公立醫院委託公立機構經營後員工對組織文化及組織承諾關聯性之探討

Correlation of Organization Culture Value and Commitment--The Impact of a Regional Government Hospital Reengineering

本研究目的在探討某公立地區醫院委託經營後對員工工作滿意度的影 響，包括員工對組織文化看法、員工受到言贊美與肯定頻率的差異，以及員工 對組織再造後的組織承諾，三者之間的相關程度。採橫斷研究法，以問卷調 查，問卷內容分為三部分： （l）組織文化量表； （2） 員工組織承諾量表； （3 ）員工成受到讚美及肯定的頻率。共發出165 份問卷，回收89 份，回收率為 54% 。研究結果（1）組織再造後員工對組織文化抱持正面的看法，最明顯的 三項「醫院主動積極面對問題」、「醫院為同級醫院的楷模」以及「醫院的環 境適應能力」。（2） 組織再造後員工獲得言贊美及肯定頻率較高的有四項：正、 副院長的讚美、同事的讚美、病患的讚美及工作上獲得的成就成。（3 ）員工 性別、職位的不同對於組織承諾亦有所差異，男性員工高於女性員工，行政 人員的組織承諾最高。（4 ）員工對組織承諾越高，對組織文化的看法越正 面，且成受到讚美的頻率越高，三者問屬於正相關。員工對組織文化的看法 愈有正向的助益，可提升員工對組織的承諾，進而促進組織的和諧。

The purpose of this study was to investigate the impact of a hospital reengineering and reconstruction on the staffs' job satisfaction. We examine the association of health care reengineering and the staffs' attitude toward the organization, quality of job recognition they received, and changes in levels of organizational commitment. A cross-sectional study was conducted using well-developed tools. Of the 165 questionnaires distributed, a total of 89 were returned, representing a 54% response rate. The questionnaires included Enz's Organization Value Congruence Scale, Mowday's Organizational Commitment Questionnaire and measurement of frequency of appraisal and recognition the staff received. The results indicated that (1) Hospital reengineering enhanced positive work attitude among employees. The most significant changes were observed in the positive view of the employer as an active problem solver, a leader role among peers, and flexibility in health care management; (2) Staffs reported a significantly increasing in the levels of recognition they received after organization reengineering, particularly the appraisals from superintendent, co-workers and patients. The staffs showed a high overall job satisfaction; (3) Levels of organizational commitment was higher among male staffs and administrative workers; (4) A significantly positive association existed between staffs' work attitude, degree of job recognition and levels of organization commitment. In conclusion, an effective hospital reengineering improved staff's job satisfaction and enhanced levels of hospital commitment.