護理人員職能特質差異性之研究

A Study on the Differences of Competency Characteristics for Nurse-Practitioners

近年來國內醫療機構的經營管理隨著社會環境改變及全民健康保險制度 的實施，使得各醫療機構莫不紛紛導入企業化的經營管理觀念與手法。而護 理人員在醫療機構之人力配置數目中佔有最高的比例，而且與患者的關條最 為緊密，因此護理人員之人力資源管理便成了醫療機構企業化經營管理之重 要課題。過去醫療機構在護理人員的甄選上，皆採取專業知識的筆試與面談 的方式，忽略了護理人員之職能特質，因此本研究試圖建立一護理人員職能 特質量表，並接著運用所建立的量表來探討不同工作性質與不同屬性之護理 人員在職能上的差異性，以作為醫療機構在未來護理人員甄選作業上分配業 務之參考。在本研究設計上，本研究首先彙整相關文獻，建立初步之護理人 員職能量表，然後利用專家問卷確立護理人員職能特質量表，按著再以此完 成確立之量表對某醫學中心護理人員進行第二階段之問卷調查，問卷共發放 544 份，回收有效問卷499 份（回收率9 1. 73%），主要研究結果發現護理人員較 重視分析思考、人際EQ 、專業知識及顧客服務、聞隊與合作精神、其他個人 效率的能力等五項職能。另外，本研究亦發現不同工作性質與不同屬性之護 理人員在職能特質上有明顯的差異性。

Recently, due to the change of social environment and the implementation of national health insurance policy, most of the medical organizations in Taiwan start to utilize new managerial concepts and methods that have been used by enterprises. Since the nurse-practitioners are having the close relationship with patients, they have very high percentage of manpower allotment in the medical groups. Therefore, the human resource management in nurse-practitioners becomes the most important issue in the medical organizations. In the past years, the hiring policy of a qualified nurse-practitioner was based on written and oral examinations. This policy totally ignored the competency characteristics of nurse-practitioners. Thus, in this paper, we try to establish a new manpower allotment based on the different competency characteristics of nurse-practitioners. This method will become one of the important indications of the hiring policy for a qualified nurse-practitioner at the medical organizations in the near future. There are two stages in our research. At first, we studied and collected all needed information from related articles, and then, built the initial nurse-practitioners competency questionnaires modified by the questionnaire experts. Secondly, we surveyed 544 nurses by using the questionnaires, and got 499 effective feedbacks (It is about 91.73% of the survey). The results of this research showed that a qualified nurse-practitioners needs much higher abilities in analysis, interpersonal Emotive Quality (EQ), professional knowledge and service, team work and efficiency. Furthermore, we also found out the significant differences among nursepractitioners in different working attributes.