本研究旨在探討公共衛生護理人員異動或離職的原因。凡在民國七十七年三月至七十八年二月間，於衛生行政或教育體系內服務的公共衛生護理人員有工作變動者，均作問卷調查。此期間共有100名護理人員的離職或異動，有效問卷為96份。資料分析顯示，公共衛生護理人員的流動率僅為1.36%，遠比醫院臨床護理人員來得低。在離職或異動的主要原因分析得知，家庭、護理工作本身、和升遷發展等因素最重要，尤其是居家和服務單位距離太遠、家人需要照顧、工作量太大、護理工作不受重視、自主性低，和工作無發展或晉升機會等項目最為明顯。針對上迷結果，本研究亦對公共衛生護理專業和相關人力發展，分別作討論與建議，期能使公共衛生護理人員更配合未來的需求。

The objective of this study was to examine the correlates of manpower turnover among public health nursing personnel in Taiwan. Study subjects were 96 out of the 100 public health nurses or school health nurses who were changing positions or leaving the profession during March 1988 through February 1989. The 96 respondents completed a survey questionnaire. The results showed that the turnover rate of public haelth nurses of school health nurses (1.36%) was much lower than that of clinical nurses (32.5%). Correlations between individual characteristics and major causes of turnover were performed. The primary causes of public health nursing manpower turnover were factors related to family care, nursing and administrative workloads, and career opportunity. Based upon the results of the study, policies and strategies on strengthening professional development and human resources development for public health nursing personnel were discussed and recommended.

公共衛生護理 ； 護理人力 ； 人力異動

Public health nursing, Nursing manpower, Manpower turnover