| Summary: | 碩士 === 臺北醫學大學 === 醫務管理學系 === 92 === The purpose of this study was to explore the relationship between outsourcing contract style, management style of head nurses and the effectiveness of housekeeping outsourcing in six medical centers in northern Taiwan.
Six medical centers, including 3 public and 3 not-for-profit hospitals in northern Taiwan were included in this study. A questionnaire was sent to 257 head nurses in the six hospitals. There were 222 questionnaire completed. The return rate was 86.38%. Additionally, the researcher also interviewed monitoring unit managers of the six hospitals and the on-site managers of the outsourcing companies to understand their management style.
The main results of this study were as follows:
1. The head nurses in the not-for-profit hospitals, compared with the head nurses in the public hospitals, had significant preference for using a democratic management attitude.
2. The only difference of housekeeping outsourcing management style between the public and not-for-profit hospitals, was “process monitoring” of the monitoring unit.
3. There was no difference in the performance of housekeeping outsourcing in either the public or not-for-profit hospitals.
4. There was no correlation between the outsourcing management styles and the management attitudes of head nurses in either the public or not-for-profit hospitals.
5. There was a positive correlation between the performance of outsourcing and the management attitudes of head nurses in the public hospitals. There was no similar results found in the not-for-profit hospitals.
6. In the public hospitals, there were significant positive relationship between the “process monitoring ”、“outcome monitoring” of on-site managers and the quality of housekeeping outsourcing. There were also significant positive relationship between the “process monitoring”、“outcome monitoring” and “using punishment for command” of on-site managers and work effectiveness.
7. In the not-for-profit hospitals, there were significant difference between the “process monitoring” of head nurses and the quality of housekeeping outsourcing. There were significant difference between the “outcome monitoring”、“using punishment for command” of on-site managers and the quality of housekeeping outsourcing . There were significant difference between the “outcome monitoring” of monitoring unit managers and the quality of housekeeping outsourcing. There were also significant difference between the “process monitoring”、“outcome monitoring” of on-site managers and work effectiveness.
This study suggests that either public or private hospitals, should carefully choose housekeeping outsourcing company. The hospital management should understand and evaluate management experience of the outsourcing company before signing an outsourcing contract. When appropriate “process monitoring”, “outcome monitoring”, and “using punishment for command” adopted by the outsourcing company, the job performance quality and effectiveness of housekeeping will be better. If the nursing unit participates the “process monitoring”, the housekeeping performance will be better also.
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