工作投入對醫院人員溝通能力、自我效能及工作滿意度之關聯性

目的:本研究旨在探討醫療人員之間溝通能力、自我效能、工作投入與工作滿意度之間的關係，並進一步檢驗自我效能與工作投入在其中所扮演之中介角色。同時，本研究亦分析上述變項之整體結構是否因性別而呈現差異。方法:本研究採量化研究設計，透過結構式問卷蒐集資料，共取得405份來自台灣醫療人員之有效樣本。資料分析使用SPSS與AMOS軟體，並運用結構方程模式進行測量模型驗證、結構關係檢定及中介效果分析。 結果: 研究結果顯示，溝通能力對自我效能、工作投入與工作滿意度皆具有顯著正向影響，而自我效能亦對工作投入與工作滿意度呈現正向作用。在所有變項中，工作投入與工作滿意度之關聯最為強烈。中介效果分析進一步指出，自我效能與工作投入在溝通能力與工作滿意度之間皆具有顯著中介作用。此外，研究結果亦顯示存在性別差異。在男性樣本中，工作滿意度主要受工作投入影響，而溝通能力與自我效能多透過間接途徑發揮作用；相較之下，女性樣本之影響機制較為複雜，溝通能力與自我效能不僅透過間接途徑影響工作滿意度，亦可直接產生影響。結論:整體而言，本研究證實，在醫療情境中，溝通能力可透過強化自我效能與工作投入，進而提升工作滿意度，其中工作投入為連結心理資源與工作結果之關鍵機制。此外，研究亦突顯性別差異之重要性，指出男性較傾向採取以「工作投入→工作滿意度」為主之作用路徑，而女性則呈現整合溝通能力、自我效能與工作投入之多重歷程。本研究結果可作為醫療機構在規劃溝通訓練與人力資源管理策略時之重要參考依據。

Objectives:This study examines the relationships among communication competence, self-efficacy, work engagement, and job satisfaction among healthcare professionals. It also investigates the mediating roles of self-efficacy and work engagement, as well as gender differences in the structural relationships. Methods: A quantitative research design was employed using a structured questionnaire. A total of 405 valid responses were collected from healthcare professionals in Taiwan. Data were analyzed using SPSS and AMOS, and structural equation modeling (SEM) was applied to evaluate the measurement model, test structural relationships, and assess mediation effects. Results: The findings indicate that communication competence positively influences self-efficacy, work engagement, and job satisfaction. Self-efficacy also shows significant positive effects on both work engagement and job satisfaction. Among all variables, work engagement demonstrates the strongest effect on job satisfaction.Mediation analysis further reveals that self-efficacy and work engagement significantly mediate the relationship between communication competence and job satisfaction.Gender differences were also observed. For male participants, job satisfaction is primarily driven by work engagement, with the effects of communication competence and self-efficacy operating largely through indirect pathways. In contrast, the female sample exhibits a more complex mechanism, in which communication competence and self-efficacy influence job satisfaction through both direct and indirect paths. Conclusion:This study demonstrates that communication competence enhances job satisfaction in healthcare settings by strengthening self-efficacy and work engagement. Work engagement functions as a key mechanism linking psychological resources to job outcomes. The findings also highlight gender differences, suggesting that male professionals tend to follow an engagement-driven pathway, whereas female professionals exhibit a more integrated process involving communication, self-efficacy, and engagement.These results provide practical implications for improving communication practices and workforce management strategies in healthcare organizations.