降低腫瘤病房護理師工作倦怠之改善專案

A Project for Reducing Fatigue of Oncology Nurses

黃月嬌(Yueh-Jiau Hwang) ； 陳幼貴(Yu-Kuei Chen) ； 張巧如(Chiao-Ju Chang) ； 黃筱惠(Hsiao-Hui Huang) ； 劉孟遠(Meng-Yuan Liu)

《台灣醫學》 24卷1期 (2020/01) Pp. 74-83

https://doi.org/10.6320/FJM.202001_24(1).0008

摘要

腫瘤病房護理師會因繁重的癌症照護工作而出現工作倦怠時，除了會影響護理品質外，負面工作態度也遽增，本專案旨在降低腫瘤病房護理師倦怠，分析原因有臨床護理工作、個人因素、輪班制度及環境因素，改善策略有：安排癌症照護／抗癌治療相關訓練課程、合理護病比、運用資訊簡化紙本作業、善用輔具、照護經驗分享、音樂治療、安排休閒放鬆活動，以及合適排班等，專案推動後單位護理師「經常」或「總是」覺得工作倦怠的比例，從原本的有56.3％下降到27.8％，有效改善護理師的工作倦怠程度，且人員異動率由6.3％降至0％，建議本專案之改善策略，可供腫瘤病房護理師工作倦怠預防與因應的具體參考。

關鍵字

倦怠 ； 護理師 ； 腫瘤病房

並列摘要

The oncology nurses will feel burnout due to heavy cancer care work. In addition to affect the quality of care, negative work attitudes will also increase. This project aimed to reduce the fatigue of the oncology ward nurses by analyzing the causes of clinical nursing work, individuals' factors, shift system and environmental factors. The improving strategies included arrange cancer care/ anti-cancer treatment related training courses, reasonable care ratio, use technology information to simplify paperwork, make good use of aids, care experience sharing, music therapy, arrange leisure and relaxation activities, as well as proper scheduling, etc. After the project was promoted, the unit nurses felt that the proportion of work fatigued ＂often＂ or ＂always＂ decreased from 56.3% to 27.8%, effectively improving the workman's work fatigue and personnel. The transaction rate was reduced from 6.3% to 0%. It is concluded that the improvement strategy of this project can be used as a specific reference for the prevention and response of job burnout in the oncology ward.

並列關鍵字

fatigue ； nurses ； oncology ward

參考文獻

劉麗芳、李選、賈佩芳等：護理人員工作負荷與病人安全敏感性護理成果指標相關性之探討。J Nurs Res 2012;20:300-9。[Liu LF, Lee S, Chia PF, et al: Exploring the Association between Nurse Workload and Nurse-Sensitive Patient Safety Outcome Indicators. The Journal of Nursing Research 2012;20:300-9.] doi: 10.1097/jnr.0b013e3182736363

Liu LF, Lee S, Chia PF, et al: Exploring the association between nurse workload and nurse-sensitive patient safety outcome indicators. J Nurs Res 2012;20:300-9. doi: 10.1097/jnr.0b013e3182736363

蔡惠娜、陳葒春、魏淑君、劉淑如、鄭靜瑜：護理人員的工作壓力、倦怠及離職意願之相關探討。長庚科技學刊 2014;21:75-86。[Tsai HN, Chen HC, Wei SC, Liou SR, Cheng CY: Associations between Nurses' Job Stress, Fatigue, and Intention to Leave. Chang Gung Journal of Science 2014;21:75- 86.] doi: 10.6192/CGUST.2014.12.21.7

鈕淑芬、鍾明惠、陳瓊華等：輪班工作對cortisol變化、睡眠品質、疲倦、注意力之影響：系統性文獻回顧。The Journal of Nursing Research 2011;19:68-81。[Niu SF, Chung MH, Chen CH, et al: The Effect of Shift Rotation on Employee Cortisol Profile, Sleep Quality, Fatigue, and Attention Level: A Systematic Review. The Journal of Nursing Research 2011; 19: 68-81.] doi: 10.1097/JNR.0b013e31820c1879

林怡芳、張秀如、王莉婷：護理12小時輪班制度在臺灣可行嗎？護理雜誌 2017;64:124-9。護理12小時輪班制度在臺灣可行嗎？[Lin YF, Chang SR, Wang LT: Is It Time to Implement a 12-Hour Shift for Nurses in Taiwan?. The Journal of Nursing 2017; 6:124-9.] doi: 10.6224/JN.000031