現今醫療體系的運作中,醫療人力以團隊的方式提供醫療服務,其中以醫師為領導者來主導,提供病患健康評估、疾病診斷、開立處方與治療處置等。但隨著醫療政策的改變、健保給付日趨嚴謹,以及醫院大型化、財團化的發展,再加上國人對醫療品質要求日益提升與可能發生的醫療糾紛的如影隨形,在各種壓力之下,醫師仍得以病人為第一優先,不讓各種因素影響醫療服務的提供。 醫師時時需面對病患性命,常處於高度工作壓力以及長時間工作投入,若疲勞感未能有效紓解,不單影響其個人身心健康,工作能力與臨床表現也會下降,其不僅對其工作情緒負擔有極大影響,使其產生工作倦怠與專業承諾之間的兩難。 本研究旨在探討醫師的情緒勞務負擔、工作倦怠與專業承諾之相關性,藉由變項間之關係瞭解情緒勞務負擔及工作倦怠的程度是否會影響專業承諾的重要因素。 本研究以主治醫師、總醫師及住院醫師為調查對象,總計發放3,750份問卷,回收340份,有效問卷323份,有效回收率為8.6%。問卷經統計分析後,得到結果如下: 一、醫師之「情緒勞務負擔」對「工作倦怠」具部份顯著性影響。 二、醫師之「工作倦怠」對「專業承諾」具部份顯著性負向影響。 三、醫師之「情緒勞務負擔」對「專業承諾」具部份顯著性影響。 四、醫師之「工作倦怠」在「情緒勞務負擔」與「專業承諾間」具有部份顯著之中介效果。
Recently years, the Medical Industry environment changed and increased heavy work loading to the physicians, and caused physicians to have job stress. At this transformed process, physicians are easy to have the situation of emotional labor, burnout and affected their professional commitment. This study is aimed to explore to discuss the relationship among emotional labor, burnout, and professional commitment. Research data were collected by mailed questionnaire from 3,750 physicians. The author obtained 323 valid questionnaires with rate of return of 8.6%. The results are summarized as follows: 1. Emotional Labor has partial positive effects on Burnout. 2. Burnout has partial negative effects on Professional Commitment. 3. Emotional Labor has partial positive effects on Professional Commitment. 4. Professional Commitment of physicians has partial mediation affection between Emotional Labor and Burnout.