探討基層護理人員參加臨床專業能力進階動機、壓力、滿意度與相關影響因素

Background: Taiwan nursing clinical ladder system has been implemented for more than 20 years. However, the satisfaction of clinical ladder system and its related factors worth further exploration. Purpose: 1. To understand the distribution of clinical ladder 2. To explore the relationship among personal factors, organizational factors and advanced motivation, advanced pressure, and advanced satisfaction 3. To explore the predictors that affect advanced satisfaction Method: A purposive sampling was conducted, and participants were recruited from 5 hospitals in Northern Taiwan. The structured questionnaires including advanced motivation, advanced pressure, and advanced satisfaction scales were used to collect data. A total valid questionnaires were 415. Results: The results of the study showed that most participants were 20 to 25 years old, unmarried, college education level, and in N1 level. 54.7% of nursing staffs plans continued to advance. Average service in current hospital was 7.13±5.86 years. The nursing staff who were longer years of service had a higher advance pressure and lower satisfaction (p＜0.05). The influencing factors of clinical ladder satisfaction included education level, clinical ladder system, reward system, unit workload, and advanced motivation (F=18.52, p＜.001). It could explain 37.3% of advanced satisfaction variance. Conclusions/Implications for Practice: The results will provide hospital administrators and nurse managers as a reference for coaching nurses advanced, also as a basis for promoting and revising the clinical ladder system.