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研究生: 蘇亦敏
Su, Yi-Min
論文名稱: 護理人員全人健康氣候量表之信效度驗證
Validation of the Total Worker Health Climate Scale Among Nursing Staff
指導教授: 胡昌亞
Hu, Chang-Ya
口試委員: 劉念琪
Liu, Nien-Chi
楊君琦
Yang, Chun-Chi
學位類別: 碩士
Master
系所名稱: 商學院 - 企業管理研究所(MBA學位學程)
Master of Business Administration Program(MBA)
論文出版年: 2025
畢業學年度: 114
語文別: 中文
論文頁數: 66
中文關鍵詞: 全人健康氣候組織健康氣候護理人員信效度分析
外文關鍵詞: Total Worker Health Climate, Organizational Health Climate, Nursing Staff, Reliability and Validity Analysis
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  •   本研究旨在驗證 Huang 等人(2023)建構之全人健康氣候(Total Worker Health Climate)量表應用於高風險第一線護理人員之信效度,並探討其與工作安全配合行為、睡眠品質、情緒耗竭、生活滿意度、工作滿意度及工作努力等變項之關聯性。
      本研究以方便抽樣方式蒐集國內護理人員問卷資料,共取得 626 份有效樣本。研究工具包含全人健康氣候量表(職場安全管理、員工身體健康管理、員工心理健康管理面向)及六項效標變數,採驗證性因素分析(Confirmatory Factor Analysis, CFA)檢驗建構效度,並以 Cronbach’s α 信度分析與皮爾森積差相關分析檢驗信度與效標關聯效度。
      研究結果顯示,全人健康氣候量表之五因子模式在護理人員樣本中展現良好信效度。在效標關聯效度分析結果中,全人健康氣候與工作安全配合行為、睡眠品質、生活滿意度、工作滿意度及工作努力皆呈顯著正相關,與情緒耗竭呈顯著負相關。此外,在不同科別(門診、普通病房與急診)的分析結果相似,顯示本量表具有良好的適用性。
      本研究證實該量表適用於台灣護理人員,可作為醫療院所評估組織健康氣候的工具,以提升護理人員之整體福祉。


      This study aims to validate the reliability and validity of the Total Worker Health Climate Scale developed by Huang et al. (2023) among high-risk frontline nursing staff, and to investigate its relationships with safety compliance, sleep quality, emotional exhaustion, life satisfaction, job satisfaction, and work effort.
      A convenience sampling approach was used to collect questionnaire data from
    nurses in Taiwan, yielding a total of 626 valid responses. The research instruments included the Total Worker Health Climate Scale, comprising three major domains (workplace safety management, physical health management, and psychological health management), as well as six criterion variables. Confirmatory factor analysis (CFA) was conducted to assess construct validity, while reliability was evaluated using Cronbach’s alpha coefficients. Criterion-related validity was examined through Pearson correlation analyses.
      The results indicated that the five-factor model of the Total Worker Health Climate Scale demonstrated satisfactory reliability and validity within the nursing sample. Regarding criterion-related validity, Total Worker Health Climate was found to be significantly and positively correlated with safety compliance, sleep quality, life satisfaction, job satisfaction, and work effort, while significantly and negatively correlated with emotional exhaustion. Furthermore, the analysis results were consistent across different clinical departments (outpatient clinics, general wards, and emergency departments), indicating the good applicability of the scale.
      Overall, this study confirms that the scale is applicable to nursing staff in Taiwan and suggests that it can serve as a useful tool for healthcare organizations to assess organizational health climate and promote the overall well-being of nursing staff.

    摘要 i
    Abstract ii
    目次 1
    表次 2
    第一章 緒論 3
    第一節 研究背景與動機 3
    第二節 研究目的 5
    第二章 文獻探討 6
    第一節 台灣護理人員之工作現況 6
    第二節 全人健康氣候之概念與發展 9
    第三節 全人健康氣候與員工工作結果之關聯性 13
    第三章 研究方法 18
    第一節 研究樣本與程序 18
    第二節 研究工具 19
    第三節 資料分析方法 27
    第四章 研究結果 29
    第一節 樣本描述與敘述性統計 29
    第二節 整體樣本驗證性因素分析 37
    第三節 調整後樣本驗證性因素分析 39
    第四節 信度分析 42
    第五節 效標關聯效度分析 44
    第五章 結論與建議 46
    第一節 研究結論 46
    第二節 補充分析之討論與文獻對照 48
    第三節 管理與實務意涵 52
    第四節 研究限制與未來研究建議 54
    參考文獻 55
    附錄:不同科別研究變項之平均數、標準差與相關係數矩陣 64

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