| 摘要: | 目前護理人員人力極為短缺，為降低手術室護理人員離職傾向，本研究的主要目的在瞭解手術室護理人員的職場疲憊與工作壓力之情形，並探究工作壓力、疲憊情形及離職傾向之間的相關性。本研究為橫斷性的探索性研究，以個案醫院院區工作年資一年以上含手術室專責護理師作為研究對象，研究工具包括：基本資料、中文版職場疲勞量表、工作壓力量表、離職傾向量表。回收93份有效問卷後，使用敘述統計、相關分析與邏輯斯迴歸分析探討變數之間的相關性。
研究結果發現手術室護理人員感受疲憊與工作壓力情況偏重。職場疲憊、工作壓力程度與工作壓力頻率之間具有顯著正相關。職場疲憊、工作壓力程度與工作壓力頻率皆不能顯著預測離職傾向。性別、年齡、學歷與職稱變數顯著預測受試者的離職傾向。女性相較於男性、年齡較長者、大學畢業相較於專科畢業者、專科護理師(NP)相較於基層護理人員(N)，比較沒有離職的想法。研究結果能提供手術室護理主管進行介入管理，對已適應護理職場較資深護理人員，建立輪班制度，尊重跨科訓練的意願，提升護理人員對於知識與技術類別工作壓力的抗壓性。減輕其工作壓力，改善其疲憊情形，重塑手術室健康安全的護理執業環境，以降低護理人員離職傾向。
In order to reduce the turnover intention of nurses in operating room, the main purpose of this study was to understand the situation of occupational fatigue and job stress of nurses in operating room, and to explore the correlation between job stress, fatigue and turnover intention.This study was a cross-sectional and exploratory study, in which the operating room specialist nurses with more than one year working experience in the hospital area were selected as the subjects. The research tools included: basic data, Chinese version of the Workplace Fatigue Scale, Work Stress Scale and Turnover Intention Scale. After collecting 93 valid questionnaires, the correlation between variables was analyzed by narrative statistics, correlation analysis and logistic regression analysis.
The results showed that nurses in operation room feel tired and stressed. There was a significant positive correlation between workplace fatigue, job stress and frequency of job stress. Workplace fatigue, job stress and frequency of job stress do not significantly predict turnover intention. Gender, age, education and professional variables significantly predict the turnover intention of the subjects. Females were less likely to quit than males, older adults, College graduates, junior college graduates, specialist nurses (NP) and primary care workers (N). The results can provide intervention management for the nursing supervisor in the operating room, establish shift system for the senior nursing staff who have adapted to the nursing profession, respect the willingness of cross-disciplinary training, and enhance the nurses'stress resistance to knowledge and technical categories of work. Reduce their work pressure, improve their fatigue, remodeling the operating room health and safety of nursing practice environment, in order to reduce the turnover tendency of nurses. |
