Strategic management of establishing the magnet hospital: a nursing staff perspective

• Main Authors: Chiu-Hui Yu, 游秋慧
• Other Authors: Hung Yu Yang
• Format: Others
• Language: zh-TW
• Online Access: http://ndltd.ncl.edu.tw/handle/47608730942145073792

碩士 === 元培科技大學 === 健康產業管理研究所 === 101 === This study referenced 14 magnetic forces form Amercian Nurse Credential Center and modified to 18 magnetic forces to explore the key factors that influenced the retention of nursing staff. To investigate the key factors in and gaps between nurses’ perception and hospital provided performance of forces of magnetism, and to help develop magnet hospital management strategies. A cross-sectional study was conducted and questionnaires were collected from 436 nursing staff from 9 hospitals that belong to the Bureau of National Health Insurance, Department of Health, Executive Yuan. The importance-performance gap analysis (IPGA) model proposed by Lin, Chan and Tsai (2009) was employed to find out the main factors to be improved is a simple graphical tool enabling comparison of perceived importance against performance, which is expected to offer useful information to decision makers quickly through a two-dimensional strategic matrix.This study found 1) Total 18 magnetic forces were the key factorys that influenced the retention of nursing staff. 2) The gap existed in Taiwans' practice environment. 3) 8 forces of magnetism in Quadrant II needed to improve seriously. The first priority was pay structure, the second priority was welfare, and the third priority was workforce preparation. The other priority in sequence were flexible scheduling, handle nurse-patient dispute, nurse-patient relationship, clinical teacher’s attitude and management style. According to IPGA, Personnel policy and program are the primary forces to develop magnet hospital. Considering the demand of flexible scheduling for nurses, providing the supportive work environment, and keeping pace with today’s changing health care environment could enable achievement of better outcomes for nurses, patients and hospitals. This study contributes to provide a reference to help decision makers set priorities for implementation and develop effective strategies in limited resources.