臺灣博碩士論文加值系統

在醫院人力中，護理人員佔了40~60﹪，是醫療團隊中為數最多的專業人員，更是與病人相處最直接，接觸時間最長的醫療專業人員。因此護理工作品質的好壞，直接的影響了整個醫院的形象，甚至間接的影響醫院的營運發展。而其中護理人員高的離職率是醫院管理者所要面臨的課題。
因此近年來國內外許多的學者專家、衛生單位均開始重視此一問題，試圖探究原因，並謀解決之道。本研究的主要目的，除了檢視護理人員的離職原因外，並嘗試建構影響護理人員離職的因素，以為日後謀求各項改善措施的參考。
本研究採用問卷研究方法，並使用SPSS 8.0進行統計研究，依據研究目的與驗證有關研究假設需要，採用敘述性統計、皮爾森相關分析和迴歸分析等統計方法進行分析與比較
本文根據研究結論提出以下建議：
一、參與管理（Management by participation）
二、規劃明確的工作結構
三、工作輪調與工作制度
四、塑造良好的工作氣氛與工作環境
五、教育及訓練方面之發展
六、領導型態
七、升遷管道方面
八、提昇醫院名聲
護理是智慧、愛心與耐心之結合，其工作的之重要性在於直接影響整個醫院醫療服務品質，因此護理人員可說是整個醫療團隊的礎石。但由許多文獻及相關研究均得知，今日中外護理界，在護理人員短缺情形下，離職率仍不斷增加實在令人憂心，期望大家在熟知這些影響因素及因應措施後，能激勵護理人員士氣，提昇護理品質，以努力促使護理界有更美好的明天。

Abstract
Among the hospital staff, nursing personnel makes up 40~60%, which has the largest number in the health team; nurses are also the health professionals that get along with patients longest and most directly. Therefore, the quality of nursing directly influences the image of the whole hospital, even the operation and development of the hospital. Meanwhile, the high resignation rate of nursing personnel is found an important issue faced by the managers of hospitals.
Hence, these years many scholars, specialists and health authorities begin to emphasize on this problem, trying to probe into it and figure out some alternatives. One of the chief aims of this study is to have a view of the reasons why nursing people leaves their jobs; the other is to try to find out the factors contributing to their resignation, in order to provide some information for those who want to improve this phenomenon.
The study is a questionnaire study and uses SPSS 8.0 to compute statistics. To agree with the goals of the study and to verify the hypotheses of the related research, the study applies descriptive statistics, Pearson Product-Moment Correlation Coefficient analysis, regression, etc. to analyze and compare the data.
The thesis provides strategies as follows due to the conclusion of the study:
1. Manage by participation.
2. Plan a clear framework of the jobs.
3. Carry out job rotation and a well job system
4. Form a nice working ambiance and environment.
5. Further the development of education and training
6. Choose in leading styles
7. Note the ways of promotion
8. Raise the reputation of the hospital
Nursing is the combination of intelligence, kindness and patience, the importance of which directly influence the quality of the hospital service. Thus we may well say the nursing personnel is the plinth of the health team. However, from a lot of literature and related studies, we realize that the nursing field nowadays─no matter domestic or abroad─is having higher and higher resignation rates due to the lack of nurses. This is quite worrisome. We hope that while these factors and alternatives are widely known, the nursing personnel can be inspired, the quality of nursing raised, and the future of the nursing field better.

第壹章 前言 1
第一節 研究緣起 1
第二節 研究的重要性 3
第三節 研究目的 5
第四節 研究流程 6
第貳章 文獻回顧 8
第一節 離職的定義 8
第二節 文獻分類 15
第三節 相關理論模型 19
第參章 研究方法 46
第一節 研究架構 46
第二節 研究假設 51
第三節 研究範圍 53
第四節 研究工具 55
第五節 統計方法 58
第六節 研究限制 59
第肆章 實證結果 60
第一節 樣本個人特質之描述性統計 60
第二節 簡單相關分析 63
第三節 多元迴歸分析 68
第伍章 結論 74
第一節 結論 74
第二節 建議 79
第三節 未來研究方向 84
附 錄 85
參考文獻 89
中文部分 89
英文部分 91

中文部分
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陳谷萍(民78)，新進護理人員選擇工作場所理由之初探，榮總雜誌；4(2),pp.154-161
楊克平(民78)，台灣地區護理人員流動因素之探討，護理雜誌；36(3),pp.51-64
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陳彩(民83年) 工作生活品質、工作滿足與離職意願關聯性研究 交通大學管科所碩士論文
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