A Study on the Work Stress of the New Nurses in General Hospital, Department of Health, Executive Yuan,Twaiwan,R.O.C.

• Main Authors: Huang, Chien-Hui, 黃千惠
• Other Authors: 盧美秀
• Format: Others
• Language: zh-TW
• Published: 2005
• Online Access: http://ndltd.ncl.edu.tw/handle/57647400991524208205

碩士 === 臺北醫學大學 === 護理學研究所 === 93 === Title of thesis: A Study on the Work Stress of the New Nurses in General Hospital, Department of Health, Executive Yuan, Taiwan, R. O. C. Institution: Graduate Institute of Nursing , Taipei Medical University Author: Huang, Chien-Hui Thesis directed by:Lu, Meei-Shiow, Professor The subject of this research is to discuss the actual status about how clinical nurses, who are newly recruited by the hospitals under Department of Health(DOH), Executive Yuan, Taiwan, R.O.C., feel about their self-perceived level of work stress and related factors. Firstly, we interviewed 12 newly recruited nurses to collect data of their perception of work stress. Then we categorize the data according to records, tests and status of nursing work in designing the questionnaires, using "Demand-Control-Support" modle. since the method has been tested and approved by experts for content validity and test-retest reliability. The research sample group was nursing school graduates who have nursing work experience of more than 1 month, but less than 6 months. Samples included 16 consolidated hospitals under the DOH, Executive Yuan. A total of 109 questionnaires were issued with 105 returned. The survey’s return rate was 96%. The questionnaire data was analyzed by the following methods: times of distribution, average score, standard errors, ANOVA analysis, t-test, correlation analysis and multi-regression analysis. The conclusion of this research showed "the self-perceived level of work stress" of sample group had no obvious correlation with their age, education level, days of working record, employee status, diploma differences or different work division. The average coefficient score of work stress for newly recruited nurses is 2.2, which means they rate their job pressure level as between medium to low. This is lower than many other research results. Their emotional responses to work stress are: feeling very tensed mentally while on duty, feeling frustrated frequently, and feeling anxious easily. Their physical reactions are: feeling exhausted, feeling very tired, getting sore and aching back, feeling their immunity decreasing and falling sick easily. The higher job demands seems to always cause a higher score on the self-perceived levels of work stress (regression coefficient= .42, p< .0001). Factors such as having heavy job load, having tight working schedule, retaining knowledge and application of medication, performing regular checkup and executing therapy, having to work extra hours regularly, changing shifts and writing work journals, all contribute to the increased feeling of work stress. The higher score on having job control seems to always lower the score on work stress perception (regression coefficient= -.16, p= .04). Newly recruited nurses feel not in control when: doctors do not show up in time for patients' emergencies, working on night shifts with limited support, handling critical patients, unable to handle patients' status and having no control over working hours. The higher score of support from manager and colleague seems to lower work stress scores (regression coefficient= -.23, p= -.04). The total average social support coefficient score is 3, which means newly recruited nurses feel that they are receiving high level of support, which helped relieve some feeling of work stress. This research also showed the high job demands in hospitals under the DOH, Executive Yuan. However, they are allowed to work with "high self-determination and support" in their job field, thus easing new comers' perception of their work stress to a medium-low level. A positive & self-imposed pressure from a high-demand, highly-controlled and highly-supported work environment could be most suitable for newly recruited nurses.