以許士軍修訂自Litwin & Stringer發展之組織氣候問春，Smith等人發展之「工作描述指數」工作滿意度問卷，及修訂自許士軍之士氣問卷對兩家分別為區域醫院及醫學中心級之台灣省立醫院，及區域醫院級之台北市立醫院做組織氣候、工作滿意度及士氣調查研究。醫院員工普遍表現出超過“同意指標”之組織氣候，人情、結構構面是得分較高者，獎酬、衝突構面是得分較低者。醫院員工之滿意度及士氣尚超過“滿意指標“，醫院員工普遍對於同仁及對主管之滿意度高，對升遷及對薪水之滿意度低。 三家醫院分別觀之，對滿意度各構面及對士氣之組織氣候影響構面各有不同。一致的地方是對升遷滿意度以獎酬構面為主要影響因素；對士氣及對同仁滿意度以認同構面為主要影響因素。兩家省立醫院對主管滿意度及整體滿意度之主要影響因素是結構構面，兩家區域醫院對工作本身滿意度之主要影響因素是認同構面。 工作滿意度諸構面中以工作本身這一構面最能影響士氣。影響醫院員工之滿意度及士氣，組織氣候是比個人特徵、工作性質更重要的因素。整體觀之，認同、結構，獎酬諸構面，關連著對主管滿意度及士氣。培養一個富於認同感，結構分明，獎酬適當的組織氣候，可能提昇醫院員工工作滿意度及士氣。

With 3 kinds of Questionnaires: 1. Questionnaires for Organization Climate, developed by Litwin and Stringer, and modified by Hsu. 2. Questionnaires of Job Description Index (JDI), developed by Smith et al, 3. modified Morale Questionnaires, developed by Hsu; We had a cross-sectional survey of Organization Climate. Job Satisfaction and Morale to one regional hospital and one medical center in Taiwan Province, and one regional hospital in Taipei Metropolitan. The hospital employees showed somewhat ”more than common index” Organization Climate. With higher scores in dimension of ”structure” and ”warmth”, and lower scores in dimension of ”reward” and ”conflict”. Generally speaking, the employees had higher satisfaction to both ”partners” and ”heads”, and lower satisfaction to both ”promotion” and ”salary”. The Organization Climate is more influential than demographical characteristics to both Job Satisfaction and Morale. Generally, ”identity” ”structure” and ”reward” dimensions are related to both ”heads”-satisfaction and Morale. It is the ”job itself”-satisfaction most influential to Morale. There are some differences among three hospitals with regard to influential factor to each dimension of Job Satisfaction & Morale. There are the same that the major influential factor to satisfaction of promotion dimension is ”reward”, and that the major influential factor to Morale and satisfaction dimension of ”head” is ”identity”. The major influential factor to both ”head” satisfaction and ”whole” satisfaction is ”structure” in both provincial hospitals, the major influential factor to ”Job itself”-satisfaction is ”identity”. We would cultivate an Organization Climate full of identity sensation, clear structure and adequate reward, in order to increase the Job Satisfaction and Morale in hospital.

醫院 ； 工作滿意度 ； 組織氣候 ； 士氣

Hospital, Organization Climate, Job Satisfaction, Morale