護理人員工作壓力對自覺健康狀態與離職傾向之研究－以台灣中部區域醫院為例; A Study on the Relationships Among Job Strain, Self evaluated health status and Turnover Tendency in Hospital Nursing Staff in Central Taiwan

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Title:	護理人員工作壓力對自覺健康狀態與離職傾向之研究－以台灣中部區域醫院為例;A Study on the Relationships Among Job Strain, Self evaluated health status and Turnover Tendency in Hospital Nursing Staff in Central Taiwan
Authors:	曾冠華;Guan-Hua Tseng
Contributors:	醫務管理學研究所碩士班
Keywords:	工作壓力;付出回饋失衡模式;護理人員;Job Strain;Effort-Reward Imbalanced Model;Nurse
Date:	2006-06-20
Issue Date:	2009-08-12 16:22:13 (UTC+8)
Abstract:	研究目的：本研究目的主要探討醫院護理人員工壓力對身心健康狀態與離職傾向之相關性。方法：本研究為橫斷式問卷調查研究法，研究樣本為台灣二家區域醫院全職女性臨床護理人員，問卷內容包含Short Form-36測量身心健康狀況、ERI 工作壓力量表測量工作壓力狀況。結果：共有504名區域醫院護理人員納入問卷分析中。結果顯示在健康狀態方面透過常模分數轉換後，醫院護理人員在各構面的健康狀況皆比台灣女性常模分數低，顯示本研究護理人員整體健康狀態與台灣女性相比有偏低現象。醫院護理人員高付出低回饋比率為75.3%，過度投入者的比率為25.8％。工作壓力對身心健康是具影響性的，結果顯示工作壓力與身心健康狀態有顯著關係，身心健康與離職傾向有顯著關係。討論：結果顯示付出回饋失衡理論中認為高付出低回饋狀態時，將會產生對健康不良反應，護理工作是一個專業性高、工作壓力大的工作，結果指出工作壓力越大、身心健康狀況越差的護理人員離職傾向越明顯，希望藉由工作壓力量表的介入可管理監控醫護人員的身心健康與離職傾向。 Objective： The purpose of this study is to investigate the relationships among Job Strain, Self evaluated health status and turnover tendency in nursing staff in Taiwan. Methods： A cross-sectional survey among female licensed nurses. A self-administered questionnaire were used to collect data. A structured questionnaire has been designed. Job stress questionnaire was based on the Johannes Siegrist’s effort-reward imbalance model (ERI). Results ： Overall has 504 hospital nurses were included in the analysis. The result showed the mean of nurse’s health status of this research was lower than the national average. The hospital nurse with high effort low reward rate is 75.3%, overcomminment rate is 25.8%. The study showed working stress has significant influence to the nurses health and turnover tendency. Discussion： The result showed nurse with high effort-low reward imbalance had poor health. We hope this findings could provide the evidence that management should take action to monitor and reduce nurses’ working stress.
Appears in Collections:	[Department and Graduate of Health Services Administration] Theses & dissertations

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