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研究生: 鄭光婷
Cheng, Kuang Ting
論文名稱: 台灣女醫師職場與非職場壓力來源研究及人生設計工作坊架構
Research and Life Design Workshop Framework for Occupational and Non-work Stressors among Female Physicians in Taiwan
指導教授: 曾俊儒
Tseng, Kevin C.
學位類別: 碩士
Master
系所名稱: 設計學系
Department of Design
論文出版年: 2019
畢業學年度: 107
語文別: 英文
論文頁數: 74
中文關鍵詞: female physicianstressordesign thinkingdepressionsuicideworkshop
英文關鍵詞: female physician, stressor, design thinking, depression, suicide, workshop
DOI URL: http://doi.org/10.6345/NTNU201900896
論文種類: 學術論文
相關次數: 點閱:76下載:0
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  • The high suicide rate among doctors is a significant issue in many countries, especially among female doctors, for whom the rate is more than two times that of the general population. Compared to many countries, Taiwan has a much lower proportion of female physicians relative to male physicians, which has been suggested as a negative factor in affecting the suicide rate. Previous studies of female physician stressors are few and focus mainly on occupational stress. Non-work stress has not been well-researched. This study aims to explore the feasibility of providing a comprehensive evaluation of all stressors in female doctors’ daily lives by examining a cohort of Taiwanese female doctors, and then propose a design solution. Maslach burnout inventory (MBI) and the Brief Symptom Rating Scale (BSRS-5) are used to screen participants for occupational stress and general mental health respectively. In this research, case studies with in-depth interviews are conducted with 13 participants, and factors contributing to non-work and occupational stress are identified. The study results indicate that family issues, primarily child-rearing and marriage, acts as the largest stressor in the lives of attending physicians who are mothers. For female residents, the main stressors are occupational. Support from others can relieve both occupational and non-work stress. A life design workshop for experience sharing is then designed.

    In conclusion, this study shows the stressors and stress relievers of Taiwanese female physicians with different backgrounds, which indicates their challenges and leads to a life design workshop. Further evaluation for the workshop is needed in the future.

    ABSTRACT II ACKNOWLEDGEMENTS III CONTENTS IV LIST OF FIGURES VII LIST OF TABLES VIII NOMENCLATURE IX CHAPTER 1 INTRODUTION 1 1.1 OVERVIEW 1 1.2 TAIWANESE PHYSICIANS’ CAREER AND LIFE TRAJECTORY 1 1.3 AIMS AND OBJECTIVES OF THIS THESIS 2 1.4 RESEARCH METHODOLOGY 2 CHAPTER 2 LITERATURE REVIEW 5 2.1 INTRODUCTION 5 2.2 BACKGROUND OF PHYSICIAN SUICIDE 5 2.2.1 The ways physicians manage mental illness 6 2.3 STRESS OF FEMALE PHYSICIANS 6 2.3.1 Occupational stress 6 2.3.2 Non-work stress 7 2.4 DESIGN FOR MENTAL HEALTH 8 2.4.1 Stress Prevention and Management 8 2.4.2 Design Thinking 10 2.5 CONCLUSION FROM THE PREVIOUS WORK 15 2.6 SCOPE OF THE PRESENT WORK 16 CHAPTER 3 A PROTOTYPE WORKSHOP FRAMEWORK, DESIGN FOR FEMALE PHYSICIANS’ LIVES 17 3.1 OVERVIEW 17 3.2 INTRODUCTION 17 3.3 PERSONA 18 3.4 TOPICS MUST TO HAVE 19 3.5 MODEL OF DESIGN FOR FEMALE PHYSICIANS’ LIVES 20 3.5.1 Discover 20 3.5.2 Formulate 23 3.5.3 Prototype 25 3.5.4 Launch 25 3.6 PRESENTATION OF WORKSHOP FRAMEWORK 27 3.7 CONCLUSION 29 CHAPTER 4 FINDINGS FROM THE CASE STUDIES 30 4.1 OVERVIEW 30 4.2 PILOT STUDY 30 4.2.1 Discussion of pilot study 36 4.3 QUESTIONNAIRE OUTCOME 38 4.4 PARTICIPANTS 38 4.5 FOUR OBVIOUS TRENDS 42 4.6 OCCUPATIONAL STRESSORS 44 4.7 OCCUPATIONAL STRESS RELIEVERS 49 4.8 NON-WORK STRESSORS 51 4.9 NON-WORK STRESS RELIEVERS 55 4.10 THE OCCUPATIONAL OR NON-WORK DIFFICULTIES OF FEMALE PHYSICIANS COMPARED TO THOSE OF MALE PHYSICIANS 56 4.11 CONCLUSION 57 CHAPTER 5 DISCUSSION 58 5.1 SUMMARY OF MAIN FINDINGS 58 5.2 DISCUSSION OF RESEARCH AND STRESS OF FEMALE PHYSICIANS 58 5.3 DISCUSSION OF THE PROTOTYPE WORKSHOP 60 5.4 LIMITATIONS AND FURTHER DIRECTION 61 5.5 CONCLUSION 62 CHAPTER 6 OVERALL CONCLUSIONS 63 REFERENCES 65 APPENDIX A: DIARY TABLE OF DAY RECONSTRUCTION METHOD 72 APPENDIX B: JOURNEY MAP DRAWN IN INTERVIEW 73 APPENDIX C: BIG FIVE INVENTORY 74

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