| 國家圖書館索書號：556 016M 86-4 |
系統編號 : 85CCU00350004 |
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| 研 究 生 |
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| 論文名稱 |
臨床護理人員工作壓力與壓力因應之研究
The Study of Job Stress and Stress Coping of Clinical Nurses |
| 指導教授 |
林瑞欽 Lin |
| 學位類別 |
碩士 |
| 校院名稱 |
國立中正大學 |
| 系所名稱 |
勞工研究所 |
| 學 號 |
683320011 |
| 學 年 度 |
85 |
| 語 文 別 |
中文 |
| 論文頁數 |
149 |
| 關 鍵 字 |
| 壓力 |
stress |
| 工作壓力 |
job stress |
| 壓力因應 |
stress coping |
| 臨床護理人員 |
clinical nurses |
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護理人員工作壓力與壓力因應之間的關係.為瞭解目前臨床護理人員工作壓力之現況,就個人屬性(如服務醫院別,婚姻狀況,職位,教育程度,年齡, 服務年資,護理年資,服務科部),A/B型人格,醫院組織氣氛與護理人員角色知覺的互動對工作壓力與壓力因應之影響.以南部五家醫院女性臨床護理人員為研究對象,採問卷調查方法,運用個人基本資料調查表,A / B型人格量表,醫院組織氣氛量表,護理人員角色知覺量表,護理人員工作壓力量表,壓力反應量表與壓力因應量表為研究工具,進行實證資料的蒐集,共寄出600份問卷,有效回收問卷561份,所得的資料採SPSS為分析工具,主要統計方法包括:次數分配, t-test ,單因子變異數分析 (ANOVA) ,皮爾遜積差相關,多元迴歸分析,區別分析 (discriminant analysis).研究主要發現如后:工作負擔是臨床護理人員最主要的工作壓力.具體而言,假日值班,暴露在有感染危險的環境中,日夜顛倒等是最常的工作壓力.在個人屬性變項方面:私立 醫院,護理師,專科畢業者,年齡21-25歲,服務年資1-3年,護理年資1-3年與服務科部為急症單位的護理人員有較高的工作壓力.而其中又以年齡21-25 歲,服務年資1-3年,護理年資1-3年的護理人員有較高的壓力反應.在A/B型 人格方面:A型人格有較高的工作壓力與壓力反應,在面對工作壓力時較易採取壓力因應-情緒取向策略.反之,B型人格有較低的工作壓力與壓力反 應,在面對工作壓力時較易採取壓力因應-問題取向策略.在壓力因應策略方面:壓力因應-問題取向的護理人員在醫院組織氣氛方面愈積極,在護理人員角色知覺方面愈正面,故有較低的工作壓力.反之,壓力因應-情緒取向的護理人員在醫院組織氣氛方面愈消極,在護理人員角色知覺方面愈負面, 故有較高的工作壓力.在變項預測力方面:受試者之A/B型人格,醫院組織氣 氛(工作彈性,工作環境),護理人員角色知覺(專業性,一般性)等五個變項 能有效解釋30%左右的工作壓力變異量.受試者之個人屬性(年齡,服務年 資),A/B型人格,醫院組織氣氛(工作彈性,工作氣氛),護理人員角色知覺之一般性因素等六個變項能有效解釋 24% 左右的壓力反應變異量.受試者之工作壓力:知識技巧,工作本身,環境壓力,人際關係等四項能有效解釋36%左 右的壓力反應變異量.最後,在壓力因應區辨力方面:護理人員角色知覺之專業性因素與工作壓力之知識技巧因素對壓力因應-問題取向與情緒取向具有效區辨力約為62%.
The Study of Job Stress and Stress Coping of Clinical NursesAbstractThe main purpose of this study was to understand the job stresses and theirstress coping strategies for the clinical nurses.Secondly,the relationshipsamong personal characterisitics.Type A/B behavior pattern,organizational climate,role percepion,job stressors and stress coping strategies were investigated.The sample includes 561 nurses employed in the hospital ofsouthern area.Data was analyzed by the following methods:frequency,T-test,one-way ANOVA,the Pearson correlation,regression analyses,discriminant analyses.The major findings of this study were as follow:First,the subjests'public/ private hospital,position,education,age,tenure,nursing tenure and departmenthave significant effects in job stresses.Besides, the subjests'age,tenure and nursing tenure have significant effects in stress responses.Second,the Type Anurses have a higher job stresses and more frequent stress responses than theType B nurses.Meanwhile,the Type A nurses tend to use the emotion-focusedcoping strategies,and the Type B nurses tend to use the problem-focused copingstrategies.Third,those subjests who have more positive organizational climateand role perception use problem-focused approach to cope their job stresses.In contrast,those subjests who have more negative organizational climate androle perception use emotion-focused approach to cope their job stresses.Consequently,the higher subjects'job stresses,the higher subjects'stress responses,and the negative organizational climate and role perception of nurses.At last,in predicting measures of job stresses and stress responses,the subjects' Type A/B behavior pattern,organizational climate,role perceptionof nurses can significantly explain about 30% of varience in their job stressesThe subjects'age,tenure,Type A/B behavior pattern,organizational climate,roleperception can significantly explain about 24% of varience in their stress responses.The subjects'job stresses inclued medical knowledge, work itself, work enviornment,interpersonal relationships can significantly explain about36% of varience in their stress responses.The subjects'role perceptions(ex:profession) and job stresses (ex:medical knowledge) can correctly classifyabout 62% of varience in their stree coping strategies.
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