護理職場霸凌對工作倦怠感及健康照護產能影響之研究

Influences of Nursing Workplace Bullying on Job Burnout and Healthcare Productivity in Nurses

傅玲(Fu-Ling Shaw) ； 陳淑芬(Shun-Fen Chen) ； 溫美蓉(Mei-Rong Wen) ； 劉淑言(Shu-Yen Liu) ； 齊珍慈(Chen-Tzu Chi)

《榮總護理》 33卷4期 (2016/12) Pp. 397-406

https://doi.org/10.6142/VGHN.33.4.397

摘要

護理人員若長期處於職場霸凌的環境，輕者倦怠、疲乏影響工作表現，重者導致憂鬱情緒，不僅影響照護品質甚至危害病人的生命安全。本研究目的在探討某醫學中心二年期護理人員遭受職場霸凌的情形及其對工作倦怠感與健康照護產能之影響。採橫斷式研究設計法、以北部某醫學中心到職滿一年以上、三年以內之二年期護理人員234 人為研究對象。研究結果顯示：研究對象平均年齡24.96歲、工作年資1.78 年，若回想過去6 個月的職場霸凌經驗時，27.8% 的受訪者表示有被霸凌的經驗；但若以護理職場霸凌調查量表(NAQ-R) 分佈來看，則高達64.8% 的人有被霸凌的經驗，職場霸凌盛行率因收集資料方式不同結果差異頗大，建議類似研究在結果評比時應更加謹慎；霸凌感受度高者其工作倦怠感提升、健康照護產能降低，行政管理者應正視職場霸凌的問題，及時提供介入與協助以建立正向優質的職場環境。

關鍵字

護理職場霸凌 ； 工作倦怠感 ； 健康照護產能

並列摘要

Workplace bullying refers to intentional and ongoing acts of bullying that accumulate over time. Long-term bullying in a workplace environment can result in burnout, fatigue, decreased working performance, and severe depression. Bullying not only affects quality of care but can also endanger the lives of patients. This study adopted a cross-sectional study design, enrolling 234 recently-qualified nurses (average age: 24.96 years; average service years to date: 1.78) from a medical center in northern Taiwan. The purpose of this study was to explore the experience of workplace bullying among recent graduate nurses and the consequences of job burnout and decreased health care productivity. The results revealed the following: 27.8% of respondents had been bullied in the last six months. In terms of the workplace bullying Care Survey Scale (NAQ-R) distribution, as many as 64.8% of nurses had been subjected to bullying during the initial 6-month period. Because of different data collection methods engendering various results regarding the prevalence of workplace bulling, caution should be exercised when comparing the outcomes. It was observed that nurses who are subjected to bullying are more likely to experience job burnout as well as decreased health care productivity. Authorities should address the problem of workplace bullying and provide assistance and intervention strategies, thereby helping to create friendly working environments.

並列關鍵字

nursing workplace bullying ； job burnout ； health care productivity

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