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護理人員之工作壓力與職場疲勞之相關性探討

The Correlations between Job Stress and Occupational Burnout among Nursing Staff

摘要


背景:高壓力職場環境使護理人員成為高盛行率之職場疲勞族群,不僅影響護理人員之身、心健康,間接影響病患照護品質。目的:本研究目的為調查護理人員之工作壓力與職場疲勞概況、探討個人與工作屬性及工作壓力與職場疲勞之相關性、並分析影響職場疲勞重要預測因子。方法:本研究採橫斷相關性研究設計,於臺灣北部某醫學中心進行收案,採方便取樣,共收集117位護理人員,以結構式問卷進行資料收集,問卷包含:基本資料表及工作特質與職場疲勞量表,以SPSS 20.0版進行資料統計分析。結果:本研究對象整體職場疲勞平均得分為44.90,其中以「個人疲勞」平均分數最高為48.80、其次為「工作疲勞」47.74分;其中有無子女(t=2.25, p<.05)與有無宗教信仰(t=2.07, p<.05)與職場疲勞有顯著差異性,與自覺工作壓力(r=.44, p<.01)與生活壓力(r=.33, p<.01)、工作負荷(r=.36, p<.01)與職場疲勞呈正相關,缺乏職場正義者(r=-.21, p<.05)與職場疲勞呈負相關;其中有無子女、宗教信仰、自覺工作壓力及工作負荷為顯著重要預測因子,共可解釋34%職場疲勞變異量。結論/臨床應用:行政管理人員應針對個人疲勞與工作疲勞較高的護理人員,主動提供資源協助其調適工作壓力,並應用本研究發現之護理人員職場疲勞的影響因素,擬訂改善策略,有效降低其工作壓力,進而減輕人員的職場疲勞。

並列摘要


Background: High‐pressure workplace environments lead to a high prevalence of occupational burnout among nurses. This affects the physical and mental health of nurses and the quality of patient care. Purpose: This study investigates the current state of job stress and burnout and the relation between these two variables in order to explore the significant predictors of occupational burnout. Methods: A cross‐sectional survey was conducted at a medical center in northern Taiwan using a convenience sample of 117 nurses. Data were collected in a structured questionnaire that included: a demographic inventory, a job content questionnaire, and an occupational burnout inventory. Data were analyzed using SPSS for Windows 20.0 software. Results: The average score for occupational burnout was 44.90, with the highest mean score in the aspect of personal fatigue (M=48.80), followed by work‐related fatigue (M=47.74). This research found occupational burnout to be significantly associated with the presence of children (t=2.25, p<.05), religious belief (t=2.07, p<.05), perceived work and life stress (r=.44; .33, p<.01), workload (r=.36, p<.01), and workplace justice (r=‐.21, p<.05). The presence of children, religious belief, perceived work stress, and workload were significant predictors, with these 4 predictors explaining 34% of the total variance in occupational burnout. Conclusions/ Implications for Practice: Supervisors should provide resources to help nurses handle job stress. The findings of this study may be applied to develop a more effective interventional approach to decrease the job stress of nurses and to ameliorate their perceived burnout.

參考文獻


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被引用紀錄


胡淑惠(2011)。未婚女性護理人員生活滿意度及相關因素探討-以南部某醫學中心護理人員為例〔碩士論文,長榮大學〕。華藝線上圖書館。https://doi.org/10.6833%2fCJCU.2011.00171
陳虹奾、林寬佳、李碧霞(2022)。校護職場疲勞、睡眠品質與工作滿意度之研究新臺北護理期刊24(1),59-70。https://doi.org/10.6540%2fNTJN.202203_24(1).0005
王莉婷(2017)。8小時與12小時輪班制度中護理人員疲勞與睡眠之相關性研究〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU201702504
蔣宜珍(2017)。護理人員的職業壓力與生物性壓力指標之相關性〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU201701181
呂旻芬、許靖岱、黃靖、蔡江欽、黃芷苓(2017)。都會區及鄉鎮區醫院護理人員之職業疲勞相關因素探討台灣醫學21(3),257-266。https://doi.org/10.6320%2fFJM.2017.21(3).3

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