Department of Nursing, Chang-Gung Institute of Technology, No. 261, Wen-Hua 1st Rd., Kwei-Shan, Tao-Yuan 33303, Taiwan, ROC.
Int J Nurs Stud. 2010 Apr;47(4):427-33. doi: 10.1016/j.ijnurstu.2009.09.007. Epub 2009 Oct 21.
The importance of the professional role of school health nurses in promoting children's health in their school environment is widely recognized. However, studies of their working experience have revealed feelings of disempowerment that appear to be related to insufficient support from school managers. In these unsupportive working environments, it seems possible that psychological empowerment may play a mediating role to strengthen employees' satisfaction and commitment to their employing organization.
The aim of this study is to test an exploratory model of empowerment in a Taiwanese sample of school health nurses by examining the mediating role of psychological empowerment in the relationship between external factors and work-related attitudes, specifically job satisfaction and organizational commitment.
A cross-sectional survey with self-reported questionnaires.
Probability proportional sampling was used to generate a randomly selected sample of 500 school health nurses in elementary and junior high schools in Taiwan. A total of 330 valid questionnaires were returned, yielding a response rate of 66%.
The exploratory model including all hypothesized variables provided an adequate fit (chi(2)=29.24; df=17; p=.052; adjusted goodness-of-fit index [AGFI]=.96; goodness-of-fit index [GFI]=.98; root-mean-square error of approximation [RMSEA]=.05) for the data and indicated that psychological empowerment did not fully mediate the relationship between organizational empowerment and job satisfaction because of the strong direct effects of organizational empowerment on job satisfaction. The influence of empowerment on organizational commitment was mediated through job satisfaction.
Psychological empowerment did not mediate the relationship between external factors and work attitudes, and job satisfaction emerged as an important factor. If school leaders can improve the job satisfaction of school health nurses, this will help them achieve greater commitment and loyalty of school health nurses to their employing schools.
学校卫生护士在促进儿童在学校环境中健康方面的专业角色的重要性已得到广泛认可。然而，对他们工作经验的研究表明，他们感到无能为力，这似乎与学校管理人员的支持不足有关。在这些缺乏支持的工作环境中，心理授权似乎可能通过加强员工对其雇佣组织的满意度和承诺来发挥中介作用。
本研究旨在通过检验台湾地区学校卫生护士的授权实证模型，考察心理授权在外部因素与工作相关态度（即工作满意度和组织承诺）之间的关系中是否具有中介作用。
横断面调查采用自报问卷。
采用概率比例抽样生成台湾小学和初中的 500 名学校卫生护士的随机样本。共回收 330 份有效问卷，应答率为 66%。
包括所有假设变量的探索性模型为数据提供了良好的拟合（χ²=29.24；df=17；p=.052；调整后的拟合优度指数 [AGFI]=.96；拟合优度指数 [GFI]=.98；近似均方根误差 [RMSEA]=.05），表明心理授权并没有完全中介组织授权与工作满意度之间的关系，因为组织授权对工作满意度有很强的直接影响。授权对组织承诺的影响是通过工作满意度来实现的。
心理授权并未调节外部因素与工作态度之间的关系，工作满意度是一个重要因素。如果学校领导能够提高学校卫生护士的工作满意度，这将有助于他们对学校卫生护士产生更大的承诺和忠诚度。
