36, SD =3.33). Additionally, nurse anesthetists had higher intrinsic job satisfaction (M=34.67, SD=4.94) than extrinsic job satisfaction (M=31.24, SD=5.55). The organizational commitment varied according to personal characteristics, such as age, marital status, position, salary, seniority, and difference of working years at the unit (P<0.05). Furthermore, job satisfaction differed by personal characteristics, such as position, salary, and management department (P<0.05). The organizational commitment including affective commitment, continuance commitment and normative commitment were positively correlated with the intrinsic satisfaction, extrinsic satisfaction and overall job satisfaction. Based on the results, the hospital administrators, anesthetists administrators, can design a more acceptable compensation system and an education plan that will produce satisfactory and productive nurse anesthetists, and enhance the nurse anesthetists''s organizational commitment. With this improvement,the quality of nursing care then could be improved.