Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan.
Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 40433, Taiwan.
Int J Environ Res Public Health. 2021 Jun 14;18(12):6436. doi: 10.3390/ijerph18126436.
This study investigated the influences of nursing assistants' job competency on their intrinsic and extrinsic satisfaction and intention to stay in the profession of long-term care institutions. Understanding the relationship between job competency and job satisfaction, both intrinsic and extrinsic, would enable institutions to strengthen service workers' intention to stay and to retain essential personnel. This study was a cross-sectional study in which nursing assistants from 26 nursing homes and 15 elderly welfare institutions in Taiwan. The relationship between job competency and intention to stay was discovered to be significantly mediated by intrinsic and extrinsic job satisfaction. Given the staff shortages and difficulty retaining staff in long-term care environments, organizations must be able to strengthen employees' intention to stay; one suggestion is to improve the employees' competency, because higher competency results in higher quality of care and greater extrinsic job satisfaction. Furthermore, greater job competency is more likely to result in affirmation and accomplishment, both of which increase intrinsic job satisfaction and thus positively influence intention to stay.
本研究旨在探讨护理助理的工作能力对其内在和外在满意度以及留在长期护理机构专业的意愿的影响。了解工作能力与内在和外在工作满意度之间的关系，将使机构能够增强服务人员的留任意愿，并留住必要的人员。本研究采用横断面研究方法，对象为来自台湾 26 家养老院和 15 家老年福利院的护理助理。研究发现，工作能力与留任意愿之间存在显著的内在和外在工作满意度中介关系。考虑到长期护理环境中人员短缺和难以留住人员的问题，组织必须能够增强员工的留任意愿；一个建议是提高员工的能力，因为更高的能力会带来更高的护理质量和更大的外在工作满意度。此外，更高的工作能力更有可能带来肯定和成就，这两者都能增加内在工作满意度，从而对留任意愿产生积极影响。
