Contract Nursing Staff ''s Perception of Organizational Justice and Their Organizational Citizenship Behaviors：The Case of One Public Hospital in Southern Taiwan

• Main Authors: Yu-wen Chen, 陳郁雯
• Other Authors: Su-fen You
• Format: Others
• Language: zh-TW
• Published: 2008
• Online Access: http://ndltd.ncl.edu.tw/handle/12243632252916323754

碩士 === 義守大學 === 醫務管理學系碩士班 === 96 === Taiwan''s public hospitals must ponder over how to save the cost when they face the dual tendencies toward ''the National Health Insurance finance reduction'' as well as ''downsizing the number of governmental personnel''. Therefore, the ''contracting personnel system'' has become an alternative to relieve the shortage of governmental employees. This study is a case study of one district public hospital in Southern Taiwan, focusing on the nursing department, which often recruits contract nurses in recent years. It explores the perception of ''organizational justice'' among the contract nurses, as well as their performances of ''organizational citizenship behavior''. This study is based on the qualitative research method, in terms of adopting 10 in-depth interviews from April to May 2008. The interviewees are all nurses working in the hospital studied. They were chosen through the way of purposive sampling, and composed of 3 nursing managers, 5 contracting nurses and 2 official nursing staffs. In terms of analytic framework, ''organizational justice'' consists of three dimensions：distributive justice, procedural justice and interactional justice, and ''organizational citizenship behavior'' contain seven dimensions：helping, sportsmanship, organizational loyalty, organizational compliance, individual initiative, civic virtue, and self-development. About the evaluation of organizational justice, it is indicated that, the contracting nurses generally had negative perception of ''distributive justice'' and ''procedural justice''. However, they had positive perception of ''interactional justice''. In the part of ''organizational citizenship behaviors'', the contracting nurses had weak performance in the dimension of ''sportsmanship''. The performance in the dimension of ''civic virtue'' is difficult to be judged. The contracting nurses had good performance in the other five dimensions. It is pointed out that, the leadership of being easy to get along with of the nursing managers has helped to achieve the work atmosphere, and meanwhile has contributed to good performance of the contracting nurses with their organizational citizenship behaviors. Such leadership, however, could not lower negative perception of distributive justice and procedural justice among the contracting nurses. Depending only on nursing managers'' words of mouth will not guarantee long-term high-level performance of OCB. Substantive laws and organizational policies are needed in order to protect the rights of contracting nurses. Only if contracting personnel maintain high-level of organizational citizenship behaviors, the quality of care in hospitals will be increased. Furthermore, the capacity of competition of the case hospital will be enhanced, and meanwhile the goal of business continuity will be achieved.