| Summary: | 碩士 === 嘉南藥理大學 === 醫務管理系 === 102 === Background and Objectives: Many nursing innovations have become standard in the medical industry and that is an important development trend. Organizational citizenship behavior and employee's productivity are enhanced by the focus of hospital managers. This study want to explore the effects of nursing innovations on organizational citizenship behavior (OCB) and employee's productivity among hospital nurses.
Methods: The study was based on a cross-sectional design and selected staff nurses and their managers from three regional hospitals as samples in Taiwan. The case ran from January to November in 2013. First, we issued a total 371 questionnaires of nursing innovation to staff nurses, (of which we eliminated invalid questionnaires) and had 349 valid questionnaires which was a response rate of 94.07%. We also collected a total of 349 valid questionnaires from nurse managers, thus the valid resonse rate was 100% after pairing. Then we used confirmatory factor analysis, Student’s t-test, One-Way ANOVA, Pearson correlation and hierarchical multiple regression analysis to analyze the data.
Results: The results of this research shows that the highest dimension of nursing innovations is known as "knowledge creation" and "innovative behavior." The highest dimension of OCB is known as " protecting hospital resources ", and the highest items of employee's productivity is "the nurse rarely ask for time off." The score of "identification with the company", one dimension of OCB, of B hospital is significantly higher than that of C Hospital . The score of "altruism toward colleagues" of Gastrointestinal and Hepatology division is significantly higher than that of Orthopedic division. In the aspect of nursing experience, nurses with 2-3 years have the significantly lower score than nurses with more than 7 years. Nurses that had participated in training programs related to innovation or creativity also have the lower degree of "identification with the company" than those that had not participated in these training programs. The higher the innovative behavior is, the lower the level of "altruism toward colleagues" is. Finally, the higher the level of innovation diffusion, the higher the level of "altruism toward colleagues" is.
Conclusions: We should effectively enhance the effects of nursing innovation on OCB and employee's productivity. With nurses, except for patient-centered innovation developments, we also need to have good team combinations and the strong willingness of joining team to achieve effective teamwork. In aspects to hospitals or nurse managers, we can consider the workload of each staff and thus recruit ward assistants as well as gradually reduce the burden on caregivers. In addition, hospitals can provide real effective support and establish incentive policy to encourage nurses improve innovation development.
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