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研究生:歐麗娟
研究生(外文):OU Li-Chuan
論文名稱:組織氣候對住院病人的自我效能與抱怨行為意圖研究-以護病關係為中介變數
論文名稱(外文):The Study of Organization Climate between Inpatient’s Self-Efficacy and Complaint Behavior Intentions - Nurse-Patient Relationship as Mediator
指導教授:簡南山簡南山引用關係
指導教授(外文):Jian Nan-shan
學位類別:碩士
校院名稱:南台科技大學
系所名稱:企業管理系
學門:商業及管理學門
學類:企業管理學類
論文種類:學術論文
論文出版年:2007
畢業學年度:95
語文別:中文
論文頁數:104
中文關鍵詞:組織氣候護病關係自我效能抱怨行為意圖護病關係結構式反應面信效度提供面
外文關鍵詞:Organization Climate Self-Efficiency Nurse-Patient relationship Complaint Behavior Intention family taiwan after data family taiwan after data
相關次數:
  • 被引用被引用:1
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  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:2
摘  要
本研究目的在探討不同科別護理團隊的組織氣候,與病患自我效能、病人抱怨行為意圖之護病關係相關性探討,以南部某區域醫院,96年3月期間的護理團隊與住院病人為研究對象,研究以結構式問卷;問卷經專家語意修正後,進行問卷調查。
研究結果:護理人員共發放107份問卷,回收94份有效問卷87.8%,病患發放125份問卷,回收99份有效問卷79.2%。資料分析包含描述性統計分析、主成份分析、信效度分析、線性迴歸分析、Pearson 相關分析、ANOVA分析。(1) 「組織氣候量表」、「護病關係量表」、「自我能量表」以主成分因素分析,採最大變異法、特徵值>1,loading值>0.5,α值各值>0.75。(2) 「抱怨行為意圖量表」依專家認定的嚴重程度,共區分1-9分嚴重程度。 (3)不同組織氣候的「工作投入」與「擁有權」顯著影響護病關係(P<.05)。(4)不同科別的護理團隊的護病關係分析結果在「臨床關懷」的護病關係有顯著相關(P<.001)。以迴歸分析結果:(1)護病關係影響病人在「用藥自我認知」的自我效能(R2為0.39,調過後的R2為0.36; F值為15.32, P<.001) 達顯著水準。(2)護病關係會影響住院病人對於醫療缺失的抱怨行為意圖,分析結果「醫師醫療方面」醫療缺失的抱怨行為意圖與「臨床關懷」護病關係, (F值為1.79,t 值為2.59,R2 0.071,調過後的R2 0.031,p<0.05)呈現正向顯著差異。護理照顧訊息提供面的抱怨行為意圖與「真誠關懷」護病關係(F值為1.68,t 值為2.12,R2 0.067,調過後的R20.027,p<0.05) 呈現正向顯著差異。家屬反應面的抱怨行為意圖與「舒適關懷」護病關係(F值為1.63,t 值為2.01,R2 0.065,調過後的R2 0.025,p<0.05) 呈現正向顯著差異。
Abstract
This research is to study the correlation of the organization climate in nursing teams of different departments and the nurse-patient relationship with Inpatients’ self-efficiency and complaint behavior intention. The data were collected from nursing teams and inpatients at a regional hospital in south of Taiwan in March 2007. The structured questionnaire after the revise of experts was sent out to 107 nurses and 125 inpatients for investigation. The response rate of nurses and patients was 87.8% and 79.2% respectively. Methods of description statistics, principle component, reliability and validity, Linear Regression, ANOVA, Pearson correlation analyses were conducted to identify: (1) Organization Climate Scale, Nurse-patient Relationship Scale, and Self-efficiency Scale related to their theoretical domain were analyzed by principle component: eigenvector > 1, loading > 0.5, alpha coefficients domain was adequate > 0.75. (2) In Complaint Behavior Intentions scale, we follow experts’ opinion to distinguish the level of severity from 1 to 9. (3) The “job involvement” and “ownership” in different organization climate have significant influence on nurse-patient relationship (P<0.05). (4) In the analysis of nurse-patient relationship in different nursing teams, the result showed “the clinical care” was significantly correlative (P<0.001). The results from Regression analysis were: (1) Nurse-patient relationship can influence inpatients’ self-efficiency on medication cognition (R2:0.39, after adjustment R2:0.36, F-test:15.32, P<0.001). (2) Nurse-patient relationship can also influence inpatients’ complaint behavior intention on medical defects. The complaint behavior intention to physician’s medical defects has positive significance with “the clinical care” of nurse-patient relationship (F-test: 1.79, t-value 2.59, R2: 0.071, after adjustment R2: 0.031, P<0.05). (3) The complain behavior intention to the offer of nursing care information has positive significance with “the sincere care” of nurse-patient relationship (F-test: 1.68, t-value 2.12, R2: 0.067, after Adj- R2: 0.027, P<0.05). The family reaction has positive significant with “the comfortable care” of nurse-patient relationship ((F-test: 1.63, t-value 2.01, R2: 0.065, after adjustment R2: 0.025, P<0.05).
Key works: Organization Climate, Self-Efficiency, Nurse-Patient relationship, Complaint Behavior Intention
目 次
摘要 i
英文摘要 ii
致謝 iii
目次 iv
表目錄 vi
圖目錄 viii
第一章 緒論 1
1.1研究背景與動機 2
1.2研究問題與目的 3
1.3研究範圍與研究限制 4
1.4研究流程 5
第二章 文獻探討 6
2.1護病關係 6
2.1.1護病關係的定義 6
2.1.2小結 12
2.2組織氣候 12
2.2.1組織氣候的定義 12
2.2.2小結 15
2.3自我效能 16
2.3.1小結 18
2.4抱怨行為意圖 20
2.4.1小結 19
2.5各構念間之關係及假設推導 24
2.5.1 組織氣候與護病關係 24
2.5.2 護病關係與病人對健康自我效能 25
2.5.3 護病關係與抱怨行為意圖 26
第三章 研究方法與設計 27
3.1研究架構 27
3.2研究變數操作型定義 28
3.3研究假設 29
3.3.1重要名詞界定 29
3.4組織氣候量表 29
3.5護病關係量表 36
3.6病人自我效能量表 41
3.7病患抱怨行為意圖量表 43
3.8研究設計 46
3.8.1抽樣方法與內容 46
3.8.2問卷設計 46
3.9研究對象 47
3.10資料分析法 47
第四章 研究結果 48
4.2研究變相的因素分析及信效度分析 50
4.3研究假設分析 58
第五章 結論與建議 74
5.1結論 74
5.2建議 78
5.3研究限制 79
参考文獻 80
表目錄
表2.1 護理照顧與病人互動 11
表2.4 護理人員涉案案件 22
表3.4 組織氣候研究變數與問卷內容 30
表3.4 組織氣候研究變數與問卷內容專家建議修正內容 33
表3.5 護病關係之研究變數與問卷內容 37
表3.5 護病關係之研究變數與問卷專家建議修正內容 39
表3.6 病人自我效能研究變數與問卷內容 41
表3.6 病人自我效能研究變數與問卷專家建議修正內容 42
表3.7 病患抱怨行為意圖問卷內容 44
表3.7 病患抱怨行為意圖問卷專家嚴重程度排序 45
表3.7 病患抱怨行為意圖問卷專家建議修正內容 45
表4.1 護理人員有效問卷分析 48
表4.1-1住院病人有效問卷分析 49
表4.1-2護理人員基本資料描述性統計分析 49
表4.1-3住院病人基本資料描述性統計分析 50
表4.2 問卷內容專家效度名單 50
表4.2-1護理人員問卷-組織氣候量表主成份分析 52
表4.2-2護理人員問卷-護病關係量表主成份分析 53
表4.2-3病人問卷-自我效能量表主成份分析 54
表4.2-4病人問卷-護病關係量表主成份分析 55
表4.2-5病人問卷-抱怨行為意圖專家評嚴重程度平均數 56
表4.2-6抱怨行為意圖程度平均數 57
表4.3 組織氣候與護病關係-共變數分析 59
表4.3-1科別與護病關係Pearson相關分析 59
表4.3-2科別與護病關係的ANOVA分析 60
表4.3-3不同單位真誠關懷的護病關係LSD(Post Hoc 檢定)-護理人員問卷 61
表4.3-4不同單位臨床關懷的護病關係LSD( Post Hoc 檢定)-護理人員問卷 61
表4.3-5各科別組織氣候與護病關係平均數(護理人員問卷) 63
表4.3-6各科別的織氣候與護病關係-共變數分析 64
表4.3-7不同科別護病關係平均數(病人問卷) 64
表4.3-8不同科別病人與護病關係的ANOVA分析 64
表4.3-9不同科別病人與護病關係的LSD(Post Hoc 檢定) 65
表4.3-10護病關係與住院病患的自我效能一「用藥自我認知」-迴歸分析 66
表4.3-11護病關係與住院病患的自我效能二「健康自我照顧」-迴歸分析 66
表4.3-12護病關係與住院病患的自我效能-迴歸分析 66
表4.3-13不同科別病患自我效能與護病關係各平均數分析 67
表4.3-14不同單位病人自我效能ANOVA分析 68
表4.3-15不同單位「用藥自我認知」自我效能LSD(Post Hoc 檢定) 68
表4.3-16不同單位「健康自我照顧」自我效能LSD(Post Hoc 檢定) 69
表4.3-17護病關係對醫師醫療面抱怨行為意圖迴歸分析 70
表4.3-18護病關係對虎理照顧資訊提供面抱怨行為意圖迴歸分析 70
表4.3-19護病關係對家屬反應面抱怨行為意圖迴歸分析 70
表4.3-20護病關係對抱怨行為意圖迴歸分析 71
表4.3-21不同科別護病關係與抱怨行為意圖各平均數 72
表4.3-22不同科別的病患抱怨行為意圖-ANOVA分析 73
表4.3-22不同科別的病患抱怨行為意圖-ANOVA分析 73
附錄 87
圖目錄
圖1.4 研究流程圖 5
圖3.1 研究架構 27
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