[[alternative]]A Study of the Job Stress, Coping Strategies and Job Satisfaction among Nursing Staff in the Hospice Ward

[[abstract]] 本研究主要目的在探究安寧病房護理人員工作壓力、工作滿意度與因應策略之間關係。其次為瞭解目前安寧病房護理人員工作壓力之現況，以個人屬性(如年齡、婚姻狀況、教育程度、服務年資、宗教信仰、工作喜愛度)對工作壓力、工作滿意與因應策略之影響。本研究以臺灣地區十五所醫院之安寧病房140名護理人員為研究對象，以結構式問卷進行橫斷法調查研究(Cross-sectional study)，共寄出180份問卷，回收160份，回收率達89%(有效問卷140份)，所得的資料以SPSS for Window 8.0統計軟體為分析工具，主要統計方法包括：描述性統計、T-test、單因子變異數分析(One-Way ANOVA)、皮爾森相關性分析(Pearson correlation analysis )、因素分析(factor analysis)等推論性統計。研究結果顯示： 一、 安寧病房護理人員在性別方面均為女性，年齡以20－29歲居多；教育程度以專科畢業者最多，其次是大學；婚姻大多為未婚；受過安寧相關訓練佔78.6%，服務安寧病房年資以1-3年最多，其次為1年以下。 二、 工作壓力與個人變項之病房類型、年資、宗教、在職訓練、工作方式、家人支持度、人格特質、工作喜愛度、離職或調科有顯著差異及相關(P<.05)。 三、 工作滿意度與個人變項之學歷、年資、病房類型、工作方式、家人支持度、婚姻狀況、宗教、人格特質、工作喜愛度、離職或調科有顯著差異與相關(P<.05)。 四、 因應策略與個人變項之安寧年資、婚姻狀況、家人支持度、離職或調科、醫院類型有顯著差異及相關(P<.05)。 五、 工作壓力與因應策略各構面中，其中只有「病人護理」與「問題解決」策略呈現負相關(P<.05)。 六、 工作壓力與工作滿意度呈負相關(P<.05)。 根據以上研究結果提出建議。[[abstract]] The purpose of this study was to explore the work stress, coping strategies and work satisfaction among nurses at the hospice wards in Taiwan. Then, the status quo about work stress among the nursing staff at hospice wards; the relationship between personal characteristics such as age, marital status, education, seniority, religion, and work preference and their effects on work stress, work satisfaction, and coping strategies were. The 140 participants were recruited from hospice nursing staff who have been working at 15 different hospitals. Cross-sectional research method was employed. The structured questionnaire was used to collect data. A total of 180 questionnaires were distributed and 160 were completed 140 of them were counted valid. The response rate was 89%. The SPSS for Window 8.0 was applied as the tool for statistic analysis in this study. The statistic methods used in this research are as follows: descriptive statistics, t-test, one-way ANOVA, Person’s correlation analysis, and factor analysis. The results of this study showed that:1. Most nurses at the hospice wards are made of females. Their ages vary from 21 to 29 years old and most of them received junior college degrees. Some of them even have college degrees. Most of them are still single. The hospice training, which they had received, reaches up to 78.6%. The majority of them have been working in the department for at least one year and three year the most. Others do not work at the wards for over one year. 2. There is great significance between work stress and several variables of individual characteristics as follows: ward type, series, religions, career training, personal characteristics, work preferences, resignation, and ward transfer. 3. There is great significance between work satisfaction and some other variables of individual characteristics. These variables are education, marital status, ward type, family support, personal characteristics, religions, ward transfer and work preferences. 4. There is much significance between coping strategies and seniority, marital status, family support, resignation, ward transfer, or the types of the hospitals they work at. 5. There is a negative correlation between patient care, problem solving and coping strategies. 6. There is a negative correlation between work stress and work satisfaction. Some suggestions are offered in this study based on the results of the research