臨床護理工作是一個充滿挑戰性的職場,研究發現新進護理人員面對種種的工作壓力,而引發焦慮、挫折和疲潰,以致對工作滿意度下降而造成離職率升高。本研究的目的在探討內外科病房新進護理人員工作壓力與離職傾向之現況及相關性,為描述性相關性研究設計,採立意取樣方式,研究樣本來自北部、中部、南部、三所醫學中心,臨床工作滿三個月以上至一年內之內外科病房新進護理人員共187位,以結構式問卷收集資料,並以SPSS for windows version 12.0版套裝軟體進行資料處理與分析。研究結果顯示(1)內外科病房新進護理人員呈現中等程度的工作壓力,中等程度的離職傾向。(2)個人屬性中,年齡、護理工作年資、薪資、教育程度在護理工作壓力之差異均具有顯著意義;年齡、護理工作年資、薪資在離職傾向中具有顯著意義。(3)工作壓力與離職傾向呈現正相關且具顯著意義。因此建議醫療機構落實臨床輔導員制度與成立支持團體,並在新進人員職前教育課程中,安排放鬆技巧,加強新進人員面對及因應壓力感受的能力。
Nursing work is a career with challenge. Because of different emergency situations, patients with variant diseases, and requests from the family of patients, nurses are facing a lot of pressure on their works. These pressures may affect their health, further, decrease the quality of nursing care and lower the satisfaction about their jobs. The purpose of this study was to study the relationship between the work stress and intention to quit for new nursing staff of general medical and surgical ward in medical center. A total of 187 participants were recruited from three public medical centers located at northern, southern and central of Taiwan through a purposed sampling procedure. And data were collected throught structive questionnaire. The data is analyzed with SPSS Window 12.0 edition. The results of the study showed : 1. The new nursing staffs who worked in the general medical and surgical ward had medium scores of working stress and medium to low scores of intention to quit. 2. Work stresses were significant different in terms of participants’ educational levels, working years, and salary levels. 3. There are no significant relationships were found between personal data and intention to quit. 4. Work stress had significant positive relationship with intention to quit. The result of the study suggests that for helping the new nursing staff to facing and solving the work stress, a clinic supervising system and supporting groups should be implemented in the medical center. Meantime, in order to enforce the capacity against the stress, stress relief methods should be included in pre-training course for new nursing staff.