题名

工作與生命意義的實踐:急重症護理師的疫起挑戰

并列篇名

Meaningful work and life: challenges faced by acute-and critical-care nurses

DOI

10.6288/TJPH.202206_41(3).111022

作者

李美秀(Mei-Hsiu Lee);許欽津(Chin-Chin Hsu)

关键词

COVID-19 ; 急重症單位 ; 護理師 ; 工作意義 ; 生命意義 ; COVID-19 ; acute and critical care unit ; nurse practitioner ; job meaning ; meaning in life

期刊名称

台灣公共衛生雜誌

卷期/出版年月

41卷3期(2022 / 06 / 29)

页次

301 - 311

内容语文

繁體中文

中文摘要

目標:台灣2021年COVID-19疫情嚴峻,造成第一線急重症護理師工作量倍增且染疫風險增加,了解護理師在此情境下的工作意義與生命意義,以便未來醫院有相應的輔助措施。方法:以質性研究深度訪談十五位急重症單位的護理師。結果:疫情下的「工作意義」有三個主題,分別為:1.讓生活安定;2.因使命固守崗位;3.看見自己的價值;「生命意義」有四主題,分別為:1.照顧家人;2.生死無常;3.行善;4.把握當下。結論:在COVID-19疫情嚴重期間,台灣急重症單位的護理師對工作不逃避,而是以正向的態度面對工作所帶來的挑戰,且能從工作中體現自己不凡的生命意義,在有限的生命歷程,留下偉大捍衛國人健康的歷史軌跡。本研究提供台灣疫情警戒期間,急重症單位的護理師對工作意義與生命意義的見解,讓政策制定者在未來大流行時能有應對的相關計劃。

英文摘要

Objectives: The severity of the COVID-19 epidemic in 2021 in Taiwan doubled the workload of first-line acute- and critical-care nurses and increased their risk of infection. This study explored such nurses' work and personal lives to help hospitals develop auxiliary measures. Methods: This qualitative study interviewed fifteen nurses working in acute- and critical-care units. Results: Three themes were regarding the meaning of the nurses' work during the pandemic were identified: (a) keeping life stable, (b) fulfilling duties, and (c) recognizing self-worth. Four themes regarding the meaning of the nurses' personal lives were identified: (a) caring for families, (b) the impermanence of life and death, (c) doing good, and (d) seizing the day. Conclusions: During the pandemic, the nurses faced challenges at with a positive attitude, which helped them find meaning in their lives. In the limited life course, he left behind a great historical track of defending the health of the Chinese people. This study provides insight into the professional and personal lives of nurses in acute- and critical-care units during the pandemic in Taiwan, and the findings can help policymakers plan for future pandemics.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Bartrés-Faz, D,Cattaneo, G,Solana, J,Tormos, JM,Pascual-Leone, A(2018).Meaning in life: resilience beyond reserve.Alzheimers Res Ther,10,47.
  2. Chan, WCH,Tin, AF,Wong, ALY(2021).Moderating effects of meaning in life on the relationship between depression and self-competence’ in death work among helping professionals.Death Stud,45,594-602.
  3. Ericsson, U,Ehliasson, K,Bengtsson, Tops, A(2016).Meaning in work and emerging work identities of housing support workers: a quest for a comprehensible plot.Work,53,367-376.
  4. Giorgi, A(2012).The descriptive phenomenological psychological method.J Phenomenological Psychol,43,3-12.
  5. Giorgi, A(2008).Difficulties encountered in the application of the phenomenological method in the social sciences.Indo-Pacific J Phenomenology,8,1-9.
  6. Humphrey, A,Vari, O(2021).Meaning matters: self-perceived meaning in life, its predictors and psychological stressors associated with the COVID-19 pandemic.Behav Sci,11,50.
  7. Kulik, L,Shilo-Levin, S,Liberman, G(2017).The contribution of role satisfaction, meaning in life and work–home conflict to explaining well-being among working grandparents.Anxiety Stress Coping,30,333-346.
  8. Lamothe, J,Guay, S(2017).Workplace violence and the meaning of work in healthcare workers: a phenomenological study.Work,56,185-197.
  9. Schnell, T,Hoffmann, C(2020).ME-Work: development and validation of a modular meaning in work inventory.Front Psychol,11,599913.
  10. Shechter, A,Diaz, F,Moise, N(2020).Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic.Gen Hosp Psychiatry,66,1-8.
  11. Tsai, FJ,Chen, CY,Yeh, GL,Hu, YJ,Tseng, CC,Chen, SC(2018).Nursing students’ relationships among meaning in life, well-being, and positive beliefs: a cross-sectional survey study.Medicine,97,e12914.
  12. Tsai, FJ,Hu, YJ,Chen, CY,Yeh, GL,Tseng, CC,Chen, SC(2019).Simulated directed-learning in life-education intervention on the meaning of life, positive beliefs, and well-being among nursing students: a quasi-experimental study.Medicine,98,e16330.
  13. Willig, C(ed.),Rogers, WS(ed.)(2017).The SAGE Handbook of Qualitative Research in Psychology.London:Sage Press.
  14. Zhang, J,Peng, J,Gao, P(2019).Relationship between meaning in life and death anxiety in the elderly: self-esteem as a mediator.BMC Geriatr,19,308.
  15. 廖珮妏, PW(2015)。從量化與質化研究信效度探討社會科學領域的研究品質。中華科技大學學報,62,69-88。
  16. 趙可式(譯), CS(Trans.),沈錦惠(譯), MCH(Trans.)(2012).活出意義來:從集中營說到存在主義.台北=Taipei:光啓文化=Kuangchi Cultural Group.
被引用次数
  1. 楊佩瑄(Pei-Hsuan YANG);曾櫻花(Ying-Hua TSENG);鄭素珍(Su-Chen CHENG)(2024)。曾確診COVID-19護理師留任意願重要預測因子之探討。護理雜誌。71(2)。58-69。 
  2. 陳淑純(Shu-Chun Chen);陳美華(Mei-Hua Chen);張倩蜜(Chien-Mi Chang);康美玉(Mei-Yu Kang);謝孟蓁(Meng-Chen Hsieh);張翠芬(Tsui-Fen Chang);粘沛琳(Pei-Lin Nien);錢美容(Mei-Jung Chien);李雅文(Ya-Wen Lee)(2022)。探討護理人員照顧COVID-19病人的工作壓力與復原力。榮總護理。39(4)。400-411。