護理人員面對傳染病之壓力感受及因應策略之研究以臺北市立聯合醫院為例

The Research nursing staff faced with infections disease stress perception And strategies of coping –An Example Taipei City Hospital

謝鳳芹(Feng-Chyn Shieh)

指導教授 ： 林玥岑

元智大學/管理學院/管理碩士在職專班/碩士(2012年)

https://doi.org/10.6838/YZU.2012.00161

摘要

摘 要

本論文研究主要目的為瞭解護理人員面臨醫院重大傳染病暴發疫情、或病患潛藏甚而蓄意隱瞞具有傳染性疾病對護理人員工作壓力感受之影響，及因應策略。
本研究採質性研究透過深度訪談，以臺北市立聯合醫院所屬院區及跨院區護理人員包括2位傳染病房、3位加護病房、2位內、外科病房共7位皆歷經照護傳染性疾病現職護理人員，為研究對象。
本研究結果顯示：
一、護理人員對傳染性疾病認知部份：對傳染病的知識不足、傳染途徑不熟悉
二、護理工作忙碌沒有多餘時間參加在職教育
三、害怕被傳染病感染得不到合理賠償
四、面對傳染性疾病工作壓力感受
(一)醫院方面：傳染病在職教育安排時段不佳、護理人力摳的很緊、休假天數少
(二)來自具有傳染性疾病之病患與家屬所致的工作壓力感受
(三)個人問題以經濟壓力、不想讓家人擔心、想離職為居多
五、工作壓力感受影響身心部份：輪班生活導致睡眠品質不佳、舊疾復發的身體不適、
六、壓力感受因應方式：藉宗教信仰、樂觀面對未來做自我調適，生涯規劃以轉業或調職為居多。

關鍵字

傳染病 ； 工作壓力 ； 壓力感受 ； 壓力因應

並列摘要

ABSTRACT

This study aims to understand nursing personnel’s pressure response and their coping strategies when hearing of major outbreak epidemic situation in a hospital, suffering diseases hided, and even deliberately covering up infectious diseases.
By using the qualitative research, this study takes seven in-service nursing personnel with branch hospitals under Taipei City Hospital for infectious diseases including two in the infectious ward, three in the intensive care unit and two in the medical and surgical ward as study objects.
Results of this study show that
一、Nursing personnel are lacking the knowledge related to cognitive parts of infectious diseases, such as routes of infection and protective measures.
二、Their daily nursing workload is heavy.
三、They fear that they cannot acquire fair compensation after infection.
四、Their pressure feelings during treating patients with infectious diseases.
(一) From hospital: The in-service education of infectious diseases is arranged at poor period, and nursing human resources are in shortage, and nursing personnel takes a vocation for fewer days.
(二)Feelings of working pressure from the infectious disease it self and family members of patients.
(三)Personnel questions are mostly concerning economic pressures, concerns of worry from family members and thinking about leaving office.
五、Feeling of work pressure influences mind and body: The shift life causes poor sleep quality and physical discomfort from illness recurrence
六、Coping method of pressure feelings: mostly, cultivating religious faith, optimistic to face future for self-adjustment, and deciding to transfer to another career or post after career planning.

並列關鍵字

Infectious Disease ； Work Pressure ； Pressure Feelings ； Pressure Coping

參考文獻

38.潘致弘、張靜文(2007)。醫療院所真菌菌屬對員工健康影響評估研究。勞工安全衛生年報告‧臺北市。

參考文獻

一、中文文獻

1.丁崑健(2008)。1918-1920年台北地區的H1N1流感疫情。生活科學學報，12。141-175。

2.王任賢(2010)。新興傳染病的簡介與省思。中南盟臨床醫刊，3(2)，1-4。