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護理暨健康照護研究 Scopus

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篇名 某公立精神專科教學醫院護理人員專業承諾之研究
卷期 8:2
並列篇名 The Professional Commitment of Nurses in a Public Psychiatric Teaching Hospital
作者 李素芳馬震中丘周萍蘇淑芳
頁次 83-93
關鍵字 精神專科教學醫院精神衛生護理專業承諾psychiatric teaching hospitalpsychiatric mental health nursingprofessional commitment
出刊日期 201206

中文摘要

背 景: 專業承諾是衡量留任意願的指標,精神衛生護理人員對專業的認同、投入、忠誠,可降低人力的流失。目 的: 旨在探討某公立精神專科教學醫院護理人員專業承諾的現況及其影響因子。方 法: 採用調查研究法並編製結構式問卷,研究樣本取自南部地區某公立精神專科教學醫院精神衛生護理人員,實得有效樣本181份。問卷調查所得資料,運用SPSS for Windows 14.0版進行統計分析,採用的統計方法包括:描述性統計、獨立樣本t檢定、單因子變異數分析、及複迴歸分析。結 果: ⑴與專業承諾達顯著差異的背景變項,包括:年齡、婚姻、教育程度、子女數、家人對精神衛生護理工作支持度、臨床總年資、精神科年資、專業進階等級、職稱、每月薪資等10項。⑵專業承諾整體層面最具預測力之變項共有七個,包括:年齡、家人對精神衛生護理工作支持度、臨床護理總年資、精神科年資、專業進階等級、每月薪資報酬、職稱,共可解釋42%的變異量。結論/實務應用:根據研究結果,歸納主要的研究發現並做成結論與建議:⑴持續推動精神衛生護理專業能力分級進階制度。⑵重視新進及契約人員的訓練、輔導、及管理。⑶建立正向同儕關係,開拓專業承諾支持網絡。⑷賡續深化精神衛生護理人員精神護理專業能力之培訓,提升專業承諾素養。

英文摘要

Background: Acknowledging the professionalism, dedication and loyalty of psychiatric mental health nurses canreduce manpower loss from this sector and may provide an indicator of the professional commitment of nurses totheir jobs.Purpose: This research explored the professional commitment of psychiatric nurses and related factors of influencein a public psychiatric teaching hospital.Methods: Researchers used a cross-sectional, correlational design and developed a professional commitmentscale, which was administered to 190 nurses working at a regional public psychiatric teaching hospital in southernTaiwan. A total of 181 completed questionnaires were returned. Data were analyzed using descriptive statistics,t -test, one-way ANOVA, and multiple regression analysis.Results: (1) Background variables including age, marital status, education level, number of children, family supportfor working as a psychiatric nurse, seniority as a clinical nurse, seniority in current position, current professional ladderlevel, current position and monthly salary were all identified as significantly influencing participants’ professionalcommitment; (2) Seven background variables showed significant predictive value in terms of professionalcommitment. These included age, family support for working as a psychiatric nurse, seniority as a clinical nurse,seniority in current position, current professional ladder level, monthly salary and current position. These 7 itemsexplained 42% of total variance for professional commitment.Conclusions / Implications for practice: Study results suggested the following: (1) promoting the ladder systemis important to advancing psychiatric health professional abilities; (2) significant attention should be focused ontraining, guiding and managing new nurses and contract nurses; (3) administrators should promote positive peerrelationships and extend professional commitment support networks; (4) psychiatric professional proficiency trainingshould be intensified for psychiatric nurses and their accomplishments should be promoted.

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