背景:在醫療環境的重大改變與護理專業品質更受重視下，護理多元能力的養成與個人工作態度息息相關，工作滿意程度又影響著整個團隊工作績效成果；醫院如何運用彈性調整員工數量、工作時數及人力結構，適時輪調員工、提供充分的教育訓練，俾利有效的分配與利用，以因應環境的快速變化乃成為重要之課題。目的:本研究探討護理人員工作輪調、工作滿意及工作績效之主要影響因素。方法:本研究採用問卷抽樣調查法，針對台南地區護理人員進行問卷調查，共寄發問卷230份，有效回收問卷計228份，回收率達99.13%。結果:研究結果發現：工作輪調認知與意願與工作滿意呈顯著正相關；工作輪調認知與意願與工作績效呈顯著正相關；工作滿意與工作績效呈顯著正相關；工作輪調認知與意願會透過工作滿意程度影響工作績效。結論:醫院規劃護理人員的工作輪調，若能提供好的社會化過程，提高護理人員對於輪調的正向認知，則其接受新職務的意願也較高，並會增加工作滿意及工作績效，顯示工作輪調是增加醫院人力效能的一項有用的管理方法。

Background: There have been major changes to the medical care system and heightened standards for quality in the nursing profession in recent decades. Multifunctional capabilities are closely related to individual working attitudes, and work satisfaction directly affects group performance. Hospital administrators increasingly expect to utilize nursing
staffs flexibly in terms of working hours and shift rotation assignments. This study addresses the need to provide appropriate educational training to nurses and effectively delegate and utilize human resources in order to help nurses adapt to the rapidly changing medical environment. Purpose: This study on nursing staff in Tainan area explored the relationships between job rotation, work performance and satisfaction. Methods: We used a questionnaire sampling method to survey nurses working in the Tainan area of southern Taiwan. Subjects were volunteers and a total 228 valid questionnaires (99.13%) were returned out of a total 230 sent. Results: Both job satisfaction and performance correlated positively with job rotation perception and intention; Job satisfaction and job performance were positively related; Job satisfaction was found to affect work performance via job rotation perception and intention. Conclusions: This study found the hospital nursing staff rotation plan to be an effective management method that facilitates social evolution to increase positive perceptions of work rotation. Nursing staffs thus become more accepting
of new positions that may enhance job satisfaction.