本研究結合授權、內部行銷及領導型態等因素，提出影響護理人員工作滿意度、組織承諾及工作績效之整合模式。本研究以臺灣地區3家區域醫院的護理人員為研究對象，並利用結構方程模式驗證研究模式各路徑之關係。研究結果顯示，護理人員工作滿意度會正向影響組織承諾。護理人員工作滿意度必須經由組織承諾才能提升工作績效。內部行銷與領導型態會正向影響護理人員的工作滿意度。授權與領導型態能強化護理人員的組織承諾。最後，根據研究結論可瞭解影響護理人員工作滿意度、組織承諾及工作績效之主要因子，可作為護理醫療產業人力資源管理之參考。

This study aims to explore the impact of empowerment, internal marketing and leadership on nurse staffs’ job satisfaction, organizational commitment and job performance. In this study,nurses in three local hospitals are as the object of this study. This study used structural equation modeling (SEM) to verify the path relationship of this model. The results showed that nurses staffs’ job satisfaction had a positive effect on organizational commitment. Nurse staffs’ job satisfaction enhances job performance only through organizational commitment. Internal
marketing and leadership positively influence nurse staffs’ job satisfaction. Empowerment and leadership enhance nurse staffs’
organizational commitment. According to the results, we may understand that the main influence factor of nurses staffs’ job satisfaction, the organization commitment and job performance. This will take reference to the medical service industry for human resources management.