探討急診醫師的工作特性、職場壓力、工作滿足感、以及離職傾向

A Survey of Job Contents, Occupational Stress, Job Satisfaction, and Turnover Intention among Emergency Physicians

陳博紅(Po-Hung Chen)

指導教授 ： 莊弘毅

高雄醫學大學/健康科學院/職業安全衛生研究所/碩士(2013年)

https://doi.org/10.6832/KMU.2013.00084

摘要

急診醫師長期處在一個充滿壓力的工作環境，而這些壓力可能會導致急診醫師在生理及心理的健康受到威脅。
本研究探討的是南台灣急診醫師的工作特性、過勞、憂鬱、焦慮、工作滿足感、以及離職傾向，並分析各個面向之間的相關性。
急診屬於主動型工作，它包含高工作需求、更高的工作控制、中等程度的主管支持、以及高同儕支持。儘管研究數據顯示過勞、憂鬱及焦慮的程度並不高，急診醫師仍然擁有低工作滿足感，並具備一定程度的離職傾向。本研究同時發現，工作滿足感與工作控制呈正相關；情感耗弱與工作需求呈正相關，而與主管支持和工作滿足感呈負相關；焦慮與工作需求呈正相關而與主管支持呈負相關；至於離職傾向則與情感耗弱及憂鬱呈正相關。
本研究的結果可以提供主管階層用來評估急診醫師工作壓力的素材，並進一步提升其工作效力。

關鍵字

急診醫師 ； 過勞 ； 憂鬱 ； 焦慮 ； 工作滿足感 ； 離職傾向 ； 職場壓力

並列摘要

Emergency physicians work in a charged atmosphere with a lot of sources of occupational stress, which may alter their physical and mental health.
Among emergency physicians in south Taiwan, this study identified the job contents, burnout, depression, anxiety, job satisfaction, and turnover intention, and further evaluated the relationship between these constructs.
Emergency physicians work with an active job which is composed of high job control, even higher job demands, moderate supervisor social support, and high coworker support. Even the levels of burnout, depression, and anxiety are not high they feel dissatisfied with their jobs and have tendencies to leave the specialty. Job satisfaction is significantly associated with job control positively. Emotional exhaustion is significantly associated with job demand positively and with supervisor social support and job satisfaction negatively. Anxiety is significantly associated with job demands positively and job satisfaction negatively. Turnover intention is significantly associated with emotional exhaustion and depression positively.
The findings in this study can help organizations to assess the factors which affect the job outcomes of emergency physicians and increase the performance in the emergency department.

並列關鍵字

job contents ； burnout ； depression ； anxiety ； job satisfaction ； turnover intention ； emergency ； occupational stress

參考文獻

Piko, B. F. (2006). Burnout, role conflict, job satisfaction and psychosocial health among Hungarian health care staff: a questionnaire survey. International journal of nursing studies, 43(3), 311-318.

Adams, Ann, & Bond, Senga. (2000). Hospital nurses’ job satisfaction, individual and organizational characteristics. Journal of advanced nursing, 32(3), 536-543.

Adler, David A., Irish, Julie, McLaughlin, Thomas J., Perissinotto, Carla, Chang, Hong, Hood, Maggie, Lerner, Debra. (2004). The work impact of dysthymia in a primary care population. General hospital psychiatry, 26(4), 269-276.

Albini, E., Zoni, S., Parrinello, G., Benedetti, L., & Lucchini, R. (2011). An integrated model for the assessment of stress-related risk factors in health care professionals. Industrial health, 49(1), 15-23.

Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., Vollebergh, W. A. (2004). Disability and quality of life impact of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta psychiatrica Scandinavica. Supplementum(420), 38-46.