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標題: | 臺灣臨床研究護理師關懷照護與慈心滿足及慈心疲倦
的相關性 A Study of Caring, Compassion Satisfaction and Compassion Fatigue among Clinical Research Nurses in Taiwan |
作者: | Yu-Chuan Liao 廖玉娟 |
指導教授: | 胡文郁(Wen-Yu Hu) |
關鍵字: | 臨床研究護理師,關懷照護,專業生活品質,慈心滿足,慈心疲倦,專業耗竭,流動意向, clinical research nurse,caring,professional quality of life,compassion satisfaction,compassion fatigue,burnout,turnover intention, |
出版年 : | 2013 |
學位: | 碩士 |
摘要: | 本研究旨在瞭解臺灣臨床研究護理師之關懷照護、慈心滿足與疲倦、專業耗竭以及流動意向之重要預測因子。採橫斷式之結構性問卷調查法,針對臺灣北、中、南、東地區之教學醫院203位臨床研究護理師進行資料收集。問卷包括基本屬性、關懷行為與專業生活品質量表,量性與質性資料分別以統計軟體SPSS17.0及ATLAS.ti 5.0進行統計分析。主要研究結果為:1)臨床研究護理師之「流動意向」,在過去30天內出現離職想法的頻率介於「很少與有時」之間,半年內有26.1%「可能與極有可能」離開目前工作場域;專業生活品質之「慈心滿足」、「慈心疲倦」與「專業耗竭」感均屬中等程度。2)「關懷照護行為」的表現頻率介於「有時與時常」之間,其表現頻率愈高時,慈心滿足感愈高且專業耗竭感愈低。3)半年內可能離開目前工作場域的重要預測因子為「過去30天內有離職想法(β值0.70)、曾執行風濕免疫科研究案(β值0.47)及過去30天內負責執行神經科研究案(β值0.79)者」,總解釋變異量為33.2%,其中「過去30天內出現離職想法」的解釋變異量佔28.7%。4)過去30天內會出現離職想法的重要預測因子為「專業耗竭感(β值0.05)、自覺工作環境不良(β值0.60)、曾執行耳鼻喉科(β值0.56)或皮膚科研究案(β值0.65)、過去30天內負責執行Phase II/III的研究案量(β值0.20)與薪資福利不符期望 (β值0.29)者」,總解釋變異量為25.2%,其中「專業耗竭感」之解釋變異量佔11.1%,其重要預測因子為「慈心滿足感(β值-0.59)、慈心疲倦感(β值0.30)及發生單位轉型狀況者(β值4.73)」,總變異量為53.6%。輔以質性資料,本研究建議醫療機構單位或科部應建立與臨床研究執行相關之標準作業程序,積極推動臨床研究護理師之證照與薪資福利制度,並鼓勵其參與關懷照護相關課程。 The purpose of the study was to understand the critical prediction factors of Caring, Compassion Satisfaction, Compassion Fatigue, and Turnover Intention of Clinical Research Nurses in Taiwan. The data were collected by utilizing structural questionnaires, including fundamental attributes, caring, and Professional Quality of Life , among 203 Clinical Research Nurse from the teaching hospitals distributed in the Northern, Middle, Southern, and Eastern district of Taiwan. Quantitative and qualitative data were analysed using SPSS 17.0 and ATLAS.ti 5.0. The main results as follows: 1) Turnover Intention: the intention of resignation of the Clinical Research Nurse in the past 30 days was between ‘rarely’ and ‘occasionally’, while 26.1% would ‘possibly’ or ‘probably’ leave the working field; the levels of ‘Compassion Satisfaction’, ‘Compassion Fatigue’, and ‘Burnout’ were middle for Professional Quality of Life surveillances. 2) The frequency of ‘Caring’ was between ‘occasional’ and ‘often’, for which the higher the frequency, the Compassion Satisfaction would be higher and the Compassion Fatigue would be lower. 3) The critical prediction factors of resignation in 6 months were ‘the intention of resignation in the past 30 days (β=0.70)’, ‘involved in immunology and rheumatology clinical trials (β=0.47)’, and ‘involved in neurology clinical trials in the past 30 days (β=0.79)’, the rotation sum of squared was 33.2%, for which 28.7% was ‘the intention of resignation in the past 30 days’. 4) The critical prediction factors of ‘the intension of resignation in the past 30 days’ were ‘Burnout (β=0.05)’, ‘Self-conscious poor working environment (β=0.60)’, ‘involved in otolaryngology (β=0.56) or dermatology (β=0.65) clinical trials’, ‘the quantity of Phase II/III trials involved in the past 30 days (β=0.20)’, and ‘compensation and benefit was inconsistent with expectation (β=0.29)’. The rotation sum of squared was 25.2%, for which 11.1% was ‘Burnout’, with critical prediction factors including ‘Compassion Satisfaction (β=-0.59)’, ‘Compassion Fatigue (β=0.30)’, and ‘transition of unit (β=4.73), in which the rotation sum of squared of these factors was 53.6%. Supported by qualitative data, the study suggests that medical care units or divisions should develop standard operating procedures of clinical trial conduction, actively advancing the licensing and the compensation and benefit of Clinical Research Nurses, as well as to encourage the nurses to participate in caring related education programs. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/59008 |
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顯示於系所單位: | 護理學系所 |
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