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研究生:蔡碧敏
研究生(外文):Pi-Min Tsai
論文名稱:護理人員服務行為與服務績效相關之研究
論文名稱(外文):Study on the relationship between servicebehaviors and performance among nurse staffs
指導教授:章淑娟章淑娟引用關係
指導教授(外文):Shu-Chuan Chang
口試委員:蕭正光朱正一
口試委員(外文):Cheng-Kuang ShowCheng-I Chu
口試日期:2013-05-30
學位類別:碩士
校院名稱:慈濟大學
系所名稱:護理學系碩士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:中文
論文頁數:77
中文關鍵詞:護理人員顧客導向行為組織公民行為服務績效
外文關鍵詞:nursecustomer oriented behaviorsorganizational citizenship behaviorsservice performance
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本研究目的在瞭解護理人員顧客導向行為、組織公民行為及服務績效之相關性及其不同基本屬性在顧客導向行為及組織公民行為是否有差異。研究對象為東部某軍方區域教學醫院護理部的護理人員,採用結構式問卷進行資料收集,內容包括個案基本屬性資料、顧客導向行為量表、組織公民行為量表及服務績效量表等研究工具,為避免資料同源產生共同方法變異,服務績效量表由單位護理主管填寫,共收案106位。問卷調查資料以SPSS 17.0版統計軟體進行資料分析。
研究結果顯示(一)護理人員個人屬性對整體顧客導向行為,以不同的職等、教育程度、月平均收入及服務年資等四項有顯著差異。(二)護理人員基本屬性對整體組織公民行為,以不同的職等、教育程度、月平均收入及服務科別等四項有顯著差異。(三)護理人員的顧客導向行為與其服務績效有顯著正相關(p<.05)。(四)護理人員的組織公民行為與其服務績效有顯著正相關(p<.05)。(五)護理人員的顧客導向行為與其組織公民行為有顯著正相關(p<.01)。因此,透過本研究結果可知護理人員的基本屬性會影響其顧客導向行為與組織公民行為的展現,而且強化或激勵部屬這些行為能增進個人的服務績效。研究者依據研究結果對護理行政實務、護理人員教育、學術研究亦提出建議,期望做為醫院管理者及護理行政主管在提升護理人員服務行為與服務績效的策略上重要之參考。

The aim of this study was to examine the correlation of customer oriented behaviors and
organizational citizenship behaviors and service performance among nurse staffs, and the potential
impacts of different individual characteristics to the customer oriented behaviors and organizational
citizenship behaviors.
A total of 106 nursing staffs, who worked in an armed force community teaching hospital, were recruited in the study. Data were collected with structural questionnaires, which included the basic demographic information, customer oriented behaviors scale, organizational citizenship behaviors scale, and service performance scale. Nurse managers were administered with the service performance scale in order to avoid common method variance. The data were analyzed by using SPSS 17.0 statistic software.
Results showed that:(1) Customer oriented behaviors revealed significant difference in nurses’ characteristics including different job positions, education levels, monthly salary and hospital tenure, respectively. (2) Organizational citizenship behaviors revealed significant difference in nurses’ characteristics including different job positions, education levels, monthly salary and work units, respectively. (3) There was positive correlation between customer oriented behaviors and service performance (p<.05). (4) There was positive correlation between organizational citizenship behaviors and service performance (p<.05). (5) There was positive correlation between customer oriented behaviors and organizational citizenship behaviors (p<.01).
The results of the study showed that different individual demographic characteristics of nursing
personnel affected customer oriented behaviors and organizational citizenship behaviors. Therefore, we
may positive reinforce and motivate these behaviors to promote nurse service performance. The results
provide potential implications for future nursing administrative practice, nursing education and research. They also can help hospital managers and nursing administrators to build up strategies that can encourage nurse staff’s service behaviors and service performance.
致謝 …………………………………………………………………………………Ι
中文摘要…………………………………………………………………………… Π
英文摘要 ……………………………………………………………………………IV
目錄 …………………………………………………………………………………IV
圖目錄 ………………………………………………………………………………IV
表目錄……………………………………………………………………………… IV
第一章 緒論……………………………………………………………………………1
第一節 研究背景與動機………………………………………………………………1
第二節 研究重要性……………………………………………………………………2
第三節 研究目的………………………………………………………………………2
第四節 研究問題………………………………………………………………………3
第五節 名詞界定………………………………………………………………………3
第二章 文獻探討………………………………………………………………………5
第一節 員工服務行為…………………………………………………………………5
第二節 顧客導向行為的意義與相關研究……………………………………………6
第三節 組織公民行為的意義與相關研………………………………………………9
第四節 服務績效的意義與相關研究 ………………………………………………13
第三章 研究方法 ……………………………………………………………………17
V
第一節 研究架構 ……………………………………………………………………17
第二節 研究假設 ……………………………………………………………………17
第三節 研究設計 ……………………………………………………………………18
第四節 研究場所與對象…………………………………………………………….18
第五節 研究工具 ……………………………………………………………………18
第六節 研究步驟 ……………………………………………………………………24
第七節 資料收集與統計 ……………………………………………………………24
第八節 研究的倫理考量 ……………………………………………………………25
第四章 研究結果 ……………………………………………………………………27
第一節 護理人員基本屬性之現況 …………………………………………………27
第二節 護理人員的顧客導向行為與組織公民行為之描述性統計結果 …………29
第三節 護理員基本屬性對其顧客導向行為及組織公民行為之差異性分析 ……36
第四節 各研究變項之相關性分析 …………………………………………………44
第五章 討論 …………………………………………………………………………47
第一節 護理人員的基本屬性對顧客導向行為及組織公民行為之關係 …………47
第二節 護理人員的顧客導向行為、組織公民行為與其服務績效之相關 ………49
第三節 護理人員的顧客導向行為與其組織公民行為之相關 ……………………50
VI
第六章結論與建議 ………………………………………………………………… 51
第一節 結論 …………………………………………………………………………51
第二節 建議 …………………………………………………………………………51
第三節 研究限制 ……………………………………………………………………53
第七章參考文獻 …………………………………………………………………… 54
中文部分………………………………………………………………………………54
英文部分………………………………………………………………………………56
附錄
附錄一: 研究問卷 …………………………………………………………………63
附錄二: 專家內容效度專家名單 …………………………………………………68
附錄三: 專家內容效度審查問卷表 ………………………………………………69
附錄四:專家內容效度評分結果與建議……………………………………………74
VII
圖目次
圖3-1-1研究架構 ……………………………………………………………………17
圖3-5-1 研究流程圖…………………………………………………………………24
VIII
表目錄
表2-2-1 顧客導向行為的定義 ………………………………………………………6
表2-2-2 國內外顧客導向行為相關研究 ……………………………………………7
表2-2-3顧客導向行為與績效相關的研究 …………………………………………8
表2-2-4顧客導向行為與組織公民行為相關的研究 ………………………………9
表2-2-5 國內外組織公民行為相關研究 ……………………………………………11
表2-2-6組織公民行為與績效相關的研究……………………………………………13
表2-4-1 服務的特性與策略 …………………………………………………………14
表2-4-2 服務績效的定義 ……………………………………………………………15
表3-4-1 量表效度分析結果 …………………………………………………………22
表3-4-2 量表信度Cronbach’s α值分析結果…………………………………… 24
表4-1-1 護理人員基本屬性(類別變項) ……………………………………………28
表4-1-2 護理人員背景資料(連續變項) ……………………………………………28
表4-2-1「以病患為主」顧客導向行為得分情形 ……………………………………30
表4-2-2「以任務為主」顧客導向行為得分情形…………………………………… 31
表4-2-3 組織公民行為得分情形………………………………………………………32
表4-2-4服務績效量表得分情形………….……………………………………………35
表4-2-5 各研究變項與子構面之描述性統計量彙整總表……………………………36
表4-3-1 護理人員基本屬性對整體顧客導向行為之變異數分析……………………38
表4-3-2護理人員基本屬性對「以病人為主」與「以任務為主」顧客導向行為之變異
數分析 ……………………………………………………………………………………39
表4-3-2 護理人員基本屬性對整體組織公民行為之差異性分析……………………40
表4-3-3 性別對組織公民行為子構面之變異數差異分析……………………………41
表4-3-4 職等對組織公民行為子構面之差異性分析…………………………………42
表4-3-5教育程度對組織公民行為子構面之變異數分析………………………………42
表4-3-6月平均收入對組織公民行為子構面之變異數分析……………………………42
表4-3-7本院服務年資對組織公民行為子構面之變異數分析…………………………43
表4-3-8 服務單位對組織公民行為子構面之變異數分析 ……………………………43
表4-3-9 職級對組織公民行為子構面之變異數分析 …………………………………43
表4-4-1基本屬性與顧客導向行為及組織公民行為行之相關性分析…………………44
表4-4-2 各研究變項之皮爾森相關分析 ………………………………………………45
表4-4-3顧客導向行為、組織公民行為及服務績效與各子構面之皮爾森相關分析…46
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