醫院護理管理者工作壓力與工作壓力因應策略之研究

An Exploration of Hospital Nurse Managers’Job Stress and Job Stress Coping Strategies

陳宥蓁(Yu - Chen Chen)

指導教授 ： 徐 明 儀 ； 尹 裕 君

中山醫學大學/護理學院/護理研究所/碩士(2010年)

https://doi.org/10.6834/CSMU.2010.00005

摘要

本研究目的在探討醫院護理管理者工作壓力及壓力因應策略現況，並進一步分析不同背景屬性之護理管理者對於工作壓力及壓力因應策略影響。本研究採橫斷式調查法，以中部地區之醫學中心及區域醫院共275位護理管理者為研究對象，包括護理部主任、副主任、督導長、護理長及副護理長。研究工具以結構式問卷調查，包括個人背景屬性資料調查表、工作壓力來源量表及工作壓力因應策略量表。研究資料以描述性統計、單一樣本t檢定及單因子變異數分析進行資料分析。研究結果發現：(一)護理管理者在工作壓力四個構面中平均得分(最高5分，最低1分)最高為工作負荷(3.42)，其次為專業知能(2.83)、角色壓力(2.51)，以人際關係(2.13)平均得分為最低﹔(二)護理管理者工作壓力與年齡、學歷、任職醫院性質、護理工作總年資及擔任護理行政年資有顯著性差異，與婚姻、工作職稱、是否在職進修則無顯著性差異；(三)護理管理者壓力因應策略四個構面中(最高5分，最低1分)以理性思考平均得分最高(4.13)，其次為問題解決(3.95)、尋求支持(3.70)，以情緒調適得分最低(3.15)；(四)護理管理者工作壓力因應策略與學歷、工作職稱有顯著性差異，與年齡、婚姻、任職醫院性質、是否在職進修、工作總年資及行政工作年資則無顯著性差異。藉此研究結果，提供醫院設計介入措施以降低工作壓力並增進護理主管身心健康與福祉，進而推行正向工作環境。

關鍵字

護理管理者 ； 工作壓力 ； 工作壓力因應策略

並列摘要

The purpose of this study is to explore the hospital nurse managers job stress level and their coping strategies, as well as the relationships between demographics job stress and coping strategies. This study uses a cross-section survey. The subjects of this study included 275 nurse managers working in medical centers and regional hospitals in Central Taiwan. Their managerial positions include: chief of the nursing department, vice-director of the nursing department, superviser, head nurse, and assistant head nurse. Research instruments included demographic data questionnaire, job stress questionnaire and coping strategies questionnaire. Demographic data was analyzed using independet t-test and one-way ANOVA methods.
The results of this study were as follow: Firstly, job stress level was using 5 point Liker scale, 5 is the highest stress level. Nurse managers reported stress level from the following 4 dimemsions: Workload (3.42 points), professional knowledge (2.83 points), role stress (2.51 points), interpersonal relationship (2.13 points). Secondly, results from relationship between individual demographic backgrounds and job stress level shown that job stress is significantly related to age, education level, type of hospital, years of employment, and age when first accepting a nurse management position. It is not significantly related to marital status, management position, or pursuit of advanced studies. Third ,coping strategies level was using 5 point Liker scale, 5 is the most used method coping strategies . Nurse managers reported coping strategies level from the following 4 dimemsions: rational thinking(4.13 points), problem-solving(3.95 points), support seeking(3.70 points), and emotional adjustment(3.15 points). Fourth, results from Relationship between individual demographic backgrounds and coping with job stress: How nurse managers cope with job stress is significantly related to education level and management position. There are no differences between age, marital status, type of hospital, pursuit of advanced studies, and length of employment when coping with job stress. We advice hospitals will more widely acknowledge the job stress faced by nurse managers and use the suggestions from our study to employ positive job environment changes in an effort to reduce job stress and promote the general well-being of its workers.

並列關鍵字

Nurse Managers ； Job Stress ； Coping Strategies

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