新進護理人員面對壓力之成長經驗

The Experiences of Newly Employed Nurses when Facing Stress

陳怡如(I-Ju Chen) ； 陳俞琪(Yu-Chi Chen) ； 黃淑鶴(Shu-He Huang) ； 盧純華(Chwen-Hwa Lu)

《慈濟醫學雜誌》 15卷6期 (2003/12) Pp. 391-398

https://doi.org/10.6440/TZUCMJ.200312.0391

摘要

目的：了解大學畢業生在進入護理職場初期，面對壓力情境的經驗，以供護理教育與就業輔導參考。材料與方法：使用半結構式問卷進行面對面訪談，並運用紮根理論的抽樣與分析方法，來了解北部某大學護理系畢業生進入臨床護理初期，面對壓力情境之經驗。結果：個案在壓力情境中會出現確認性、比較性、期望性等3種思考模式，反應與甞控等2種行為，提出新進護理人員面對壓力之控權保衛戰理論。時間在壓力強度上扮演重要角色；新進護理人可自覺自己的壓力與調適方法，能找出應對策略，以加強自己熟悉並掌控職場的情境；個案有客觀具體的指標，並不斷的比較，對自己做客觀的評析。結論：就業輔導的時間應提早、內容應融入各科的教學中；可藉由各班導師與學生輔導中心提供學生壓力舒緩與調適方面的技能。

關鍵字

新進護理人員 ； 壓力 ； 紮根理論

並列摘要

Objective: To explore the experiences of newly employed nurses when facing stress. Materials and Methods: Nurses who had recently graduated from a university nursing school in northern Taiwan were surveyed. Using a semi-struc-tured questionnaire, fact-to-face interviews were conducted for this research. Sampling and analytical methods of Grounded Theory were used to realize newly employed nurses’experience when faced with job stress. Results: The thoughts and behaviors of newly employed nurses could be described as confirmative, comparative, expectant thoughts, and reactive and controllable behavior. According to the findings of this research, the author built up the “Autonomy Protective Theory for Newly Employed Nurses”. These findings showed that the time factor plays an important role in reducing the intensity of stress. The newly employed could realize their stressors and status. Subjects continued to adjust themselves by analyzing their personal objective indicators. Subjects were able to figure out their own strategies for coping with stress such that they were able to master their working situations. Conclusion: It is highly recom-mended that programs describing stressor coping skills be delivered by teachers and senior staff. Career and placement education programs should be given earlier, as it would be helpful to integrate these projects into routine nursing courses.

並列關鍵字

newly employed nurses ； stress ； Grounded Theory