Wang Fu-Ting, Li Hung-Hui
Department of Medical Administration, Chutung Veterans Hospital, Taiwan, ROC.
Hu Li Za Zhi. 2008 Aug;55(4):87-92.
Under the health-care insurance system in Taiwan, hospital management has not only to challenge the impacts of the post-SARS era, but also has to conquer the system change brought about by the National Health-Insurance Bureau. By global budget and various quality-control indicators, the hospital confronts pressure on restriction measures, including, on the one hand, reducing manpower, while on the other, pushing remaining employees to achieve more. The nursing department, comprising the highest percentage of faculty in the hospital, cannot but burden itself by accepting more duties. A ward nursing unit (WNU) therefore, has taken on the fundamental role of attaining the goals set by the hospital. This review is concerned with how the WNU functions and what kind of relationships exist between head nurses and staff nurses. An approach was adopted of exploring the impact of transactional leadership and trust on Organizational-Citizenship Behavior (OCB) between head nurse and staff nurses, with the aim of clarifying the present situation and proposing some suggestions for future modifications.
在台湾的医疗保险制度下，医院管理不仅要应对非典后时代的影响，还必须克服国民健康保险局带来的制度变革。通过全球预算和各种质量控制指标，医院面临着限制措施带来的压力，一方面要减少人力，另一方面要促使剩余员工完成更多工作。护理部门在医院教职员工中占比最高，不得不承担更多职责。因此，病房护理单元（WNU）承担起了实现医院设定目标的基础作用。本综述关注WNU的运作方式以及护士长与护士之间存在何种关系。采用一种方法来探究交易型领导和信任对护士长与护士之间组织公民行为（OCB）的影响，目的是厘清现状并为未来改进提出一些建议。
