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|Title: ||影響護理人員任務績效與離職意向因素之跨層次研究;Factors influencing nurses’ task performance and turnover intention: A multi-level study|
|Keywords: ||組織結構;轉換型領導風格;病人安全文化;任務績效;離職意向;Organizational Structure;Transformational Leadership Style;Task Performance;Turnover Intention;Hierarchical Linear Model|
|Issue Date: ||2016-01-05 16:30:14 (UTC+8)|
;Due to severe nursing shortage in recent years, investigating the factors associated with nurses’ task performance and turnover intention has become a critical task in human resource management worldwide.
The study using a multi-level design aimed to examine the effects of the three dimensions of organizational structure (formalization, standardization, centralization) and transformational leadership style at the group level, as well as the individual level of perception of patient safety culture on nurses’ task performance and turnover intention. In addition, the mediating role of patient safety culture on the relationship between transformational leadership and nurses’ turnover intention and task performance were also explored.
Data were collected from the head nurses and nurses using self-report questionnaires. A random sampling scheme according to the distribution ratio and rank of hospital accreditation was used. The sample consisted of 1521 participants from 23 hospitals, with an overall response rate of 92.18% (147 head nurses and 1347 nurses). The cross-level effects was examined by the HLM
The results indicated that patient safety culture had a negative impact on nurses’ turnover intention and a positive impact on task performance. The five dimensions of transformational leadership style in head nurses had a positive impact on nurses’ perception of patient safety culture, task performance and negative impact on nurses’ turnover intention.
Furthermore, formalization of organizational structure moderated the perception of patient safety culture: higher formalization had significantly larger negative impact on nurses’ turnover intention and positive impact on task performance stronger than lower formalization. Lower centralization positive impact on task performance is stronger than higher centralization, and then higher standardization has negative impact on nurses’ turnover intention as well as higher formalization.
However, the moderating effect of standardization on the relationship between patient safety culture and nurses’ task performance and that of centralization on the relationship between patient safety culture and nurses’ turnover intention were not statistically significant.Patient safety culture has a completely mediating effect on the relationship between transformational leadership style and task performance and that between transformational leadership and turnover intention.
The results from this study provided insights into the effects of organizational structural factors and patient safety culture on nurses’ task performance and turnover intention.
|Appears in Collections:||[人力資源管理研究所] 博碩士論文|
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