人力資源彈性運用對護理人員留任意願之影響

Impact of A Manpower Flexibility Strategy on Nurse Retention

目的：護理人力短缺已是全國性問題，有效留任護理人員是醫院管理者的一大挑戰。本研究旨在瞭解醫院人力資源彈性運用及護理人員留任意願現況，並進一步探討其影響因素。方法：採用橫斷式問卷調查研究，以中部某區域教學醫院護理人員為調查對象，共收案271位。工具包含人力資源彈性運用及留任意願量表。結果：（1）以數量彈性運用同意程度最高，同意程度最低為薪資彈性。（2）留任意願未達中等程度。（3）薪資彈性與年齡及工作年資達統計上的差異。（4）年齡與工作年資對於留任意願有顯著差異。（5）職能、時間、數量及薪資彈性與留任意願有顯著正相關。（6）年齡及工作年資對於留任意願有4.7％的解釋力。（7）人力資源彈性運用對於留任意願有25.0％的解釋力。結論：藉由瞭解人力資源彈性運用與護理人員留任意願的現況及其影響因素，採取有效的策略，營造磁吸的護理職場。

Purposes: The shortage of nurses in the workplace is a long-term problem worldwide. Indeed, nurse retention is a major challenge for hospital managers. The main objectives of this study were to understand the flexibility of utilizing human resources in the hospital setting and the willingness of nursing staff to remain in their current jobs. We also investigated the differences between the flexible use of human resources, willingness to remain in one’s current job, and different backgrounds amongst nursing staff to analyze the different factors affecting this relationship. Methods: This study used a trans-sectional questionnaire. Two hundred seventy-one nurses from a regional teaching hospital in central Taiwan participated in the study. The investigation was carried out using structured questionnaires, including flexible utilization of a human resources form and willingness to remain in one’s job form. Results: Consent for number flexibility had the highest score and salary flexibility had the lowest score. The willingness score was below the median, and was statistically related to salary adjustment, age, and seniority. Age and work seniority were statistically significant in relation to willingness to remain in one’s job. The flexible use of human resources and all aspects of human resources were directly related to willingness to remain in one’s job. Age and work seniority accounted for 4.7% of the differences in willingness score. The flexible use of human resources adequately explained 25% of the differences in willingness score. Conclusions: The hospital can be provided information which can lead to a better understanding of how human resources can be utilized with flexibility and the willingness to stay in one’s job by nursing staff. A better strategy can be employed to encourage nurse retention.