- 學位論文
護理人員職場情緒調節模式之研究
Emotion Regluation in the Workplace of Nurses
摘要
醫療產業被視為是服務業的一環，然而醫療服務卻比一般面臨更多限制，加上全民健保的實施讓醫療產業面臨重大的變革，造成基層工作的醫護人員特別是負責協助醫生、照顧病人的護理人員工作倦怠增加，影響個人工作表現及醫療品質，而爲了降低工作倦怠，個人在心態上的調整，是非常重要的，因此本研究的目的在於，探討文獻中會影響工作倦怠的情緒調節模式中各項構面，導出影響護理人員完整的情緒調節模型，透過此模型可降低工作倦怠，經過問卷驗證模型的成立與否，進而提出在實務上與學術上的建議。 本研究透過文獻整理情緒調節模式相關構面後，再經問卷實際調查北區某公立區域醫院全體護理人員，其人數為309位，問卷回收後利用統計軟體SPSS12.0和AMOS7.0分析，其統計分析結果則經由深度訪談和相關文獻參考提出討論建議及結論。 本研究的結論，首先本研究之整體模型假設成立；再者，在個人屬性方面最容易影響情緒調節的分別是年資、年齡、服務單位以及職位；各構念間具有相關，且角色壓力、知覺組織支持與工作倦怠是較容易受個人因素影響而改變，未來可依照個人屬性給予適當的輔導。本研究最重要的貢獻過去文獻雖然強調護理人員是屬於情緒勞務負荷高的族群，也認為醫療照護屬於服務業的一環，同時近代研究也著手將情緒調適視為是動態的過程，然而文獻所整理的情緒調適模式卻沒有實際的驗證在護理人員的身上，而本研究透過文獻建立模型後又經過結構方程式進行驗證，找出完整的架構模式，也透過統計分析找出影響的因子，藉此給予實際的建議。
並列摘要
Even though medical service industry has been considered as a part of the service trade, it appears that the conditions seem to be more restricted compared to other services. In addition, the significant change of medical industry is due to the pra ctice of the National Health Insurance, especially the nursing staff that assists the doctors and taking care of patients. Therefore, to regulate personal condition is inevitable; the purpose of this research is to analyze the integrate factors of the different modes of regulating emotions, verifying it by questionary and then giving practical and academic suggestions. The conclusions of this research are as below: 1. On the aspect of personal information, the most likely factors to the influence of regulating emotions are seniority, age, serving organization and position. 2. Role stress, perceived organization support and burnout are the elements that are affected by personal conditions. 3. Perceived organization support has a negative correlation with professional burnout and has a positive correlation with professional promises. 4. Professional commitment have a positive correlation with emotional labor, and is negative with burnout. 5. Burnout is positive correlation with emotional labor. 6. This entirety model hypothesis of this research is established. The most important contribution of this research is enforce the importance of putting the emotional regulation into practice Although the past documents all emphasize the importance of regulating the emotions of the fundamental medical staffs, for they burden a great deal of emotional labor. Modern times are also undertaking the emotional regulation as a developing process, yet the modes that were coordinated were not put into practice on the nursing staffs, this research used literature to establish a model, then verifying it by structured formula, finding a complete framework mode. At last, through calculation analyzing finding the influencing factors to provide practical suggestions.