基層醫療保健人員心理充能、組織充能對組織承諾及工作滿意度影響之探討

Abstract

本研究採橫斷性調查研究法，目的在探討基層醫療保健人員之組織充能、心理充能對組織承諾及工作滿意度之影響。以結構式研究工具，採郵寄問卷方式，針對台灣北部共計6個縣市轄內753位基層醫療保健人員進行調查，共得644份有效問卷，有效回收率為85.52%。研究結果發現，基層醫療保健人員之心理充能、組織充能、組織承諾、工作滿意度屬於中上程度。以逐步迴歸分析結果得知，組織充能與心理充能顯著預測組織承諾與工作滿意度，解釋變異量分別為39.7%與37.4%。「支持」次量表為組織承諾與工作滿意度之重要預測變項，解釋變異量達30-31%。心理充能中工作意義、自主與影響等次量表亦為組織承諾與工作滿意度之顯著預測變項。建議縣市衛生局可參考此研究結果，針對基層醫療保健人員以及其主管設計充能教育課程，以提升充能感受。

This study used a cross-sectional design. The purpose of the research was to investigate the impact of organizational and psychological empowerment on organizational commitment and job satisfaction among primary health professionals. Structured questionnaires were used to collect data by mail. Purposive sampling was conducted from six health bureaus in Northern Taiwan. From 753 primary health professionals who were initially approached 644 valid questionnaires were collected; a response rate of 85.52%. The results showed that primary health professionals perceived their levels of organizational and psychological empowerment, organizational commitment and job satisfaction to be moderate. Organizational and psychological empowerment were significant predictors of organizational commitment and job satisfaction, and accounted for 39.7% and 37.4% of the total variance. Support, a subscale of organizational empowerment, was the most important predictor of organizational commitment and job satisfaction, accounting for 30% and 31% respectively. Subscales of psychological empowerment, such as meaningfullness, autonomy, and impact were also significant predictors of organizational commitment and job satisfaction. Leaders in health bureaus in Taiwan may wish to develop empowerment education for primary health professionals as well as their managers, in order to enhance their sense of empowerment.