| Summary: | 碩士 === 國立臺北護理健康大學 === 護理研究所 === 101 === Abstract
The aim of the study is to investigate the differences of nurse practitioners’
practice activities, job satisfaction and self-reported care effectiveness in different
types of hospitals. The study design was descriptive and structural, collecting data
through the form of an e-questionnaire on the web site. The questionnaire included
respondents’ demographical characters, data concerning their practice activities,
EverCare Nurse Practitioner Role and Activity Scale (ENPRAS), Misener Nurse
Practitinoer Job satisfaction Scale (MNPJSS) and Nurse Practitioner Care
Effectiveness Scale(NPCES). 2000 nurse practitioners who had met the criteria of the
study were noticed by the website of Taiwan Association of Nurse Practitiner to
administer the e-questionnaire on the web. 572 nurse practitioners had completed the
e-questionnaire; the respond rate was 28.6%. Collected data were analysed by SPSS
version 20.0; descriptive statistics, ANOVA, multiple hierrarchical stepwise
regression and non-parametric analysis were performed. The results revealed that
most nurse practitioners were female (n=560, 97.9%), with at least bachelor’s degree
(90%), 38 years old on average and averaged 15 years in nursing work seniorities.
NPs in local hospitals worked for longer time, those in medical centers were better
paid and most NPs were immediately supervised by both nursing directors and
physicians (40.1%). 77% of NPs felt better than ‘acceptable’ about their satisfaction
toward their work and 85% of NPs felt better than ‘acceptable’ about their satisfaction
toward the cooperation with physicians. Most NPs played the role of clinically caring
the patients directly. There were statistically significant (p<.05) differences in the
proportion of the roles as ‘medical care coordinator’ and ‘medical team member’
played by NPs. There were statistically significant (p<.05) differences in NPs’
opinions about ‘challenge of work’, ‘professional growth’, ‘internal cooperation’ and‘welfare from work’ but ‘incentive of work’ regarding job satisfaction. NPs’ roles and
activities at work, job satisfaction and care effectiveness were statistically significant
(p<.05) interrelated. The results of the regressional analyses showed that the
predictors of NPs’ care effectiveness in medical centers were ‘consultant’, ‘challenge
of work’ and ‘incentive of work’; the predictors of NPs’ care effectiveness in regional
hospitals were ‘medical team member’ and ‘challenge of work’ and the predictors of
NPs’ care effectiveness in local hospitals were ‘consultant’ and ‘challenge of work’.
Consequently, we suggest that the key predictor of all NPs’ care effectiveness might
be ‘challenge of work’.
Keyword: nurse practitioner, practice activities, job satisfaction, care effectiveness
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