長照機構人員住民支持與留任意願：組織忠誠與工作敬業之中介效果

Resident Support and Intention to Stay for Long-term Care Staff: The Mediating Effects of Organizational Loyalty and Job Engagement

研究目的：臺灣已正式步入高齡社會，照護人力不足仍是高齡社會最大的窘境之一，如何留任長照機構人員受到研究學者與實務管理者的高度關注。本研究欲從社會支持的角度切入，探討住民支持與留任意願之關係，並試圖釐清組織忠誠、工作敬業在住民支持與留任意願間，是否具有中介效果。研究方法：本研究針對長照機構人員進行問卷施測，回收有效樣本為217份，有效回收率為93%。研究結果：發現住民支持與留任意願呈現正相關；組織忠誠、工作敬業在住民支持與留任意願間，具有中介效果。研究結論：總體而言，本研究釐清住民支持與留任意願的關係，並驗證住民支持會透過組織面、工作面的心理機制影響留任意願，可做為相關管理實務推動的應用，並提供未來研究參考方向。

Purpose: Taiwan is an aging society. Nursing home administrators in Taiwan have found that the lack of human resources to provide care is one of their biggest challenges. We adopted a social support perspective to explore the relationship between the amount of support staff feel from residents (resident support) and the intention of staff to remain in their jobs. We also examined whether organizational loyalty and job engagement are important mediators between the level of resident support and the intention of employees to stay. Methods: We used the temporal separation method to collect 217 valid responses via a questionnaire from nursing home staff. The independent variable (level of resident support) was collected at Time 1, and the mediation (organizational loyalty and job engagement) and dependent variable (intention to stay) were collected at Time 2, which was one week later. Results: We found that resident support is positively related to the intention to stay. Organizational loyalty and job engagement have a mediating effect between resident support and intention to stay. Conclusions: Resident support is an important work resource for staff of long-term care institutions. Establishing a good interactive care model with residents may be a considerable factor in a staff member’s decision of whether or not to remain on the job.