由於台灣已邁入老人國之社會,促使長期照護之需求增加,而長期照護是以服務為導向之工作,其主要之人力是照護服務員,故本研究旨在探討影響照顧服務員留任意願之因素,期望降低其離職意願,改善病患照護品質.本研究採橫斷式調查法,以結構式問卷針對台北縣、市立案之15家長期照護之機構進行資料收集,共得到196份有效問卷.資料收集時間2003年3-4月.結果呈現:(1) 照顧服務員之教育程度與留任意願呈現負向的微相關(r =-.24, p<.01); (2 )工作資歷(r=.16, p<.05)自覺健康(r =.18, p<.05)與留任意願呈正向的微相關.(3)機構屬性中之佔床率與留任意願呈低度的正相關. (4)工作滿意度與留任意願呈顯著中度的正相關(r=.31, p<.01).(5)照顧服務員之留任意願為「有意願」(r =.63, p<.01).經回歸分析得知教育程度、佔床率、工作滿意度是影響照顧服務員留任意願之重要預測因子,可解釋40%總變異量.根據本研究之結果,可提供於未來長期照護政策相關留任措施之參考建議.

Taiwan has an aging population, which means the need for long-term care is increasing. Long-term care is a human-oriented service industry whose main manpower is provided by health care workers; therefore, the purpose of this research was to focus on the factors associated with nursing aides who are willing to stay on the job in order to improve the quality of patient care. Data were collected between March and April 2003 using cross-sectional study design and based on a questionnaire. Research samples were taken from 196 nurse aides from 15 long-term care facilities located in districts of Taipei city. The results showed that (1) there was a statistically significant negative correlation between nursing aides' level of education and willingness to stay on the job(r =-.24, p<.01); (2 )there was a statistically significant positive correlation between nursing aides' work experience (r=.16, p<.05), health condition (r =.18, p<.05) , and willingness to stay on the job; (3) there was a statistically significant positive correlation between bed occupancy rates and nursing aides' willingness to stay on the job (r=.31, p<.01); (4) there was a statistically significant positive correlation between nursing aides' job satisfaction and willingness to stay on the job (r =.63, p<.01). According to the results of regression analysis, the predictors of willingness to stay on in long-term care are level of education, bed occupancy rates, and job satisfaction (40% of total variance). It is hoped that this information will be applied to future policy development of retention strategies in long-term care in Taiwan.