| Summary: | 碩士 === 台北醫學院 === 護理學研究所 === 88 === The objective of this thesis was to explore the frequency and the effectiveness of the clinical nurses* upward influence behaviors .While trying to find out the frequency and the effectiveness of upward influence behaviors initiated by nurses of different attributes, comparisons and contrasts among different levels of medical institutions were included as well.
Were posted out in mid-September 1999 to randomly selected clinical nurses and 346 were returned (response rate 96.11%) within two months, in which 332 of them were valid (valid rate 92.22%).All raw data were processed and analysed by using descriptive statistics, one way ANOVA ,and Pearson*s correlation.
Several Phenomena were presented in the analysed data:
1. The mean of the nurses* upward influence behaviors frequency was 1.62(SD=0.33) and much below moderate. Among the six upward influence behaviors ,the logic persuade method had the highest score (mean=2.64,SD=0.65) and the non-reasonable pressure method had the lowest score (mean=1.21,SD=0.24).
2.The mean of the nurses* upward influence behaviors effectiveness was 1.77(SD=0.46) and much below moderate. Among the six upward influence behaviors ,the logic persuade method had the highest score (mean=2.80,SD=0.63) and the non-reasonable pressure method had the lowest score (mean=1.32,SD=0.42).
3.It suggested that the frequencies of upward influence behaviors were significantly different among nurses of various attributes with which their ages and their tenures were highly associated. The more nurses in the unit,the lower the frequency.
4. As to the effectiveness of the nurses* upward influence behaviors, the results also disclosed that there were significant differences among different unit. The more nurses in the unit , the lower the effectiveness.
5. The overall results showed in contrast that the effectiveness of the nurses* upward influence behaviors was positively relatived to the frequency. The more often nurses exercise upward influence, the higher effectiveness they can achieve.
Therefore ,the results showed the most frequently used upward influence behaviors by nurses* were the positive behaviors and their effectiveness of the upward influence behaviors were high .The least frequently used upward influence behaviors were the negative behaviors and their effectiveness were low. The research had a tendency to suggest that clinical nurses enhance the effectiveness of upward influence behaviors and meanwhile increase their sense of fulfilment by better understanding how to exercise upward influence behaviors. This can furthermore help the head nurses to manage and supervise their follow nurses. In addition , medical institutions should provide correct knowledge about upward influence behaviors in their in-work training programs so as to attain more harmonious relationship between management staffs and their follows .In a nutshell, the results of this study offered possible directions for future researches, suggested course designing for hospital in-work training programs, and at the same time provided references to nursing management.
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