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研究生:陳儀芳
研究生(外文):Yi Fang Chen
論文名稱:職涯支持與職涯障礙對護理人員提升專業能力與離開專業意圖的影響
論文名稱(外文):Impact of Career Supports and Barriers on Nurses’ Improvement in Professional Capabilities and Professional Turnover Intention
指導教授:鄧景宜鄧景宜引用關係阮業春阮業春引用關係
指導教授(外文):C. I. TengY. C. Juan
學位類別:碩士
校院名稱:長庚大學
系所名稱:工商管理學系
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:2019
畢業學年度:107
語文別:中文
論文頁數:49
中文關鍵詞:職涯支持職涯障礙專業能力離開專業護理人員
外文關鍵詞:Career supportsCareer barriersProfessional capabilitiesTurnoverNurse
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護理人力短缺的問題對全球醫療機構來說至關重要。透過降低護理人員離開專業的意圖,可以減緩護理人力短缺的狀況。此外,由於離開護理專業的意圖,被認為與護理人員於職涯中對於自身專業能力的認知有關。因此,護理人員提升專業能力時,將有助於增強此認知。然而,目前尚未有研究調查,職涯支持與障礙對護理人員提升專業能力,與其離開專業之意圖間有什麼樣的關聯,表明研究尚存在缺口。本研究探討職涯支持與障礙如何影響護理人員專業能力的提升,並進而對護理人員離開專業的意圖造成影響。本研究採用橫斷面設計,資料來源為台灣北部一間大型醫學中心。本研究由醫學中心2,660名在職的護理人員中,收集到502份問卷回覆。收案期間為2018年1月至3月,其中大部分受試者(97.8%)為女性。本研究使用分層隨機之抽樣方式來確保樣本代表性,測量工具來自Cunningham et al.與Teng et al.。此外,本研究採用結構方程模型來測試假說。人力資本、社會資本及歧視三項構念,皆分別與提升專業能力的意願呈顯著正相關(路徑係數=.35、.21以及.08,p<.05)。此外,提升專業能力的意願與提升專業能力的行動間有正向關係(路徑係數=.32,p<.05),並與離開專業的意圖呈顯著負相關(路徑係數=-.15,p<.05)。大部分的職涯支持與障礙對護理人員提升專業能力有顯著影響,並且對增加護理人員留任率有所作用。
Nursing shortage is critical for worldwide healthcare institutions. Such shortage could be alleviated by reducing nurses’ professional turnover intention, which was known related to nurses’ perception of professional competence in their careers. Such perception could be enhanced by nurses’ action to improve professional capabilities. However, no studies addressed how career supports and barriers, nurses’ improvement in professional capabilities, and professional turnover intention were related, indicating a gap. This study examines how career supports and barriers impact nurses’ improvement in professional capabilities and thus on their professional turnover intention. This study used a cross-sectional design and collected 502 representative responses from 2,660 full-time nurses who worked for a major hospital in northern Taiwan between January and March in 2018. Most (97.8%) of them were female. We used the stratified random sampling method to ensure representativeness of the sample. Our items were from Cunningham et al., and Teng et al. Structural equation modeling was used to test the study hypotheses. Human capital, social capital, and discrimination were positively related to intention to improve professional capabilities (path coefficient, hereafter p.c.=.35, .21, and .08, p<.05). Moreover, intention to improve professional capabilities was positively related to action to improve professional capabilities (p.c.=.32, p<.05), which was negatively related to professional turnover intention (p.c.=-.15, p<.05). Most of the career supports and barriers are positive to improvement in professional capabilities, and thus useful to retain nurses in the nursing profession.
目 錄
指導教授推薦書………………………………..…………………..…
口試委員審定書………………………………..…………………..…
中文摘要………………………………………..…………………..… iii
英文摘要……………………………...………………………………. iv
第一章 前言…………………………………………..………….….. 1
第二章 文獻回顧………………………………………….……..….. 4
2.1離開專業的意圖…………………………………..……..…… 4
2.2提升專業能力的意願與行動………………………………… 6
2.3社會認知職涯理論(SCCT)、職涯支持與職涯障礙……..…... 7
第三章 假說發展…………………………………………….....….. 11
第四章 研究方法………………………………..………….…….... 16
4.1樣本與資料收集流程……………………………………..… 16
4.2測量……………………………………………………..…… 17
4.3心理計量特性……………………………………...…..…..... 17
4.4資料分析……………………..……………………………… 21
第五章 結果………………………….…………………………….. 22
5.1樣本人口統計分布……………………………………..…… 22
5.2假說檢定……………………………………………..……… 23
第六章 討論…………………………………………………….….. 26
6.1主要發現與貢獻……………………………………..……… 26
6.2理論意涵…………………………………………..………… 26
6.3管理意涵…………………………………………………….. 27
6.4研究限制與未來研究方向………………………………….. 28
第七章 結論………………………………………………….…….. 32
參考文獻………………………………………………..……….…… 33

圖目錄
圖1 研究架構圖…………………………………………………..… 15
圖2 研究架構和各構念間的路徑係數……..…………...…………. 24

表目錄
表1 確定性因素分析……………………………………………..… 18
表2 各構念間的相關係數……………..….…………..……………. 21
表3 有效樣本人口統計分布……………..….…………..…………. 22
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