臺北市健康服務中心公衛護理人員工作壓力、職業倦怠及其相關因素研究

Abstract

本研究旨在探討臺北市健康服務中心公共衛生護理人員的工作壓力與職業倦怠之間的關係。研究對象為臺北市健康服務中心公共衛生護理人員，共有130人，平均年齡為42.03歲，其中98.5％為女性。資料收集採用「公共衛生護理人員工作壓力量表」和「職業疲勞量表」。研究分析結果顯示如下：一、研究對象的工作壓力量表平均得分為4.18，顯示中高程度的工作壓力。工作壓力各結構面的平均得分由高至低依序為「工作負荷」、「組織氣候」、「工作時間」、「角色特性」、「工作安全」、「家庭生活」、「人際關係」及「工作內容」。二、研究對象的職業倦怠量表平均得分為3.46，顯示研究對象職業倦怠呈現中等程度。三、平均每月加班時數和工作壓力量表得分與整體職業倦怠量表以及「個人疲勞」、「工作疲勞」、「對服務對象疲勞」、「工作過度投入」等構面的得分呈現顯著的正相關。四、多元回歸分析顯示，平均每月加班時數、工作內容壓力和人際關係壓力是整體職業倦怠的重要預測變項，解釋了總變異量的51.7％。This study aims to explore the association between job stress and occupational burnout among public health nurses in Taipei Health Service Centers. Study participants were recruited from the public health nurses in the health service centers Taipei. A structured questionnaire consisting of the"Job Stress Scale for Public Health Nurses" and the "Occupational Fatigue Scale" was used for data collection. Data analyses showed the following results: 1. Among the 130 participants, the mean age was 42.03, and 98.5 % were female. The mean score of job stress scale was 4.18, indicating moderate to high level of job stress. The average scores of job stress dimensions, ranked from high to low, were "workload," "organizational climate," "working hours," "role characteristics," "job security," "family life," "interpersonal relationships," and "job content." 2. The average occupational burnout scale score reported by study participants was 3.46, showing that they experienced a moderate level of occupational burnout. 3. The average monthly overtime hours and job stress scale scores were significantly positively correlated with scores of overall occupational burnout scale and the domains including "personal fatigue," "work-related fatigue," "fatigue towards service recipients," and "workovercommitment" among the study participants. 4. The multiple regression analysis showed that average monthly overtime hours, job content stress, and interpersonal relationship stress were significant predictors of overall occupational burnout, explaining 51.7% of the total variance.