健康照護體系是改善群眾健康的一項重要決定因素，為因應健康保險提供醫療服務的市場，除了醫療設施增加外，醫療人員數也增加很多。在台灣，護理人員的離職率相當高。護理人員的離職影響了工作環境、護理照護品質、病人安全及醫院轉盈為虧。在過去的研究，對於離職的發展過程有相當多的概念模式，工作滿意度是導致離職的一項主因，相似於工作滿意度，部分研究亦指出員工忠誠度對於員工的離職狀況有相當程度的影響。唯鮮少研究近一步探究護理人員之工作滿意度、員工忠誠度、及離職意願等心理層面因素之關係，因此本研究試圖整合此三項心理層面因素之前後關係。同時，護理人員以服務與回饋社會為其主要使命而爲非營利事業組織貢獻其專業與知識，難以享受一般營利事業得以享受企業盈利之分紅，因此員工所處環境之相關支持亦是項重要的影響因素，引此本研究欲進一步探討組織支持對於員工心理認知的影響。
本研究結果，護理人員之工作滿意度和離職意願呈負相關、員工忠誠度和離職意願呈負相關、及工作滿意度和員工忠誠度呈正相關。另外有兩項結論，員工忠誠度具有工作滿意度及離職意願間中介效果，和組織支持可強化護理人員工作滿意度，進而提升員工忠誠度，則是文獻中鮮少探討之關係，可提供人力資源管理的應用。建立良好的組織支持以提高員工忠誠度，使不易訓練培養的護理人員離職意願下降，降低護理人員離職率。

Health care system is one of the major determinants in improving people health. For the purpose of providing medical service, it increases not only medical facility, but also the health care providers. The nurse turnover rate is high in Taiwan. High turnover rate of nurses lead to poor care quality, and patient safety. Job satisfaction is a main reason for quitting job. Loyalty has the same effect on turnover. There are not many studies to explore the relations between job satisfaction, loyalty and turnover intention of nurses. In this article, we try to figure out this relation of these three factors. Nurses work in the non-profit organization and can not share bonus from their production. Organizational support is another influencing factor other than job satisfaction and loyalty.
The results of this study discover that job satisfaction has a negative relation to turnover intention, and also loyalty has a negative relation to turnover intention among the nurses. Job satisfaction has a positive relation to loyalty. Loyalty has a mediator effect on the path between job satisfaction and turnover intention. Organizational support has a moderate effect on the path between job satisfaction and loyalty. The findings make the managers can manipulate the organizational support in order to increase the loyalty and decrease the turnover intention.

英文部分
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