| Summary: | 碩士 === 高雄醫學大學 === 醫務管理學研究所碩士在職專班 === 98 === High occupational stress is considered to be one of the major risks for health in 21 century. People pay more attention to patient’s safty in recent years and the hemodialysis nursing staff with high burnout may harm the patient’s safty.
This study is designed to explore (1) condition of burnout and coping of hemodialysis nursing staff (2) difference of burnout and coping among hemodialysis nursing staff (3) difference of patient’s satisfaction caused by personsal characteristics (4) relationship between different hemodialysis nursing staff burnout ,coping and patient’s satisfaction (5) the influence of personal characteristics of hemodialysis nursing staff to burnout and coping.
Methods : We conducted cross sectional questionnaires surveyings of hemodialysis nursing staff and patients from 13 units in hospital and dialysis clinics across Pintung and Kaohsiung area. A total of 226 responded questionnaires (88.6% retrieved) are collected from hemodialysis nursing staff and 382 responded questionnaires (93.4% retrieved) from hemodialysis patients. The collected data was analyzed by using descriptive statistics, one-way ANOVA, Pearson’s Product-momnet correlation and stepwise multiple regresses to find the effect of relationship.
Results: (1) The index of burnout in hemodilaysis nursing staff is higher than average of the national-wide workers.( personal burnout 49.2 vs 32.9, task burnout 43.9 vs 28.4, work overload 46.0 vs 35.2 client service burnout 37.3 vs 30.5) The most common way of coping are seeking assistance and supports from others. (2) The degree of burnout has significant difference (p<.05) in service seniority ,marital status and official rank.Coping has significant difference (p<.05) in age and marital status. The average family income of hemodialysis patient is significant difference (p<.05) with hemodialysis patient’s satisfaction. (3) Personal burnout and task burnout are negatively correlated with self-adjustment in facing problem. Over commitment to work is positively correlated with solving problem with rational thinking and effective coping . Burnout of client service is negatively correlated with solving problem with rational thinking, self-adjustment in facing problem, seeking asistance,support from others and effective coping.(4) Hemodialysis service seniority, average wage, official rank and working place have significant influence to staff burnout while marital status, age, nurse-patient ratio, degree of education and working place have significant influence to coping.
Conclusion and suggestion: This study shows that hemodialysis nursing staff have higher burnout than average of the national-wide workers. Hemodialysis nursing staff is the high risk group of burnout. Improvement of working environment could decrease high burnout of hemodialysis nursing staff and demission rate in the meanwhile it could provide safty health care service and patient’s satisfaction.
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