影響臨床護理人員職家衝突之前因研究

Exploring the Antecedents Influencing of Nurse's Work-Family Conflict

目的：本研究主要想探究主管不當督導對臨床護理人員負面認同與職家衝突的影響。方法：採隨機取樣方式抽取台灣中部某家醫院85%臨床護理人員作為研究樣本，總計發放360份，回收份數為337份，扣除填答不完整與一致性填答等無效問卷19份，共得有效問卷為318份，有效回收率達88.33%。並以描述性統計、皮爾森相關分析與階層迴歸分析進行相關檢驗。結果：一、不當督導會提高臨床護理人員負面認同的頻率；二、負面認同將正向影響臨床護理人員職家衝突的關係；三、不當督導會透過負面認同的增加，進一步對臨床護理人員職家衝突產生正向影響。結論：依據本研究結果可得知，除了防止不當督導與負面認同的事件發生外，醫療機構應提供足夠的資源以及營造出家庭友善的執業環境，使臨床護理人員能更有彈性的空間可以面對家庭與工作領域中的衝突，並進一步達到兩個領域間的平衡。

Purpose: This study examined the link between abusive supervision and nurse's organizational disidentification, work and family conflict. Methods: The purposive sampling method was adopted to select a hospital in Central Taiwan. In each of these, 85% of the nurses were randomly selected to receive a questionnaire. A total of 337 questionnaires were collected and the valid questionnaires were 318 with a valid rate of 88.33°/o. These were analyzed by using descriptive statistics, Pearson's correlation analysis, confirmatory factor analysis and hierarchical regression. Results: 1. Abusive supervision and nurse's organizational disidentification was positively related. 2. Organizational disidentification and nurse's work and family conflict were positively related. 3. Abusive supervision and nurse's work and family conflict had positively relationship that was mediated by organizational disidentification. Conclusion: In addition to preventing abusive supervision and organizational disidentification, hospital should provide resources and nurture a family-friendly environment to endow nurses with more flexibility in handling the conflict between work and family domains.