A Study of Job Stress, Stress Coping Strategies, and Job Satisfaction for Nurses Working in Middle-Level Hospital Operating Rooms

中型醫院手術室護理人員之工作壓力、壓力因應策略與工作滿意度相關性研究

陳重光(Chung-Kuang Chen)；林素鉁(Cecilia Lin)；王淑慧(Shu-Hui Wang)；侯東旭(Tung-Hsu Hou)

工作壓力 ； 壓力因應策略 ； 工作滿意度 ； job stress ； stress coping strategy ； job satisfaction

The Journal of Nursing Research

17卷3期（2009 / 09 / 01）

199 - 211

英文

背景　護理人員之個人屬性與工作壓力、壓力因應策略、工作滿意度間的關係是重要的主題。 目的　瞭解不同類型醫院間手術室護理人員個人屬性與工作壓力、壓力因應策略、工作滿意度間的關係。 方法　本研究採橫斷式問卷調查方式進行資料收集。以97年3月到97年5月間雲林縣、嘉義縣之七家醫院工作滿六個月的121位手術室護理人員為研究對象，回收問卷112份（回收率92.56%）。問卷包含四部份：基本資料與工作相關資料、工作壓力、壓力因應策略、工作滿意度。 結果　本研究之主要發現：壓力感受度及感受頻率因所屬醫院類型不同而不同；感受度最高的壓力源為病患安全；感受頻率最高的壓力源為行政回饋；各壓力源均與消極型壓力因應策略呈正相關，但專業知識及技術、病患安全、工作環境構面亦與積極型壓力因應策略呈正相關；對工作酬勞、工作環境、管理制度的滿意度與消極型壓力因應策略呈負相關；對工作酬勞、工作環境、管理制度的滿意度與各壓力源呈負相關。 結論／實務應用　本研究之主要建議：醫院應落實手術室標準作業流程，加強手術室團隊與病患之安全防護；應增加手術室護理人員壓力因應課程的質與量；應提升手術室工作環境及手術室主管人員之行政管理技能；應提供手術室護理人員與自我肯定有關課程，以協助手 術室護理人員採行積極型的壓力因應策略。

Background: Understanding the interactive relationships between demographics and work-related variables, job stress, job stress coping strategies, and job satisfaction for operating room (OR) nurses is important. Purpose: The purpose of this study was to determine the stressors, the stress coping strategies, and the job satisfaction of nursing staff who worked in the OR and to evaluate influence of demographic characteristics on job stress, stress coping strategies, and job satisfaction. Methods: A cross-sectional research design was used to collect data. Participants included 121 nurses with more than 6 months of work experience at seven hospitals in Yunlin and Chiayi Counties. Data were collected from March through May 2008. One hundred twelve questionnaires were returned, giving a response rate of 92.56%. The questionnaire included four parts designed to gather data on demographics and work-related information, job stress, stress coping strategies, and job satisfaction. Results: Major findings of this study were as follows: (a) stress level and frequency perception of OR nurses were significantly related to the type of hospital; (b) the most intense stressor perceived by OR nurses was patient safety; (c) the stressor most frequently perceived by OR nurses was administrative feedback; (d) although all job stressors were positively related to destructive stress coping strategies, professional status, patient safety, and OR environment were also positively related to constructive stress coping strategies; (e) factors including work rewards, OR environment, and administrative management of job satisfaction were inversely related to destructive stress coping strategies; and (f) factors including work rewards, OR environment, and administrative management of job satisfaction were inversely related to all job stressors. Conclusions/Implications for Practice: Major suggestions of this study include the following: (a) hospitals should ensure set standard operating procedures for the OR, strengthen the designed-in security of the OR working environment, and provide adequate safety protection equipment to safeguard OR staff and patients; (b) the OR department should increase the quantity and the quality of stress relief courses; (c) the OR department should improve the OR environment and the administrative management skills; and (d) the OR department should offer self-esteem-related training programs to assist OR nursing staff to adopt constructive stress coping strategies.

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