夜班輪班工作之身心健康影響：護理人員訪談及國際規範比較之研究

李佳旃

doi:10.6342/NTU201600265

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夜班轮班工作之身心健康影响：护理人员访谈及国际规范比较之研究

Health impacts of shift work and night work: An International comparison of regulations and an interview study of nurses in Taiwan

李佳旃 , 硕士　　导师：郑雅文　　

繁体中文 DOI： 10.6342/NTU201600265

夜班轮班；护理人员；身心健康；政策；国际比较； night work and shift work ； nurses ； physical and mental health ； policy ； international comparison

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摘要 │ 参考文献 (77) │ 国际计量

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Background and objective:  Existing epidemiologic evidences show that shift work and night work are associated with increased health risks, including sleep disorders, metabolic diseases, cardiovascular or cerebrovascular diseases and depression.  In Taiwan, long working hours and shift work are common among health care workers.  In this occupational group, diseases associated with overwork problems have been a public health issue.  The labor authority of Taiwan has taken measures to regulate working hours in attempt to safeguard occupational health of health care workers.  Since January 1 of 2014, nurses are no longer exempted from working hour regulations of the Labor Standard Act.  This study was conducted to compare with international regulations of shift work and night work, and to explore the patterns of shift work and night work status as well as hospital management concerning shift work and night work among nurses working in hospitals of Taipei City and New Taipei.  Nurses’ perceived health impacts associated with night work and shift work and their attitudes toward organizational policies and governmental policies were examined.  
Methods:  Literature review and in-depth interviews were conducted. In interview study, study subjects were female nurses in hospitals of the Taipei city or New Taipei city, with work tenure of 1 year or longer.  Those who were pregnant or had given birth within a year were excluded. A total of 23 nurses were interviewed during the study period  from November 2015 to December 2016. 
Results: Comparions with international regulations indicated that regulations on shift work and night work of Western countries are more comprehensive as compared to that of Taiwan.   Results from interviews with nurses suggested that  violations of the Labor Standards Law were commonplace,  but many nurses chose to tolerate unlawful practices due to unbalance labor relation.  Several nurses did not even know their rights had been infringed. 
Conclusion and recommendation: Labor authority should pay attention to the safety and health risks with night work and shift work. We suggest that regulations should be revised and guidelines should be promulgated to help workers to better adapt to night and shift work.  In addition, labor right and occupational health education should be provided, and labor inspection should be forcefully implemented with sufficient level of punishment to truly safeguard the labor and health rights of working people in Taiwan.

参考文献 ( 77 ) 〈TOP〉

Folkard, S. (2003). Shift work, safety and productivity. Occupational Medicine, 53(2), 95-101. doi:10.1093/occmed/kqg047
连结：
Geiger, B. J., & McPhaul, K. (2011). Sleep promotion in occupational health settings. In N. Redeker & G. McEnany (Eds.), Sleep Disorders and Sleep Promotion in Nursing Practice. New York: Springer.
连结：
Gold, D. R., Rogacz, S., Bock, N., Tosteson, T. D., Baum, T. M., Speizer, F. E., & Czeisler, C. A. (1992). Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses. American Journal of Public Health, 82(7), 1011-1014.
连结：
Gu, F., Han, J., Laden, F., Pan, A., Caporaso, N. E., Stampfer, M. J., . . . Schernhammer, E. S. (2015). Total and cause-specific mortality of U.S. nurses working rotating night shifts. American Journal of Preventive Medicine, 48(3), 241-252. doi:10.1016/j.amepre.2014.10.018
连结：
Guidance on safe nurse staffing levels in the UK. (2010). In R. C. o. Nursing (Ed.).
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引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。