護理人員專業承諾及其相關因素之探討

Professional Commitment and Its Related Factors in Nursing Staff

本研究目的在探討護理人員專業承諾及其影響。採量性、相關性研究設計，以集束隨機抽樣，取自高雄市區域教學以上層級醫院，其中包含一所醫學中心及三所區域教學醫院，共460位護理人員為研究對象，採用專業承諾、工作壓力及社會支持結構式問卷收集。研究結果發現護理人員專業承諾呈中等程度，平均得分為3.15± .99分，護理人員專業承諾題項得分前三項者依序為護理是專業的工作應培育、能提升案主的照護品質、護理的專業應受重視認可。護理人員的工作科別、婚姻狀況、在職進修狀況與專業承諾呈顯著差異；年齡、工作年資、最小子女年齡與護理人員專業承諾呈正相關。護理人員工作壓力愈高則專業承諾愈低；社會支持提供愈多，專業承諾愈高。專業承諾重要預測因子包括工作壓力、社會支持、在職進修狀況與最小子女年齡，可解釋總變異量為19％。本研究結果期望提供學校未來在培育護理人才的方向，以及醫院行政主管穩定護理人力政策之參考以延攬更多優秀的護理人員。

The purpose of this study was to explore the professional commitment and its related factors in nursing staff. The study utilized descriptive and correlational design and purposive sampling. A total of 460 nurses were recruited from one medical center and three district teaching hospitals in the southern area of Taiwan. The structured questionnaires were designed to obtain demographic and measures of the professional commitment, job stress, and social support scale. The findings showed that: (1) the average professional commitment in nursing staff was 3.15; (2) there were significant differences on professional commitment across different working units, marital status, and attendance of formal educational program; the senior, the experienced nurses, and nurses with older children had higher professional commitment; (3) nurses with more social support and less job stress had higher professional commitment; job stress, social support, age of the youngest child, and attendance of formal educational program accounted for 19% of the variance of professional commitment. The implications of this study provided a reference for the cultivation of nursing staff in the future education and for the administrators in stabilizing the nursing workforce strategies.