臺灣博碩士論文加值系統

台灣地區的護理人員長期不足且流動率高，常常引發的照顧人力不足，在面臨社會人口老年化的當前，護理照護人力需求只會越來越大，故如何改善此議題實為重要。本研究認為病患不文明行為是造成護理人員工作倦怠的重要原因之一，過去有許多探討關於工作倦怠的相關問題，卻很少有與病患不文明間相關性的研究，故本研究探討病患不文明行為與工作倦怠間的關係。又一護理單位裡護理長為組織中的領導者，負責管理單位人力安排及相關護理工作分配等，護理人員與病患間的互動更是透過護理長扮演橋樑，多數護理人員面臨工作倦怠時會藉由護理長的協助來解決或舒緩，近年來僕人領導逐漸受到許多管理學者的關注，乃是因為其能打破過去僵化的領導模式，以服務為中心思想，強調先服務後領導，業界許多護理長會以權威領導方式來帶領單位，本研究認為其僕人領導與護理人員工作倦怠有負向關係，僕人領導亦在病患不文明行為與工作倦怠中產生干擾效果。本研究以香港商佳特透析服務(股)公司台灣分公司之中區洗腎中心之護理人員為對象，問卷發放總共全部發放中部30家中心，其中有效樣本共有255份。根據結果顯示，病患不文明與護理人員工作倦怠間有正面關係；護理長僕人領導與護理人員工作倦怠有負面關係，但在病患不文明行為與護理人員工作倦怠間並無干擾效果。

Shortage of nurses was common and the turnover rate of nurses was high in Taiwan. The caring manpower was not enough when facing the aging society in Taiwan. Incivility of patient was considered the main reason of burnout in nurse. There had been many studies about burnout in the nurse practice but no investigations pertaining to patient’s incivility. A head nurse was a leader in the nursing unit. She was responsible for allocating manpower and rearranging workflow. A head nurse plays a role in bridging patients and nurses. Conflicts between patients and nurses are often relieved by head nurse intervention.
Servant leadership was gradually valued in the management field in recent years. The service comes before the authority in servant leadership and it was different from previous rigid concept that authority predominated in management. However, most head nurses in Taiwan still play the role as authoritative leadership until now. Our study assumes there is a negative relationship between servant leadership and burnout of nurse. We also want to investigate if the servant leadership was a moderating factor between patient’s incivility and burnout of nurse. The study participants were dialysis nursed in the Excelsior Renal Service Company in Central Taiwan. The questionnaires were distributed in 30 dialysis centers in Central Taiwan. There were 255 effective samples. The results suggested patient’s incivility was positively associated with burnout of nurse. Servant leadership was negatively associated with burnout severity. However, there was no moderating effect of servant leadership between patient’s incivility and burnout of nurse.

第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 3
第二章 理論基礎與研究假設 4
第一節 病患不文明行為與護理人員工作倦怠之關聯性 4
第二節 護理長僕人領導與護理人員工作倦怠之關聯性 6
第三節 護理長僕人領導在病患不文明行為與工作倦怠之干擾效果 8
第四節 研究架構 9
第三章 研究方法 10
第一節 透析醫療環境及公司背景簡介 10
第二節 研究資料蒐集程序 12
第三節 變數衡量 12
第四節 研究資料分析方法 15
第四章 統計分析結果 17
第一節 問卷信度分析 17
第二節 研究變數相關分析 18
第三節 階層多元迴歸分析 18
第五章 討論與建議 22
第一節 研究發現 22
第二節 管理意涵 23
第三節 研究限制與後續研究建議 25
參考文獻 26

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