領導風格、專業承諾、工作滿意度與醫務社工職涯發展之相關性研究─以雙北市醫院為例

Abstract

本研究主要探討個人背景變項、醫務社工主管的領導風格、醫務社工的專業承諾與工作滿意度對於醫務社工者職涯發展之相關情形。 本研究採用調查研究法，以臺北市及新北市的醫務社工為研究對象，針對雙北市73家醫院的醫務社工使用線上問卷方式進行資料蒐集，最終回收121份有效樣本，回收率31.9%。在資料分析部分，使用SPSS 25.0進行Pearson積差相關分析與階層迴歸分析，以瞭解領導風格、專業承諾與工作滿意度對於醫務社工職涯發展之相關性與解釋力。 依據研究結果與分析如下： 一、個人背景變項部分，性別、教育程度、現職工作年資與職涯發展均無統計上顯著差異，僅是否具專業證照(社工師執照或醫務專科證書)與職涯發展有達統計上顯著負相關，意即具備社工師執照或醫務專科證書的比例越高，其職涯發展變動性越低。 二、轉換型領導風格、專業承諾、工作滿意度與職涯發展皆有顯著正相關。 三、轉換型領導風格、專業承諾、工作滿意度對於醫務社工之職涯發展皆具有單獨之解釋力，依據階層迴歸模型分析結果，在考量了工作滿意度及專業承諾的影響力之後，轉換型領導的效果消失、未達顯著性，顯示醫務社工於考量整體職涯發展時，工作滿意度與專業承諾為主要的影響因素，當中又以專業承諾更為關鍵。 最後，依據研究結果本研究對於社會工作專業、醫院組織管理者與醫務社工主管提出相關建議。

This study aimed at the relationship between personal background variables, the leadership style of medical social worker supervisors, professional commitment and job satisfaction of medical social workers on the career development of medical social workers. In this study, the survey method was adopted, with medical social workers in Taipei City and New Taipei City as the research objects, and the medical social workers in 73 hospitals were surveyed using online questionnaires. Finally, 121 valid samples were recovered, with a response rate of 31.9%. In data analysis, SPSS 25.0 was used to conduct Pearson correlation analysis and hierarchical regression analysis to examine the correlation and explanatory power of leadership style, professional commitment and job satisfaction to the career development of medical social workers. The results show that: 1. In terms of personal background variables, there is no statistically significant difference in gender, education level, current working experience on career development. Only whether there is a professional license (social worker license or medical professional certificate) has a statistically significant negative correlation with career development, which means that the higher likelihood the social workers have social work licenses or medical specialist certificates, the lower the variability of their career development. 2. Transformational leadership style, professional commitment, job satisfaction and career development are all significantly positively correlated. 3. Transformational leadership, professional commitment and job satisfaction all have independent explanatory power for the career development of medical social workers. According to the results of hierarchical regression model analysis, after controlling for the influence of job satisfaction and professional commitment, the significant effect of transformational leadership disappears which indicates that when medical social workers consider the career development, job satisfaction and professional commitment are the main predicting factors, and professional commitment is the more critical factor. According to the research results, this study puts forward relevant suggestions for social work professions, hospital organization managers and medical social work supervisors.