A Study on the Relationship Among Job Characteristics, Occupational Stress and Health-Related Quality of Life (SF-36 scale) of Psychiatric Nurses—The Influence on Hospital Moderating Effects

• Main Authors: Wen-Ting Chan, 詹雯婷
• Other Authors: Duan-Rung Chen
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/72085583210681326364

碩士 === 國立臺灣大學 === 醫療機構管理研究所 === 97 === Background：Job stress is an important issue in the field of healthcare. Psychiatric nurses work in long-term high-danger and highly competitive work environment. This might cause direct or indirect working pressure for the nurses, resulting in adverse health effects or higher-risk disease. However, earlier research often focused on the relationship of individual level variables, but paid less attention to the relationship of group level variables. Objective: To investigate the relationship among job characteristic, job stress and self-assessment of health status in psychiatric nurses. Furthermore, it also verifies the influence of group-level (hospital) on individual level (psychiatric nurses). Methods: A secondary data consists of the Council of Labor Affairs, Executive Yuan “Health hazard surveillance of female worker focusing on medical professionals" plan, as well as the Bureau of Health Promotion, Department of Health” Health hazard surveillance of medical Professionals" program. The questionnaires completed by psychiatric nurses from 39 regional hospitals or medical centers and psychiatric hospitals in Taiwan, a total of 852 samples were valid. Research tool for measuring the stress of job “Effort and reward imbalance scale (ERI scale)” and health survey of "Taiwan version IQOLA short scale 36".The data collected from the questionnaire is analyzed by methods of descriptive statistics, independent-samples t-test, one-way ANOVA, and Hierarchical Linear Modeling (HLM). Results: 1.In the individual level variables, subjects’ efforts and reward imbalance (ERI) in work is significant negative correlation on body pain(BP) ,vitality(VT) and mental health(MH) three scales, and subjects’ over-commitment (OVC) in work showed significant negative correlation on general health (GH),body pain(BP) ,vitality(VT), mental health(MH) and social functioning(SF) five scales. Furthermore, in the interaction of ERI and OVC only showed significant negative correlation on mental health (MH) scale. 2.In the group-level variables, subjects’ general health (GH) scale in psychiatric hospital was significantly superior to subjects’ GH scale in the department of psychiatric in general hospital. And subjects’ mental health (MH) scale in public hospital who also significantly superior to ubjects’ MH scale in non-public hospitals. 3.In the interaction of HLM slope-as-outcome model, only hospital categories have moderating effects. That is, psychiatric nurses in the work pressure would cause their physical and mental health status of poor circumstances, if they employed in psychiatric hospitals, psychiatric nurses’ working pressure of the negative impact on health is lower than they worked in general hospital psychiatric department. Discussion: In this study, through cross-level analysis of the variables can learn more about the influence of group level variables on individual level variables. Not only can help researchers have further understanding of the relationship between job stress and self-rated health status variables, but also can provide researchers and hospital managers a different point of view to explore the social phenomenon and internal management of organization.