研究生: |
顏芯澄 Yen, Hish-Cheng |
---|---|
論文名稱: |
職業衛生護理人員工作特質與職業疲勞之相關性研究 A Study on the Relationship between Job Characteristics and Job Burnout of Occupational Health Nursing |
指導教授: |
董貞吟
Tung, Chen-Yin |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2019 |
畢業學年度: | 107 |
語文別: | 中文 |
論文頁數: | 165 |
中文關鍵詞: | 工作特質 、職業疲勞 、職業衛生護理人員 、職場健康促進 |
英文關鍵詞: | job characteristics, job burnout, Occupational Health Nursing, Workplace Health Promotion |
DOI URL: | http://doi.org/10.6345/THE.NTNU.DHPHE.022.2019.F02 |
論文種類: | 學術論文 |
相關次數: | 點閱:297 下載:13 |
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本研究旨在探討職業衛生護理人員工作特質及職業疲勞之相關性,並瞭解個人背景因素及工作特質對職業衛生護理人員職業疲勞之重要預測因子。以符合法定資格並在職中的專任職業衛生護理人員為研究對象,採結構式問卷「工作特質量表」及「職業疲勞量表」為研究工具,回收334份有效問卷,有效回收率為95.97%。以描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森積差相關、複迴歸分析等進行統計分析,研究結果主要發現如下:
一、研究對象於職業疲勞各構面分數由高至低依序為「工作過度投入」、「個人疲勞」、「工作疲勞」及「服務對象疲勞」。
二、研究對象之個人疲勞、工作疲勞、服務對象疲勞與工作控制、工作心理負荷、工作體力負荷、就業缺乏保障、職場正義、主管社會支持、同事社會支持有顯著相關性;工作過度投入與工作心理負荷、工作體力負荷、職場正義、同事社會支持有顯著相關性。
三、研究對象之個人疲勞顯著預測因子有認為職場健康風險評估課程不足、工作心理負荷、就業缺乏保障;工作疲勞顯著預測因子有認為職場健康風險評估課程不足、工作控制、工作心理負荷、就業缺乏保障、同事社會支持;研究對象之服務對象疲勞顯著預測因子有年齡、認為職場健康管理實務課程不足、事業單位行業別、事業單位勞工總人數、工作控制、工作心理負荷;工作過度投入顯著預測因子有目前工作場所年資、職護在職課程時數、事業單位地區、每週平均工時、是否輪班、事業單位是否聘請其他健康促進人員、事業單位是否聘請臨場服務醫師、工作心理負荷。
The purpose of this thesis is to research the relevance of Job Characteristics and Job Burnout of occupational health nursing and to understand the prediction of job burnout of occupational health nursing under both personal background
factors and job traits.The research objects are selected from the statutory qualified and full-time occupational health care workers, and the structured questionnaire uses“ Job Content Questionnaire” and “Copenhagen Burnout Inventory.” Three hundred thirty-five valid questionnaires were recovered, and the effective recovery rate was 96.26%.The statistical analysis processed by descriptive statistics, independent sample test, one-way ANOVA, Pearson's product moment correlation and multiple regression analysis. The following of the result shows:
1.The order of scores from high to low based on those research objects is over-commitment, personal burnout, work-related burnout, and client-related burnout.
2.Personal burnout, work-related burnout, client-related burnout, over-commitment to work have significant relationship with work-control,mental workload, physical workload, lack of employment security, justice in working environment, support from supervisors, and support from colleagues. Over-commitment to work has significant relationship with mental workload, physical workload, justice in working environment, and support from colleagues.
3.The personal burnout of research objects shows a significant predictive factor to an awareness of insufficient of a risk-evaluated-education of working health, mental workload, lack of job protection, and social support from colleagues. The job burnout of research objects shows an awareness of insufficient of a risk-evaluated-education of working health, job control, mental workload, a lack of employment security, justice in working environment, and social support from colleagues. The client-related burnout of research objects shows a significant predictive factor to the age of research objects, the insufficient of On-the-Job Training, the field of job, job control, mental workload. The over-commitment of research objects shows a significant predictive ability to the sufficient of On-the-Job Training, the number of employees in the range of responsibility, the seniority in the position, the time of On-the-Job Training, the place of working, average working hours per week, the association from other professional people or On-site special physicians, and mental workload.
王映權、江慧琳、王志嘉、賴錦皇、陳永煌、劉紹興(2017)。從芬蘭職業安全衛生制度發展趨勢談我國之展望。中華職業醫學雜誌,24(3),183-190。
行政院主計處(2017)。就業、失業統計表. 取自
https://www.stat.gov.tw/ct.asp?xItem=17166&ctNode=517&mp=4
行政院勞工委員會勞工安全衛生研究所(2007)。工作環境安全衛生狀況認知調查。96年度研究計畫,1-151。
行政院勞工委員會勞工安全衛生所(2012)。我國勞工心理衛生狀況調查。101年度研究計畫,1-154。
吳秀美、劉佩芬、何雪華、陳品玲、趙慧玲、陳小蓮(2012)。最後一哩學程改善新進護理人員職場疲勞與工作表現之成效探討。護理雜誌,59(4),30-42。
吳亮、張迪、伍新春(2010)。工作特徵對工作者的影響—要求—控制模型與工作要求—資源模型的比較。心理科學進展,18 (2),348–355。
呂旻芬、許靖岱、黃靖、蔡江欽、黃芷苓(2017)。都會區及鄉鎮區醫院護理人員之職業疲勞相關因素探討。台灣醫學,21(3),257-266。
巫菲翎、蔡秀敏、劉影梅、周燕芳、張彩秀、蕭淑銖(2018)。台灣職業衛生護理省思-挑戰與展望。護理雜誌,65(2),93-99。 doi:10.6224/jn.201804_65(2).12
李碧娥、林秋菊(2002)。疲憊的概念分析。長庚護理,13(4),339-344。
李佳倫、周汎澔、王秀紅(2017)。職場疲憊的概念分析。領導護理,18(2),29-37。
李寶玉、蘇世斌、宋瑩珠、李素幸(2016)。職護職場健康促進執行現況及法規修訂前後之變化。中華職業醫學雜誌,23(2),77-88。
杜宗禮 (2012)。我國職場勞工健康照護之發展近況。臺灣醫界, 55(12),45-48。doi:10.30044/tmj.201212.0004
周春芬、方進博(2015)。護理人員工作特質與職業疲勞的相關性研究。護理雜誌,62(5),41-50。doi:10.6224/jn.62.5.41
林木泉、吳鏘亮、陳俊賢、李仁傑、陳福士(2009)。醫院從業人員工作特質與疲勞關係之探討。醫務管理期刊,10(2),93-110。doi:10.6174/jhm2009.10(2).93
林育秀、梁亞文、張曉鳳(2017)。長期照護機構照顧服務員之工作壓力源與職業疲勞探討。醫學與健康期刊,6(2),17-29。
林佳慧、周思源、蔡雅芳(2017)。醫院員工工作壓力對職場疲勞的影響-以台中區醫院護理人員為例。澄清醫護管理雜誌, 13(3),20-32。
林菁真、王淑治、甘唐沖、高春華(2008)。圓山大飯店員工之工作壓力、職業倦怠與身心健康狀況之研究。生物與休閒事業研究,6(2),143-164。
林繼正、陳淑芬(2008)。建構空服員工作壓力、職業倦怠對身心健康狀況影響模式。運動休閒管理學報,5(1),1-17。
邱偉嘉、蘇世斌、黃建元(2010)。臺灣南部某醫學中心員工工作壓
力及相關危險因子。中華職業醫學雜誌,17(2),93−104。
洪瑞斌(2013)。職業倦怠研究在台灣之回顧與前瞻。人力資源管理學報,13(3),107-140。doi:10.6147/jhrm.2013.1303.04
秦唯珊、洪筱瑩、郭浩然、徐畢卿(2004)。認識職業衛生護理人員之現況工作.中華職業醫學雜誌,11(4),217-228。doi:10.30027/cjom.200410.0002
翁志成(2011)。業務人員情緒耗竭之探討―資源保存理論觀點。當代商管研究,3(1),1-29。
翁玲子、陳雅琳、盧明秀、黃品惟、潘雪幸(2017)。護理人員對八仙塵爆燒傷病人照顧負荷之相關探討。中華職業醫學雜誌, 24(3),191-202。
孫德修、趙正敏、廖木燦(2008)。「工作要求―資源模式與工作倦怠關係之研究―以某半導體 封裝測試公司員工為例」。朝陽學報,13,1-29。
張晏蓉、葉婉榆、陳春萬、陳秋蓉、石東生、鄭雅文(2007)。台灣受僱者疲勞的分布狀況與相關因素。doi:10.6288/tjph2007-26-01-09
張媚、陳美滿、劉蜀華、江素珍、游淑靜(2010)。職業衛生護理人
員基礎教育訓練專業課程暨專業分級制度規劃計畫。台北:行政院勞工委員會九十八年度專案計畫。採購案號:05-09803060。
張蓓貞(2004)。職業與環境衛生護理。新北市:新文京開發。
張蓓貞(2014)。台灣職業衛生護理現況政策與趨勢。護理雜誌,61(3),29-35。doi:10.6224/jn.61.3.29
莊蕙琿、楊順富(2011)。護理人員職業倦怠與組織承諾相關之研究:以中部區域教學醫院為例。澄清醫護管理雜誌,7(2),51-60。 doi:10.30156/ccmj.201104.0006
許順旺、林瑋婷、蘇紅文(2009)。職級別對宴會廳內外場員工工作壓力、工作倦怠與離職傾向之差異性研究-以國際觀光旅館爲例運動休閒餐旅研究,4(4),26-53。 doi:10.29429/jslhr.200912_4(4).02
郭怡慧、蕭佳純(2011)。國中教師之工作壓力及職業倦怠之關係探討-工作自主的調節效果,學校行政(76),47-64。 doi:10.6423/hhhc.201111.0047
陳欣怡、鄭淵全(2010)。桃竹苗地區縣市政府社會工作人員角色壓力、工作倦怠及社會支持之探究。社區發展季刊,129,333-353。
陳叡瑜、徐雅媛(2010)。職場健康自主管理評鑑制度建構之研究。台北市:勞工安全衛生研究所。
陳秋蓉、鄭雅文、胡佩怡(2005)。國內勞工工作相關過勞與心理社
會因子之認知調查。國科會專題研究成果報告(IOSH93-M308)。
陳美滿、劉蜀華、江素珍(2010)。台灣職業衛生護理現況及展望。源遠護理,4(2),19-24。doi:10.6530/yyn.2010.4(2).03
陳興漢、張博佳、邱美昀、陳冠潔、廖爲良、吳明訓(2008)。大型企業對員工健康照護評價研究。中華職業醫學雜誌,15(1),9-42。doi:10.30027/cjom.200801.0003
曾慧萍、鄭雅文(2002)。「負荷-控制-支持」與「付出-回饋失衡」工作壓力模型中文版量表之信效度檢驗:以電子產業員工為研究對象。台灣公共衛生雜誌,21(6),420-432。 doi:10.6288/tjph2002-21-06-05
勞動部勞動及職業安全衛生研究所(2010)。工作環境安全衛生狀況認知調查。99年度研究計畫,1-197。
勞動部勞動及職業安全衛生研究所(2013)。工作環境安全衛生狀況認知調查-問卷架構及信效度修正。102年度研究計畫,1-131。
勞動部勞動及職業安全衛生研究所(2014)。我國護理人員執業環境及身心健康之探討。102年度研究計畫,1-84。
勞動部勞動及職業安全衛生研究所(2018)。工作環境安全衛生狀況認知調查-2016年。1-687。
勞動部勞工保險局(2017)。申請勞工保險職業傷害及職業病給付核定率—按給付種類分。取自http://www.bli.gov.tw/sub.aspx?a=yQi8SrmkqgE%3d [Bureau of LaborInsurance, Ministry of Labor, Taiwan, ROC. (2017).Occupational injury incidence rate under labor insurance.Retrieved from http://www.bli.gov.tw/sub.aspx?a=yQi8SrmkqgE%3d]
游麗惠、鄭惠美、洪惠靖(2011)。台灣職場健康促進品質及其相關因素之前驅研究。健康促進暨衛生教育雜誌(31),115-138。
黃健富、林貴福(2010)。職場健康生活形態面向之分析。輔仁大學體育學刊(9),274-284. doi:10.29697/jpe.201005.0019
葉婉榆、鄭雅文、陳美如、邱文祥(2008a)。職場疲勞狀況與工作過度投入之相關因素:以台北市36家職場受僱員工為例。台灣公共衛生雜誌、27(6) ,463-477。doi:10.6288/tjph2008-27-06-02
葉婉榆、鄭雅文、陳美如、邱文祥(2008b)。職場疲勞量表的編製與信效度分析台灣衛誌,27(5),349-364。
鄭安雯、羅慶徽、林藍萍、許佩蓉、徐尚為、林金定(2011)。護理之家員工職場疲勞與自覺健康狀況之相關性:性別效應分析。臺灣老人保健學刊,7(2),157-176。 doi:10.29797/tjghr.201112.0004
鄭怡世、巫麗雪、劉幸宜(2017)。臺灣老人日間照顧服務從業人員職場疲勞之探究社會政策與社會工作學刊,21(2),1-53。
鄭雅文、葉婉榆、林宜平(2007)。台灣職場疲勞問題的社會性。台灣公共衛生雜誌,26(4),251-253。doi:10.6288/tjph2007-26-04-01
盧玉嬴、陳瑞貞、梁淑媛、吳淑芳(2014)。護理人員之工作壓力與職場疲勞之相關性探討。護理暨健康照護研究,10(4),276-285。doi:10.6225/jnhr.10.4.276
盧美秀(2004)。我國護理教育的現況與展望。護理雜誌,51(4),11-17。doi:10.6224/jn.51.4.11
賴苡汝、廖梨伶、謝藍琪、李貞慧(2014)。台灣營養師工作壓力、工作滿意度、職業倦怠和離職傾向之現況與相關性。台灣公共衛生雜誌,33(6),609-619。doi:10.6288/tjph201433103078
蕭淑銖(2017)。職業與環境衛生護理:概念與實務。臺北市:華杏。
謝幸燕、盧易呈、顏簡美珠(2015)。職場健康促進活動之需求評估-實例探討與省思。勞動及職業安全衛生研究季刊,23(1),72-85。
韓楷檉、林裕堯(2015)。國小輔導人員生命意義感、生涯自我效能與職業倦怠關係及其中介效果之研究。諮商心理與復健諮商學報(28),119-161。doi:10.6308/jcprc.28.05
American Association of Occupational Health Nurses Inc. (2007).Competencies in occupational and environmental health nursing. AAOHN Journal, 55(11), 442-447.
Aiken, L. H., Sloane, D. M., Cimiotti, J. P., Clarke, S. S., Flynn, L., Seago, J., ... Smith, H. L. (2010). Implications of theCalifornia nurse staffing mandate for other states. HealthServices Research, 45(4), 904−921. doi:10.1111/j.1475-6773.2010.01114.x
Bakker, A. B., & Demerouti, E. (2007).The Job Demands-Resources model: State of the art. Journal of Managerial Psychology, 22, 309-328.
Bakker, A. B., Demerouti, E., Boer, E. D., & Schaufeli, W. B.(2003). Job demands and job resources as predictors of absence duration and frequency. Journal of Vocational Behavior, 62, 341-356.
Bakker, A. B., Demerouti, E., & Verbeke, W. (2004). Using the job demands-resources model to predict burnout and performance. Human Resource Management, 43(1), 83-104.
Barker, L. M., & Nussbaum, M. A. (2011). Fatigue, performance and the work environment: a survey of registered nurses Fatigue, performance and the work environment. J Adv Nurs, 67(6), 1370-1382.
Briner, R. B. (2012). Developing Evidence-Based Occupational Health Psychology. 36-56.
Chen, J., Daraiseh, N. M., Davis, K. G., & Pan, W. (2014). Sources of work-related acute fatigue in United States hospital nurses. Nurs Health Sci, 16(1), 19-25.
Cheng, Y., Huang, H.-Y., Li, P.-R., & Hsu, J.-H. (2011). Employment Insecurity, Workplace Justice and Employees' Burnout in Taiwanese Employees: A Validation Study. Int J Behav Med, 18(4), 391-401.
Cheng, Y., Luh, W.-M., & Guo, Y.-L. (2003). Reliability and validity of the chinese version of the job content questionnaire in Taiwanese workers. Int. J. Behav. Med. International Journal of Behavioral Medicine, 10(1), 15-30.
Dawis, R. V., & Lofquist, L. H. (1984). A psychological theory of work adjustment. Minneapolis, MN:University of Minnesota Press.
Duquette A, Kérowc S, Sandhu BK, Beaudet L. (1996). Factors related to nursing burnout a review of empirical knowledge. Issues in Mental Health Nursing, 15,337-58.
Duffy, M. E., Rossow, R., & Hemandez, M. (1996). Correlates of health-promotion activities in employed maxican american women. Nursing Research, 45(1), 18-24.
Demerouti, E., & Nachreiner, F. (2001). The job demands - resources model of burnout. Journal of Applied Psychology, 86(3), 499-512.
Dawis, R. V. (2005). The Minnesota theory of work adjustment.InS.D.Brown & R. W. Lent (Eds.), Career development and counseling: Putting theory and research to work: 3-23. Hoboken, NJ: John Wiley & Sons.
Eriksen, W., Tambs, Kristian, & Knardahl, Stein. . (2006). Work factors and psychological distress in nurses' aides: a prospective cohort study. BMC Public Health, 6, 290. doi:10.1186/1471-2458-6-290
Fang, J., Kunaviktikul, W., Olson, K., Chontawan, R., & Kaewthummanukul, T. (2008). Factors influencing fatigue in Chinese nurses. 10, 291-299. doi:10.1111/j.14422018.2008.00407.x
French, J. R. P., Van Harrison, R., & Caplan, R. D. (1982). The mechanisms of job stress and strain. Chichester [Sussex] ; New York: Wiley.
Freudenberger, H. (1974). Staff Burn-Out. Journal of Social Issues, 30(1), 159-165.
Fisher, H. J. (1983). A psychoanalytic view on burnout. In B. A. Fisher (Ed.), Stress and burnout in the human service professions: 40-46. New York: Pergamon Press.
Finnish Association of Occupational Health Nurse. (2013).The Finnish association of Occupational Health Nurse(FAOHN). Retrieved from http://www.stthl.net/fin/in_english/
Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513-524.
Halbesleben, J. R., & Bowler, W. M. (2007). Emotional exhaustion and job performance: the mediating role of motivation. J Appl Psychol, 92(1), 93-106. doi:10.1037/0021-9010.92.1.93
Hong, O., Chin, D. L., & Thomas, E. A. (2013). Global occupational health and safety responsibilities of occupational health nurses based in the United States. Workplace Health Saf, 61(7), 287-295.
Jung-Chun Ho, M.-B. L., Ruey-Yu Chen, Chiou-Jong Chen, Wushou Peter Chang, Ching-Ying Yeh, & Shu-Yu Lyu. (2013). Work-related fatigue among medical personnel in Taiwan. journal of the formosan medical association, 112(10), 608-615.
Karasek ,R.A.(1979). Job demands, job decision latitude and mental strain: Implications for job redesign.Administrative Science Quarterly, 24, 285-308.
Karasek, R., & Theorell, T. (1990). Healthy work : stress, productivity and the reconstruction of working life: New York (N.Y.) : Basic books.
Lee, J. S. Y., & Akhtar, S. (2011). Effects of the workplace social context and job content on nurse burnout. HRM Human Resource Management, 50(2), 227-245.
Lim, J., Bogossian, F., & Ahern, K. (2010). Stress and coping in Australian nurses: a systematic review. Int Nurs Rev, 57(1), 22-31. doi:10.1111/j.1466-7657.2009.00765.x
Lin, B. Y.-J., Lin, Y.-K., Lin, C.-C., & Lin, T.-T. (2013). Job autonomy, its predispositions and its relation to work outcomes in community health centers in Taiwan. Health Promotion International, 28(2), 166-177.
Lin, Y. W., & Huang, Y. W. (2014). Team climate, emotional labor and burnout of physicians: A multilevel model (Vol. 33).
Marziale, M. H. P., Hong, O. S., Morris, J. A., & Rocha, F. L. R. (2010). The Roles and Functions of Occupational Health Nurses in Brazil and in the United States. Rev. Latino-Am. Enfermagem Revista Latino-Americana de Enfermagem, 18(2), 182-188.
Maslach, C. (1976). Burned-out. Human Behavior, 5(9), 16-22. Maslach, C., Schaufeli, W. B. (1997). Burnout:The cost of caring. Englewood Cliffs:Prentice-Hall.
Maslach, C., & Leiter, M. P. (1997). The truth about burnout. San Francisco: Jossey-Bass.
Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 57: 397-422.
Naumanen, P. (2007). The expertise of Finnish occupational health nurses. Nursing & Health Sciences, 9(2), 96-102.
doi:10.1111/j.1442-2018.2007.00309.x
Ohue, T., Moriyama, M., & Nakaya, T. (2011). Examination of
a cognitive model of stress, burnout, and intention to
resign for Japanese nurses. Japan Journal of Nursing
Science, 8(1), 76−86. doi:10.1111/j.1742-7924.2010.00161.x
Pines, A. (1993). Burnout: An existential perspective. In W. B. Schaufeli, C. Maslach, & T. Marek (Eds.),Professional burnout: Recent developments in theory and research:33-51. Washington, DC: Taylor &Francis.Queiros, C., Carlotto, M. S., Kaiseler, M., Dias, S., & Pereira, A. M.(2013). Predictors of burnout among nurses: an interactionist
approach. Psicothema, 25(3), 330-335. doi:10.7334/psicothema2012.246
Ratliff, N. (1988). Stress and burnout in the helping professions. Soc Casework, 69(3), 147-154.
Schaufeli, W. B., Buunk, A., Schabracq, M. J., Winnubst, J. A. M., & Cooper, C. L. (2003). Burnout: An overview of 25 years of research and theorizing.
Schaufeli, W. B., Leiter, M. P., & Maslach, C. (2009). Burnout: 35 years of research and practice. CAREER DEVELOPMENT INTERNATIONAL, 14(3), 204-220.
Shirom, A. (2003). Job-related burnout: A review. 245-264.
Shirom, A. (2005). Reflections on the study of burnout. Human resources abstracts., 19(3), 263-270.
Schultz, A. (2011). The working environment of occupational health nurses as a determinant for professional development. University of Pretoria.
Smith-Miller, C. A., Shaw-Kokot, J., Curro, B., & Jones, C. B. (2014). An integrative review: fatigue among nurses in acute care settings. The Journal of nursing administration, 44(9), 487-494.
Sorour, A. S., & El-Maksoud, M. M. (2012). Relationship between musculoskeletal disorders, job demands, and burnout among emergency nurses. Adv Emerg Nurs J, 34(3), 272-282. doi:10.1097/TME.0b013e31826211e1
Wells, J. D., Hobfoll, S. E., & Lavin, J. (1999). When it rains, it pours: The greater impact of resource loss compared to gain on psychological distress. Personality and Social Psychology Bulletin,25,1172-1182.
World Health, O. (1995). Global strategy on occupational health for all : the way to health at work.
World Health, O. (2005). The Bangkok Charter for health promotion in a Globalized Word. Retrieved from http://www.who.int/healthpromotion/conferences/6gchp/bangkok_charter/en/index.html
World Health, O. (2009). The workplace: A priority setting for health promotion. Retrieved from http://www.who.int/occupational health/topics/
World Health, O. (2016). Health topics-Occupational health. Retrieved from http://www.who.int/topics/occupational_health/en/
World Health, O., & Regional Office for the Western, P. (1999). Regional guidelines for the development of healthy workplaces. [Manila]: World Health Organization, Regional Office for the Western Pacific.
Xie, Z., Wang, A., & Chen, B. (2011). Nurse burnout and its association with occupational stress in a cross-sectional study in Shanghai. J Adv Nurs, 67(7), 1537-1546. doi:10.1111/j.1365-2648.2010.05576.x
Yeh WY, Cheng Y, Chen CJ, Hu PY, Kristensen TS. (2007). Psychometric properties of the Chinese version of Copenhagen Burnout Inventory among employees in two companies in Taiwan. 14, 1-8.