| Summary: | 碩士 === 台北醫學院 === 護理學研究所 === 88 === The purpose of this study was to determine the distribution of hospital department manager,s strategic involvement and strategic commitment. The relationship among strategic involvement, strategic commitment and organizational performance in hospitals were also examined.
Three hundred seventeen department managers of 15 regional hospitals were surveyed with questionnaires which were comprised of 4 parts：strategic involvement, strategic commitment, subjective performance and personal data. There were 162 valid questionnaires collected at a response rate of 51.1%.
The results were shown that the frequency of department manager,s strategic involvement was higher than the moderate range. The frequency of implementing was significantly higher than that of championing, synthesizing information, facilitating adaptation in the strategic involvement section. The level of department manager,s strategic commitment was also higher than the moderate range. Their strategic involvement and strategic commitment were significantly associated with subjective performance.
Furthermore, there was a positive correlation between the strategic involvement and strategic commitment. Strategic involvement of female managers was higher than male managers. Manager,s strategic involvement was significantly associated with education background. Strategic involvement, facilitating adaptation, implementing, and strategic commitment of nursing managers were higher than physician managers. Facilitating adaptation of nursing managers was also higher than executive managers. In strategic commitment section, the level of reducing cost of nursing managers was higher than physician managers.
These results would provide a reference of management for the top-level or middle-level managers of hospitals. Based on the study results, the related training courses of middle manager were suggested.
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