| Summary: | 碩士 === 國立臺灣大學 === 醫療機構管理研究所 === 92 === Abstract
Objective：The purpose of this study is to investigate the relationship between job strain and well-being among nurses employed in Medical Centers. The Effort-Reward imbalanced model was used to examine job stress and its association with health status including bodily pain, general health, vitality, social functioning and mental health.
Methods：A cross-sectional survey among 4098 female clinical licensed nurses who are employed over six months. A self-administered questionnaire was used to collect data and the response rate was 70%.
Results：The results indicate that job stress measured by ERI model is significantly associated with five dimensions of health status including bodily pain(adjust R2 =12% , Beta=-0.18), general health(adjust R2 =19% , Beta=-0.18), vitality(adjust R2 =16% , Beta=.-0.17), social functioning(adjust R2 = 16%, Beta=-0.20) and mental health(adjust R2 =21% , Beta=-0.17) . The study support the hypothesis that the effects of overcommitment should be taken into consideration in the job stress model (Beta range from-0.17 to-0.33). Better health status is also associated with personal characteristics and working conditions including marital status, job status and the type of hospitals nurses work.
Conclusion：Results show support for the ERI model, the medical center nurses with high effort/low reward imbalance had elevated risks of poor well-being.
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