[[alternative]]Correlations among Chinese Medicine Nursing Learning Experiences, Organizational Climate, Job Satisfaction and Job Performance

[[abstract]]本研究之主旨在於探討中醫護理教育學習經驗、組織氣候、工作滿意度與中醫護理人員工作績效之間的相關性，藉由瞭解其間之影響相關程度，進而提升現階段中醫護理之照護品質。研究方法採橫斷式研究設計，以設有中醫門診及病房之醫療院所的中醫護理人員為研究對象，採全體取樣方式進行問卷調查，共計發出問卷108份，扣除無效問卷4份，實際有效問卷有104份。問卷調查內容有五大部分：一、個人基本屬性資料包含：性別、年齡、中醫護理單位、服務年資、教育程度以及內、外控人格特質。二、中醫護理教育學習經驗包含：中醫護理教育學習型式、中醫護理課程研習科目。三、組織氣候。四、工作績效包含：中醫護理能力與工作成果。五、工作滿意度。問卷資料以SPSS 18.0統計軟體進行資料分析，分析方法包含次數、百分率、平均數、標準差、獨立性t檢定、單因子變異數分析、Kruskal-Wallis單因子等級變異數分析、Mann-Whitney U檢定。並以決策樹預測影響中醫護理人員工作績效與工作滿意度之重要因素。研究結果顯示:1教育程度為研究所者與其它學歷者比較，在中醫護理能力有顯著差異性。2.同時接受學校及在職教育經驗者與其它者比較，在中醫護理能力有顯著差異性（p< 0.01）；於外在滿足亦有差異性（p< 0.05）。3.中醫護理課程學習科目總數、組織氣候與中醫護理服務年資為影響中醫護理能力與工作滿意度之重要因素。4.工作滿意度與中醫護理能力則為影響工作成果之重要因素。根據本研究結果建議:1.將中醫護理納入現行學校護理教育之必修課程，提昇中醫護理教育之普及率，以促進臨床護理人員培養結合中西醫療照護之概念。2.醫療機構主管應重視並思考如何提供中醫護理人員支持性的組織氣候、良好的臨床學習環境與專業發展機會，以提昇臨床護理人員之中醫護理能力與工作滿意度，進而達到較佳的工作績效。[[abstract]]The aim of this study is to improve the quality of current Traditional Chinese Medicine (TCM) nursing care by exploring the correlations among Traditional Chinese Medicine (TCM) learning experience, organizational climate, job satisfaction and job performance. A cross-sectional study was designed and conducted by a questionnaire survey. The study objectives include TCM nurses who work at TCM clinics and wards in hospitals. A total of 108 questionnaires were issued, including four invalid questionnaires and 104 effective questionnaires. The questionnaire has five parts: first, the basic demographics including gender, age, service units of TCM care, periods of service, educational level and locus of control personality. Second, the learning experiences of TCM nursing including the educational experience and the studied numbers of curriculum subjects in TCM nursing. Third, organizational climate. Fourth, the job performance including the nursing competences and achievements and the last, job satisfaction.Data analysis was conducted by SPSS 18.0, the parameters included frequency, percentage, mean, standard deviation, independent t-test, one-way ANOVA, Kruskal-Wallis one-way analysis of variance by ranks, Mann-Whitney U-test. And decision trees were constructed to predict the impact factors on job performance and job satisfaction of TCM nursing staff.The results revealed: 1. Nurses with institute degree have significant differences in TCM competences comparing to others. 2 Comparing to others, the nurses who had both school education and on-job training experiences have significant differences in TCM nursing competences (p<0.01), and have significant difference in external satisfaction (p