目的:了解臨床護理人員職場疲勞程度,並分析職場疲勞之相關因素及預測因子。方法:採橫斷描述性研究,隨機取樣某醫學中心全職且該職務至少六個月之臨床護理人員,發出結構式問卷966份,回收867份,有效問卷813份(回收率84.16%),研究工具有基本資料表及中文版職場疲勞量表。結果:整體職場疲勞平均得分為46.81分,個人疲勞分數最高53.04分。年齡及工作年資與職場疲勞負相關、延遲下班與每週工時與職場疲勞正相關。臨床護理師、工作衝突、延遲下班及工作壓力程度,為顯著重要預測因子,可解釋30%職場疲勞變異量。結論:醫院管理者須正視護理人員執業環境,定期檢視追蹤醫療職場疲勞,主動提供資源調適工作壓力,改善臨床護理師工作負荷和工作衝突,建立友善工作環境。
Objectives: The purpose of this study is to explore the factors related to workplace burnout among clinical nurses, and analyze the important predictors of workplace burnout. Methods: The study employed a cross-sectional descriptive design. From March 1st - May 31st, 2019, 966 questionnaires were distributed to the convenience sample of full-time clinical nurses, supervisors, clinical nurse specialists, and case managers who worked in their roles for at least six months. All were recruited from a medical center in Northern Taiwan. Of the 867 returned questionnaires, 813 were valid. Research tools included self-administered questionnaire on basic information. Results: The results showed the rank of nursing staff workplace burnout as personal burnout, over-commitment to work, work-related burnout, and client-related burnout. Negative related variables for workplace burnout: age (r = -.17, p < .0001) and total years of work (r = -.15, p < .0001), positive related variables: overtime (r = .15, p < .0001) and weekly work hours (r = .09, p < .05). Scheffe's post hoc tests have shown that clinical nurses have the highest workplace burnout. Predictors: clinical nurses, work conflicts, overtime, and work stress, which can explain 30% of the variance. Conclusions: Managers must take workplace burnout seriously and prevent it from happening by reducing the workload and stress level. More importantly, to ensure that employees are reaching their full potential and feeling a sense of security to the workplace, creating a respectful and supportive working environment for all.