本研究旨在探討護理人員基本屬性及不同單位護理人員對自我評量、工作環境、福利制度的滿意度及其相關因素。本研究採描述性研究法，研究對象為中部某醫學中心服務滿三個月的正式護理人員，於90年10月29日至11月5日進行問卷調查，共發出793份問卷，回收692份，回收率為87.26%；其中有效問卷673份，有效問卷回收率為84.87%。研究工具採結構式問卷，以SAS/PC+ 6.11版套裝軟體統計分析。研究結果顯示護理人員對自我評量方面的滿意度最高，對福利制度的滿意度最低；自我評量方面以婦產科護理人員滿意度最高，內科護理人員滿意度最低，統計上達顯著差異(F=5.89，p<0.01)；工作環境及福利制度方面以特殊單位的護理人員滿意度最高，加護單位護理人員滿意度最低，統計上達顯著差異(F=5.46，p<0.01)；年齡與年資愈高者，對工作環境與福利制度愈滿意；職稱方面，護理師比護士滿意度高；職級方面，N2、N3的滿意度比N1高，且均達統計上的顯著差異(p<0.05)。本研究結果可供各醫療機構護理主管參考，以加強勞資雙方的溝通管道，並達成人性化的管理理念。建議日後進行滿意度調查時，可運用顧客滿意度理論，調查機構內部顧客〔院內各部門〕對護理人員的意見，作為改進的參考。
This study explored job satisfaction among nurses in terms of self-evaluation, workplace environment and the welfare system. All nurses who had been employed 3 months or more in a medical center in central Taiwan were included in the study. Out of 793 distributed questionnaires, 692 were returned (return rate=87.26%) and 673 (84.87%) were valid. Data were analyzed by SAS/PC+ 6.11. Overall, self-evaluations scored the highest, and the welfare system scored the lowest. In terms of self-evaluations, obstetrical nurses scored the highest, and medical nurses scored the lowest. Significant differences (F=5.89, p<0.01) were noted. With respect to work environments and the welfare system, special unit nurses scored the highest, and intensive care unit nurses scored the lowest. Significant differences (F=5.46, p<0.01) were shown. We also found that older age and longer employment history were associated with more satisfaction with workplace environment and welfare. With respect to status differences, registered nurses were more satisfied than other nurses. Regarding stage, N2 and N3 were more satisfied than N1 nurses. Significant differences (p<0.05) were shown. Our findings can serve as a useful reference for hospital administrators to improve mutual communications and achieve a more humanistic managerial environment. For future investigations regarding job satisfaction, we recommend using the customer satisfaction theory so that inner customers’ (for example, different departments in the medical center) responses to nurses are included for further improvements.
