| Summary: | 碩士 === 國立臺灣大學 === 護理研究所 === 84 === Using a purposive sampling scheme 60 nurses having been
caring for drug addicted clients for more than two months were
included in this study. Structured questionnaires were used for
investigating their job stress and coping behaviors. Data were
analyed by SAS/PC. Statistics methods used included frequency,
percentage,mean and standard deviation of descriptive statistics
,T-test,ANOVA,pearson correlation, general linear model and
Canonical correlation analysis.
The results reveals that the degree of nurses'' job stress
lies between mild to moderate,among which the main stressor was
derived from nursing care of clients,followed by such aspects as
work environment and resources,characteristics of the role,
hospital administration and interpersonal of corrdination. It is
also found that the degree of stress perception was significantly different with various types of ward. The causes were correlated with policy and hardware facility of the hospitals,leading to a higher stress for nurses working at mixed wards (including drug addicted and psychotic clients) than those in drug addictive wards.
The coping behaviors of the nurses was classified into three strategies:initiative,medium and passive. The initiative strategy was problem-solving oriented which was commonly used by the nurses,and was negatively related to the working experience. The use of medium strategy was related to marriage status of nurses.
Besides,whether nurses adopt passive strategy to cope with their work pressure was affected by professional training. Hence, when pressure becomes higher,medium strategy is used more frequently.
Based on these findings,this study suggests:(a)enhance the
on-the-job training on stress coping,(b)establish supportive
encounter groups for them and (c)the separation of psychiatric
and drug addictive ward.
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