| Summary: | 碩士 === 中國醫藥大學 === 醫務管理學系碩士班 === 100 === Objective : The purpose of this study was to investigate the correlation of job stress and satisfaction between nurses who offer cancer nursing care at different wards.
Methods：The population was nurses (104) who work at wards of internal medicine, surgery, oncology and hospice, of a medical center in central Taiwan. “Work Stress scale” and “work satisfaction scale” were adopted to collect 98 valid samples (the overall response rate was 94%) from February to March, 2012. Statistical methods include descriptive statistics, t-test, ANOVA, linear regression, Scheffe‘s test and Pearson’s Correlation.
Results: Four factors related to work stress are identified as nursing care, administration, workload and characteristics of the role. The average score of work-related stress was 3.0~3.75, falling between medium (3) and heavy stress (4). The work-related stress of nurses who work at oncology ward is higher statistically than that of nurses who work at wards of internal medicine, surgery and hospice (p＝0.008). The average score of satisfaction related to “administration “, “working environment” and “interpersonal relationship” was 2.59~3.59 which falls between dissatisfaction (2) and satisfaction (4). Satisfaction related to administration of nurses of oncology ward was lower statistically than that of nurses of internal medicine and surgery wards (p＝0.004). Satisfaction related to interpersonal relationship of nurses of oncology ward was higher statistically than that of nurses of surgery ward (p＝0.026). While the demography, work experience, willingness and ward types were being controlled, ward preference was significantly related to work-related stress (p＝0.34，95%CI：-0.482~ -11.722; the work-related stress will decrease 6.102 when the preference is increased for one level; when comparing with those who work in the oncology ward, the work-related stress for nurses who work in wards of surgery and hospice was significant statistically (p＝0.41，95%CI：-0.575~ -25.477；p＝0.001，95%CI：-8.127~ -31.541), and the work-related stress for nurses of wards of surgery and hospice were lower than that for nurses of oncology ward. While the demography, work experience, willingness and ward types were being controlled, ward preference was also significantly related to work-related satisfaction (p＝0.000，95%CI：2.096~5.677); the work-related satisfaction will increase 3.887 when the preference is increased for one level. There is a positive correlation between nursing care-related stress and administration (r=.771；P<.001), workload (r=.714； P<.001), and characteristics (r=.684；P<.001). ); there is a negative correlation between nursing care-related stress and administration satisfaction (r=-.364；P<.001) and working environment satisfaction (r=-.329；P<.001).
Conclusion：This study helps us to understand the difference of work stress and satisfaction among different wards, and also factors related to work-related stress and satisfaction of nurses. The expectation is that the results of this study will be beneficial to the managers of administration and oncology care teams of the hospital when training oncology nurses, and as a consequence, decreasing the work stress and improving the work satisfaction.
|
|---|
