The Effect of Employee Cognition toward Organizational Changes on Organizational Commitment and Job Satisfaction in Taipei City Hospital

• Main Authors: Tsui-Tao Liu, 劉翠瑤
• Other Authors: 郭乃文
• Format: Others
• Language: zh-TW
• Published: 2008
• Online Access: http://ndltd.ncl.edu.tw/handle/38225686505915175204

碩士 === 臺北醫學大學 === 醫務管理學研究所 === 96 === Due to the dramatical change of healthcare environment recently, hospitals are facing humongous challenge in survival and management. The Taipei City Hospital was integrated into a new municipal health care system on 2005/01/01 for promoting her competition advantage and management performance. Organizational changes bring huge difference amount human resource, organization infrastructure, and management type. The target of this study is to investigate the effect of employee cognition toward organizational changes on organizational commitment and job satisfaction after change of hospital organization, and how those effects influent different employee personnel. By this study, it shall provide some reference materials for management and human resource department during integration of public hospitals. After reliability and validity examination, we distributed questionnaire to employee whether their employment status were formal public-service, contracted, or day labored, and those who were been hired between 2004/06/30 (half year before hospital integration) and 2008 April from 10 different hospitals. Totally we send out 2910 questionnaire and received 2421 of them, and recruitment rate is about 83.16% which contains 1995 valid questionnaire (valid questionnaire recruitment rate is about 82.4%. Our main investigation shows: 1. employee in different attribution will have significant difference in organizational changes acknowledgment, organizational commitment and job satisfaction. 2. in the correlation among “employee cognition toward organization changes”, “organization commitment” and “job satisfaction” aspects, beside the organizational changes acknowledgment, commitment toward job guarantee, and value of organizational commitment, other respects had positive significant correlation. 3. in the effect of personal attribution and organizational changes acknowledgment; gender, age, tenure, profession, commitment toward involving communication and job guarantee had significant influence and predict power. Age, education level, organizational changes acknowledgment, commitment toward future development, and job guarantee had significant influence and predict power toward commitment of effort. Age, tenure, organizational changes acknowledgment, and commitment toward involving communication had significan influence and predict power toward commitment of value. 4. in the effect of personal attribution and organizational changes acknowledgment toward job satisfaction, tenure, profession, commitment toward effect of changes, future development, and involving communication had significant influence and predict power toward inner satisfaction. Tenure, hired level, profession, commitment toward effect of changes, commitment toward involving communication and job guarantee had significant influence and predict power toward external satisfaction. Tenure, profession, commitment toward effect of changes, future development, involving communication, and job guarantee had significant influence and predict power toward general satisfaction. These findings can provide hospital managers that there had correlation among partial personnel attribution, commitment toward effect of organization changes, commitment toward organization and job satisfaction. Thus, managers should notify the employees clearly about the change activities, enhance mutual communication. Further, managers should try to let the employees understand the future plan and development of hospital, public the information and let each level of employees involved in the change activities, so that employees will have higher cognition of acceptation and job satisfaction, and this will make the employees help the change activities automatically, in order to lasting hospital operation.