從研究結果發現，相較於傳統的排班方式，競標排班整體上並沒有如預期的提升員工的工作滿意度，推論可能和台灣地區護理人員的自主性對工作滿意度的影響未如預期般重要有關，此外，醫院主管訪談也點出資方觀點下本次競標排班結果背後可能反應的相關考量。
A well-planned shift arrangement is essential to an effective and positive work environment. In a health care facility, the head nurse often maintains workforce discipline through total control over rostering. Although recent shift bidding studies focused solely on employee inputs have shown positive results, further improvements can be achieved if inputs from employers are also considered.
Therefore, a modified bidding system is planned for nurses of a community hospital. In this system, 14 nurses bid on days off of their own choosing, and the head nurse also has a control over adjusting the starting bid on special days. At the end of the trial, unused bidding points are converted into bonus pay for the participating nurses, and a feedback questionnaire is collected from each participant.
Findings suggest that contrary to our expectation, the shift bidding system did not improve work satisfaction for all 14 participants as a whole. Interview with the head nurse and management also shows concerns towards the shift bidding system. Our survey result suggests unexpected diversification between Taiwan and the rest of the world on how autonomy aspect influences job satisfaction, which may have contributed to the unexpected result.
