請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/78397完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 蕭淑銖(Judith Shu-Chu Shiao) | |
| dc.contributor.author | Yi-Chuan Chen | en |
| dc.contributor.author | 陳宜傳 | zh_TW |
| dc.date.accessioned | 2021-07-11T14:54:52Z | - |
| dc.date.available | 2025-06-10 | |
| dc.date.copyright | 2020-09-10 | |
| dc.date.issued | 2020 | |
| dc.date.submitted | 2020-06-29 | |
| dc.identifier.citation | 中華民國護理師護士公會全國聯合會（2010）．護理人員工作現況調查．全聯護訊， 76，2-3。 中華民國護理師護士公會全國聯合會（2020，6月1日）．台閩地區護理人員統計表-109年6月。 http://www.nurse.org.tw/publicUI/H/H10201.aspx?arg= 8D8061D653DD5D5062 全國法規資料庫（2019， 2月1日）．醫療機構設置標準。https://law.moj.gov.tw/ LawClass/LawAll.aspx?pcode=L0020025 李明濱、戴傳文、廖士程、江弘基（2015）．自殺防治策略推動現況與展望． 護理雜誌；53（6），5-13。 葉婉榆、鄭雅文、陳美如、邱文祥（2008）．職場疲勞量表的編製與信效度分 析．台灣公共衛生雜誌，27（5），349-364。 楊思憶、吳宗憲、王敏家、陳芳婷、潘怡如（2015）‧薰衣草芳香療法對女性護理人員睡眠品質改善成效探討．護理暨健康照護研究，11（2），99-108。doi:10.6225/jnhr.11.2.99 衛生福利部護理及健康照護司（2012）．護理改革近中程計畫。 https://dep.mohw.gov.tw/donahc/cp-1020-4838-104.html 衛生福利部中央健康保險署（2017）．全民健康保險提升住院護理品質方案。https://www.nhi.gov.tw/Content_List.aspx?n=EA824C3BFAD1ED22 topn=23C660CAACAA159D 衛生福利部護理及健康照護司（2018）．34家醫院友善住院:照顧共聘，負擔減半。https://dep.mohw.gov.tw/DONAHC/cp-1047-45369-104.html 衛生福利部統計處（2019）‧機構執業醫事人員數及每萬人口醫事人員數。 https://dep.mohw.gov.tw/DOS/cp-1735-3245-113.html 衛生福利部中央健康保險署（2020）．全日平均護病比資訊公開． Retrieved from https://www.nhi.gov.tw/Content_List.aspx?n=4037A32CDEF1DDCF topn=CDA985A80C0DE710 Agelink, M. W., Malessa, R., Baumann, B., Majewski, T., Akila, F., Zeit, T., Ziegler, D. (2001). Standardized tests of heart rate variability: Normal ranges obtained from 309 healthy humans, and effects of age, gender, and heart rate. Clinical Autonomic Research, 11(2), 99-108. doi:10.1007/BF02322053 Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, 288(16), 1987-1993. doi:10.1001/jama.288.16.1987 Aiken, L. H., Sermeus, W., Van den Heede, K., Sloane, D. M., Busse, R., McKee, M., . . . Kutney-Lee, A. (2012). Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ 344, e1717. doi:10.1136/bmj.e1717 Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., Griffiths, P., Busse, R., . . . Sermeus, W. (2014). Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study. The Lancet, 383(9931), 1824-1830. doi:10.1016/S0140-6736(13)62631-8 Aiken, L. H., Sloane, D. M., Cimiotti, J. P., Clarke, S. P., Flynn, L., Seago, J. A., . . . Smith, H. L. (2010). Implications of the California nurse staffing mandate for other states. Health Services Research, 45(4), 904-921. doi:10.1111/j.1475- 6773.2010.01114.x Allen, B., Jennings, J. R., Gianaros, P. J., Thayer, J. F., Manuck, S. B. (2015). Resting high-frequency heart rate variability is related to resting brain perfusion. Psychophysiology, 52(2), 277-287. doi:10.1111/psyp.12321 Alvares, G. A., Quintana, D. S., Hickie, I. B., Guastella, A. J. (2016). Autonomic nervous system dysfunction in psychiatric disorders and the impact of psychotropic medications: A systematic review and meta-analysis. Journal of Psychiatry and Neuroscience, 41(2), 89-104. doi:10.1503/jpn.140217 Alyahya, M. S., Hijazi, H. H., Al Qudah, J., AlShyab, S., AlKhalidi, W. (2018). Evaluation of infection prevention and control policies, procedures, and practices: An ethnographic study. American Journal of Infection Control, 46(12), 1348-1355. doi:10.1016/j.ajic.2018.05.023 Amirian, I., Toftegard Andersen, L., Rosenberg, J., Gogenur, I. (2014). Decreased heart rate variability in surgeons during night shifts. Canadian Journal of Surgery, 57(5), 300-304. Appelhans, B. M., Luecken, L. J. (2006). Heart rate variability as an index of regulated emotional responding. Review of General Psychology, 10(3), 229-240. doi:10.1037/1089-2680.10.3.229 Berna, G., Ott, L., Nandrino, J.-L. (2014). Effects of Emotion Regulation Difficulties on the Tonic and Phasic Cardiac Autonomic Response. PLoS ONE, 9, e102971. doi:https://doi.org/10.1371/journal.pone.0102971 Bigger, J. T., Jr., Fleiss, J. L., Steinman, R. C., Rolnitzky, L. M., Kleiger, R. E., Rottman, J. N. (1992). Frequency domain measures of heart period variability and mortality after myocardial infarction. Circulation, 85(1), 164-171. Bobbio, A., Manganelli, A. M. (2015). Antecedents of hospital nurses’ intention to leave the organization: A cross sectional survey. International Journal of Nursing Studies, 52(7), 1180-1192. doi:https://doi.org/10.1016/j.ijnurstu. 2015.03.009 Burger, A. J., D’Elia, J. A., Weinrauch, L. A., Lerman, I., Gaur, A. (2002). Marked abnormalities in heart rate variability are associated with progressive deterioration of renal function in type I diabetic patients with overt nephropathy. International Journal of Cardiology, 86(2), 281-287. doi:10.1016/S0167-5273(02)00346-7 Burger, D., Comsti, C., Mahon, M. (2018, October 17). Nurse to patient ratios, a success story. Safe staffing legislation: Friendly workforce is a matter of death and life. Symposium conducted at the meeting of Taiwan Nurses Union, Taipei City, Taiwan, ROC. California Legislative Information. (1999). AB-394 Health facilities: Nursing staff. Retrieved November 6, 2019 from http://leginfo.legislature.ca.gov/faces/ billTextClient.xhtml?bill_id=199920000AB394 Carnethon, M. R., Prineas, R. J., Temprosa, M., Zhang, Z. M., Uwaifo, G., Molitch, M. E., Diabetes Prevention Program Research Group (2006). The association among autonomic nervous system function, incident diabetes, and intervention arm in the Diabetes Prevention Program. Diabetes care, 29(4), 914–919. https://doi.org/10.2337/diacare.29.04.06.dc05-1729 Chalmers, J. A., Quintana, D. S., Abbott, M. J.-A., Kemp, A. H. (2014). Anxiety disorders are associated with reduced heart rate variability: A meta-analysis. Frontiers in Psychiatry, 5(80). doi:10.3389/fpsyt.2014.00080 Chandola, T., Britton, A., Brunner, E., Hemingway, H., Malik, M., Kumari, M., . . . Marmot, M. (2008). Work stress and coronary heart disease: What are the mechanisms? European Heart Journal, 29(5), 640-648. doi:10.1093/eurheartj/ ehm584 Chang, H. E., Cho, S.-H. (2016). Workplace violence and job outcomes of newly licensed nurses. Asian Nursing Research, 10(4), 271-276. doi:https://doi.org/ 10.1016/j.anr.2016.09.001 Chapleau, M. W., Sabharwal, R. (2011). Methods of assessing vagus nerve activity and reflexes. Heart Failure Reviews, 16(2), 109-127. doi:10.1007/s10741-010- 9174-6 Chen, K.-P., Ku, Y.-C., Yang, H.-F. (2013). Violence in the nursing workplace – a descriptive correlational study in a public hospital. Journal of Clinical Nursing, 22(5-6), 798-805. doi:10.1111/j.1365-2702.2012.04251.x Chen, Y. C., Guo, Y. L., Lin, L. C., Lee, Y. J., Hu, P. Y., Ho, J. J., Shiao, J. S. C. (2020). Development of the nurses' occupational stressor scale. International Journal of Environmental Research and Public Health, 17(2). doi:10.3390/ ijerph17020649 Chin, W., Guo, Y. L., Hung, Y. J., Hsieh, Y. T., Wang, L. J., Shiao, J. S. C. (2019). Workplace justice and intention to leave the nursing profession. Nursing Ethics, 26(1), 307-319. doi:10.1177/0969733016687160 Chin, W., Guo, Y. L., Hung, Y. J., Yang, C. Y., Shiao, J. S. C. (2015). Short sleep duration is dose-dependently related to job strain and burnout in nurses: A cross sectional survey. International Journal of Nursing Studies, 52(1), 297-306. doi:10.1016/j.ijnurstu.2014.09.003 Chin, W. S., Chen, Y. C., Ho, J. J., Cheng, N. Y., Wu, H. C., Shiao, J. S. C. (2019). Psychological work environment and suicidal ideation among nurses in Taiwan. Journal of Nursing Scholarship, 51(1), 106-113. doi:10.1111/jnu. 12441 Chung, M. H., Kuo, T. B. J., Hsu, N., Chu, H., Chou, K. R., Yang, C. C. H. (2011). Recovery after three-shift work: Relation to sleep-related cardiac neuronal regulation in nurses. Industrial Health, 50(1), 24-30. https://doi.org/ 10.2486/indhealth. MS1305 Donaldson, N., Shapiro, S. (2010). Impact of California mandated acute care hospital nurse staffing ratios: A literature synthesis. Policy, Politics, Nursing Practice, 11(3), 184-201. doi:10.1177/1527154410392240 Elovainio, M., Kivimäki, M., Puttonen, S., Lindholm, H., Pohjonen, T., Sinervo, T. (2006). Organisational injustice and impaired cardiovascular regulation among female employees. Occupational and Environmental Medicine, 63(2), 141-144. doi:10.1136/oem.2005.019737 Ernst, G. (2014a). History of Heart Rate Variability. In G. Ernst (Ed.), Heart rate variability. (pp. 3-8). London: Springer. Ernst, G. (2014b). Methodological Issues. In G. Ernst (Ed.), Heart rate variability (pp. 51-118). London: Springer. Everhart, D., Neff, D., Al-Amin, M., Nogle, J., Weech-Maldonado, R. (2013). The effects of nurse staffing on hospital financial performance: Competitive versus less competitive markets. Health care management review, 38(2), 146-155. doi:10.1097/HMR.0b013e318257292b Fiske, E. (2018). Nurse stressors and satisfiers in the NICU. Advances in Neonatal Care, 18(4), 276-284. doi:10.1097/ANC.0000000000000514 Flinkman, M., Leino-Kilpi, H., Salanterä, S. (2010). Nurses’ intention to leave the profession: integrative review. Journal of Advanced Nursing, 66(7), 1422-1434. doi:10.1111/j.1365-2648.2010.05322.x Fujita, S., Ito, S., Seto, K., Kitazawa, T., Matsumoto, K., Hasegawa, T. (2012). Risk factors of workplace violence at hospitals in Japan. Journal of Hospital Medicine, 7(2), 79-84. doi:10.1002/jhm.976 Giorgi, G., Mancuso, S., Fiz Perez, F., Castiello D'Antonio, A., Mucci, N., Cupelli, V., Arcangeli, G. (2016). Bullying among nurses and its relationship with burnout and organizational climate. International Journal of Nursing Practice, 22(2), 160-168. doi:10.1111/ijn.12376 Griffiths, P., Recio-Saucedo, A., Dall'Ora, C., Briggs, J., Maruotti, A., Meredith, P., . . . Ball, J. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74(7), 1474-1487. doi:doi:10.1111/jan.13564 Griffiths, P., Saville, C., Ball, J., Jones, J., Pattison, N., Monks, T. (2020). Nursing workload, nurse staffing methodologies and tools: A systematic scoping review and discussion. International Journal of Nursing Studies, 103, 103487. doi:https://doi.org/10.1016/j.ijnurstu.2019.103487 Hamilton, J. L., Alloy, L. B. (2016). Atypical reactivity of heart rate variability to stress and depression across development: Systematic review of the literature and directions for future research. Clinical Psychology Review, 50, 67-79. doi:10.1016/j.cpr.2016.09.003 Hanson, C. S., Outhred, T., Brunoni, A. R., Malhi, G. S., Kemp, A. H. (2013). The impact of escitalopram on vagally mediated cardiovascular function to stress and the moderating effects of vigorous physical activity: A randomized controlled treatment study in healthy participants. Frontiers in Physiology, 4, 259. doi:10.3389/fphys.2013.00259 Harvey, C., Baldwin, A., Thompson, S., Willis, E., Meyer, A., Pearson, M., Otis, E. (2019). Balancing the scales—nurses’ attempts at meeting family and employer needs in a work-intensified environment. Journal of Nursing Management, 0(0), 1-8. doi:10.1111/jonm.12913 Hayes, A. F. (2018a). Causal steps, confounding, and causal order. In A. F. Hayes (Ed.), Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2 ed., pp. 113-146). New York, NY: Guilford Press. Hayes, A. F. (2018b). More than one mediator In A. F. Hayes (Ed.), Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2 ed., pp. 147-186). New York, NY: Guilford Press. Hayes, A. F. (2018c). The simple mediation model. In A. F. Hayes (Ed.), Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2 ed., pp. 77-112). New York, NY: Guilford Press. Hayward, D., Bungay, V., Wolff, A. C., Macdonald, V. (2016). A qualitative study of experienced nurses' voluntary turnover: Learning from their perspectives. Journal of Clinical Nursing, 25(9-10), 1336-1345. doi:10.1111/jocn.13210 Heinen, M. M., van Achterberg, T., Schwendimann, R., Zander, B., Matthews, A., Kózka, M., . . . Schoonhoven, L. (2013). Nurses’ intention to leave their profession: A cross sectional observational study in 10 European countries. International Journal of Nursing Studies, 50(2), 174-184. doi:https://doi.org/ 10.1016/j.ijnurstu.2012.09.019 Hernandez-Gaytan, S. I., Rothenberg, S. J., Landsbergis, P., Becerril, L. C., De Leon-Leon, G., Collins, S. M., Diaz-Vasquez, F. J. (2013). Job strain and heart rate variability in resident physicians within a general hospital. American Journal of Industrial Medicine, 56(1), 38-48. doi:10.1002/ajim.22098 Hillebrand, S., Gast, K. B., de Mutsert, R., Swenne, C. A., Jukema, J. W., Middeldorp, S., . . . Dekkers, O. M. (2013). Heart rate variability and first cardiovascular event in populations without known cardiovascular disease: meta-analysis and dose–response meta-regression. EP Europace, 15(5), 742-749. doi:10.1093/ europace/eus341 %J EP Europace International Labour Organization. (2014). Occupational stress and stress prevention in specific occupations. Retrieved June 6, 2020, from http://www.ilo.org/ safework/areasofwork/workplace-health-promotion-and-well-being/WCMS_250122/lang--en/index.htm International Council of Nurses. (2019). ICN International Workforce Forum calls for urgent action from governments to address global nursing shortage. Retrieved November 13, 2019, from https://www.icn.ch/news/icn-international- workforce-forum-calls-urgent-action-governments-address-global-nursing Järvelin-Pasanen, S., Ropponen, A., Tarvainen, M., Paukkonen, M., Hakola, T., Puttonen, S., . . . Pohjonen, T. (2013). Effects of implementing an ergonomic work schedule on heart rate variability in shift-working nurses. Journal of Occupational Health, 55(4), 225-233. doi:10.1539/joh.12-0250-OA Järvelin-Pasanen, S., Ropponen, A., Tarvainen, M. P., Karjalainen, P. A., Louhevaara, V. (2013). Differences in heart rate variability of female nurses between and within normal and extended work shifts. Industrial Health, 51(2), 154-164. doi:10.2486/indhealth.MS1368 Jourdain, G., Chênevert, D. (2010). Job demands–resources, burnout and intention to leave the nursing profession: A questionnaire survey. International Journal of Nursing Studies, 47(6), 709-722. doi:https://doi.org/10.1016/j.ijnurstu.2009. 11.007 Karhula, K., Henelius, A., Härmä, M., Sallinen, M., Lindholm, H., Kivimäki, M., . . . Puttonen, S. (2014). Job strain and vagal recovery during sleep in shift working health care professionals. Chronobiology International, 31(10), 1179-1189. doi:10.3109/07420528.2014.957294 Kaur, M. N., Gujral, H. K. (2020). Perceived stress and burnout in nurses: A conceptual approach. International Journal of Psychosocial Rehabilitation, 24(4), 2951-2958. doi:10.37200/IJPR/V24I4/PR201406 Kemp, A. H., Koenig, J., Thayer, J. F. (2017). From psychological moments to mortality: A multidisciplinary synthesis on heart rate variability spanning the continuum of time. Neuroscience Biobehavioral Reviews, 83, 547-567. doi:https://doi.org/10.1016/j.neubiorev.2017.09.006 Khamisa, N., Peltzer, K., Ilic, D., Oldenburg, B. (2016). Work related stress, burnout, job satisfaction and general health of nurses: A follow-up study. International Journal of Nursing Practice, 22(6), 538-545. doi:10.1111/ ijn.12455 Kieft, R. A., de Brouwer, B. B., Francke, A. L., Delnoij, D. M. (2014). How nurses and their work environment affect patient experiences of the quality of care: A qualitative study. BMC Health Services Research, 14, 249. doi:10.1186/1472- 6963-14-249 Kim, G. M., Woo, J. M. (2011). Determinants for heart rate variability in a normal Korean population. Journal of Korean Medical Science, 26(10), 1293-1298. doi:10.3346/jkms.2011.26.10.1293 Kim, H.-G., Cheon, E.-J., Bai, D.-S., Lee, Y. H., Koo, B.-H. (2018). Stress and heart rate variability: A meta-analysis and review of the literature. Psychiatry investigation, 15(3), 235-245. doi:10.30773/pi.2017.08.17 Kim, Y., Kim, J., Shin, S. A. (2019). Relationship between the legal nurse staffing standard and patient survival after perioperative cardiac arrest: A cross-sectional analysis of Korean administrative data. International Journal of Nursing Studies, 89, 104-111. doi:https://doi.org/10.1016/j.ijnurstu.2018. 09.012 Kleiger, R. E., Miller, J. P., Bigger, J. T., Jr., Moss, A. J. (1987). Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. The American Journal of Cardiology, 59(4), 256-262. Kristensen, T. S., Borritz, M., Villadsen, E., Christensen, K. B. (2005). The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work Stress, 19(3), 192-207. doi:10.1080/02678370500297720 Kunikullaya, K. U., Kirthi, S. K., Venkatesh, D., Goturu, J. (2010). Heart rate variability changes in business process outsourcing employees working in shifts. Indian Pacing and Electrophysiology Journal, 10(10), 439-446. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2974331/ Kupcewicz, E., Jóźwik, M. (2019). Positive orientation and strategies for coping with stress as predictors of professional burnout among Polish nurses. International Journal of Environmental Research and Public Health, 16(21). doi:doi: 10.3390/ijerph16214264 Laborde, S., Mosley, E., Thayer, J. F. (2017). Heart rate variability and cardiac vagal tone in psychophysiological research - recommendations for experiment planning, data analysis, and data reporting. Frontiers in psychology, 8, 213-213. doi:10.3389/fpsyg.2017.00213 Lee, M. B., Lee, Y. J., Yen, L. L., Lin, M. H., Lue, B. H. (1990). Reliability and validity of using a Brief Psychiatric Symptom Rating Scale in clinical practice. Journal of the Formosan Medical Association, 89(12), 1081-1087. Lee, M. B., Liao, S. C., Lee, Y. J., Wu, C. H., Tseng, M. C., Gau, S. F., Rau, C. L. (2003). Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity. Journal of the Formosan Medical Association, 102(10), 687-694. Leigh, J. P., Markis, C. A., Iosif, A. M., Romano, P. S. (2015). California's nurse-to-patient ratio law and occupational injury. International Archives of Occupational and Environmental Health, 88(4), 477-484. doi:10.1007/ s00420-014-0977-y Leineweber, C., Chungkham, H. S., Lindqvist, R., Westerlund, H., Runesdotter, S., Smeds Alenius, L., Tishelman, C. (2016). Nurses’ practice environment and satisfaction with schedule flexibility is related to intention to leave due to dissatisfaction: A multi-country, multilevel study. International Journal of Nursing Studies, 58, 47-58. https://doi.org/10.1016/j.ijnurstu.2016.02.003 Lichtenstein, R., Alexander, J. A., Mccarthy, J. F., Wells, R. (2004). Status differences in cross-functional teams: Effects on individual member participation, job satisfaction, and intent to quit. Journal of Health and Social Behavior, 45(3), 322-335. doi:10.1177/002214650404500306 Liu, W., Zhao, S., Shi, L., Zhang, Z., Liu, X., Li, L., . . . Ni, X. (2018). Workplace violence, job satisfaction, burnout, perceived organisational support and their effects on turnover intention among Chinese nurses in tertiary hospitals: A cross-sectional study. BMJ Open, 8(6), e019525. doi:10.1136/bmjopen-2017- 019525 Lo, S. H., Lin, L. Y., Hwang, J. S., Chang, Y. Y., Liau, C. S., Wang, J. D. (2010). Working the night shift causes increased vascular stress and delayed recovery in young women. Chronobiology International, 27(7), 1454-1468. doi:10. 3109/07420528.2010.498067 Lyytikainen, K., Toivonen, L., Hynynen, E., Lindholm, H., Kyrolainen, H. (2017). Recovery of rescuers from a 24-h shift and its association with aerobic fitness. International Journal of Occupational Medicine and Environmental Health, 30(3), 433-444. doi:10.13075/ijomeh.1896.00720 Malik, M. (1996). Heart Rate Variability. Annals of Noninvasive Electrocardiology, 1(2), 151-181. doi:10.1111/j.1542-474X.1996.tb00275.x Masum, A. K. M., Azad, M. A. K., Hoque, K. E., Beh, L.-S., Wanke, P., Arslan, Ö. (2016). Job satisfaction and intention to quit: an empirical analysis of nurses in Turkey. PeerJ, 4, e1896. doi:10.7717/peerj.1896 McHugh, M. D., Ma, C. (2014). Wage, work environment, and staffing: Effects on nurse outcomes. Policy, Politics, Nursing Practice, 15(3-4), 72-80. doi:10. 1177/1527154414546868 Miller, E. K., Cohen, J. D. (2001). An integrative theory of prefrontal cortex function. Annual Review of Neuroscience, 24(1), 167-202. doi:10.1146/ annurev.neuro.24.1.167 Ministry of Health, Labour and Welfare. (2012). Revision of the fee schedules in 2012. Retrieved November 6, 2019 from http://www.mhlw.go.jp/stf/ seisakunitsuite/bunya/kenkou_iryou/iryouhoken/iryouhoken15 Ministry of Health, Singapore. (2019). Health manpower. Retrieved January 3, 2020, from https://www.moh.gov.sg/content/moh_web/home/statistics/Health_ Facts_Singapore/Health_Manpower.html Mokwatsi, G. G., Schutte, A. E., Mels, C. M. C., Kruger, R. (2019). Morning blood pressure surge relates to autonomic neural activity in young non-dipping adults: The African-PREDICT study. Heart, Lung and Circulation, 28(8), 1197-1205. doi:https://doi.org/10.1016/j.hlc.2018.07.003 Morioka, N., Tomio, J., Seto, T., Kobayashi, Y. J. B. N. (2017). The association between higher nurse staffing standards in the fee schedules and the geographic distribution of hospital nurses: A cross-sectional study using nationwide administrative data. BMC Nursing, 16(1), 25. doi:10.1186/s12912- 017-0219-1 Nunan, D., Sandercock, G. R. H., Brodie, D. A. (2010). A quantitative systematic review of normal values for short-term heart rate variability in healthy adults. PACE - Pacing and Clinical Electrophysiology, 33(11), 1407-1417. doi:10. 1111/j.1540-8159.2010.02841.x Nursing and Midwifery Board of Australia. (2015). NMBA quarterly registration data. Retrieved June 6, from http://www.nursingmidwiferyboard.gov.au/News/ Newsletters/September-2015.aspx#quarterlydata Ohue, T., Moriyama, M., Nakaya, T. (2011). Examination of a cognitive model of stress, burnout, and intention to resign for Japanese nurses. Japan Journal of Nursing Science, 8(1), 76-86. doi:10.1111/j.1742-7924.2010.00161.x Oriyama, S., Miyakoshi, Y., Kobayashi, T. (2014). Effects of two 15-min naps on the subjective sleepiness, fatigue and heart rate variability of night shift nurses. Industrial Health, 52(1), 25-35. doi:10.2486/indhealth.2013-0043 Petit Dit Dariel, O., Regnaux, J.-P. (2015). Do Magnet®-accredited hospitals show improvements in nurse and patient outcomes compared to non-Magnet hospitals: a systematic review. JBI Database of Systematic Reviews and Implementation Reports, 13(6), 168-219. doi:10.11124/jbisrir-2015-2262 Porges, S. W. (2007). The polyvagal perspective. Biological Psychology, 74(2), 116-143. doi:10.1016/j.biopsycho.2006.06.009 Purcell, S. R., Kutash, M., Cobb, S. (2011). The relationship between nurses' stress and nurse staffing factors in a hospital setting. Journal of Nursing Management, 19(6), 714-720. doi:10.1111/j.1365-2834.2011.01262.x Qureshi, S. M., Purdy, N., Mohani, A., Neumann, W. P. (2019). Predicting the effect of nurse–patient ratio on nurse workload and care quality using discrete event simulation. Journal of Nursing Management, 27(5), 971-980. doi:10.1111/jonm.12757 Riese, H., Van Doornen, L. J., Houtman, I. L., De Geus, E. J. (2004). Job strain in relation to ambulatory blood pressure, heart rate, and heart rate variability among female nurses. Scandinavian Journal of Work, Environment Health, 30(6), 477-485. Rossy, L. A., Thayer, J. F. (1998). Fitness and gender-related differences in heart period variability. Psychosomatic Medicine, 60(6), 773-781. Rothman, K. J., Greenland, S., Lash, T. L. (2008). Validity in Epidemiologic Studies. In K. J. Rothman, S. Greenland, T. L. Lash (Eds.), Modern Epidemiology (3rd ed. ed., pp. 129-146). Philadelphia: Lippincott Williams Wilkins. State of Queensland. (2017). Hospital and health boards regulation 2012. Retrieved November 6, 2019, from https://www.legislation.qld.gov.au/view/pdf/2017- 06-30/sl-2012-0024 State Government of Victoria. (2019). Safe patient care (nurse to patient and midwife to patient ratios) Amendment Bill 2018. Retrieved November 6, 2019, from http://www.ocpc.vic.gov.au/domino/Web_Notes/LDMS/PubPDocs.nsf/ee665e366dcb6cb0ca256da400837f6b/e424c12f9bd01cecca25836700827600!OpenDocument Saville, C. E., Griffiths, P., Ball, J. E., Monks, T. (2019). How many nurses do we need? A review and discussion of operational research techniques applied to nurse staffing. International Journal of Nursing Studies, 97, 7-13. doi:https://doi.org/10.1016/j.ijnurstu.2019.04.015 Scott, A., Witt, J., Duffield, C., Kalb, G. (2015). What do nurses and midwives value about their jobs? Results from a discrete choice experiment. Journal of Health Services Research Policy, 20(1), 31-38. doi:10.1177/ 1355819614554924 Shin, S., Park, J. H., Bae, S. H. (2018). Nurse staffing and nurse outcomes: A systematic review and meta-analysis. Nursing Outlook, 66(3), 273-282. doi:10.1016/j.outlook.2017.12.002 Thayer, J. F., Åhs, F., Fredrikson, M., Sollers, J. J., Wager, T. D. (2012). A meta-analysis of heart rate variability and neuroimaging studies: Implications for heart rate variability as a marker of stress and health. Neuroscience Biobehavioral Reviews, 36(2), 747-756. doi:https://doi.org/10.1016/j. neubiorev.2011.11.009 Thayer, J. F., Hansen, A. L., Saus-Rose, E., Johnsen, B. H. (2009). Heart rate variability, prefrontal neural function, and cognitive performance: The neurovisceral integration perspective on self-regulation, adaptation, and health. Annals of Behavioral Medicine, 37(2), 141-153. doi:10.1007/s12160- 009-9101-z Thayer, J. F., Lane, R. D. (2000). A model of neurovisceral integration in emotion regulation and dysregulation. Journal of Affective Disorders, 61(3), 201-216. doi:https://doi.org/10.1016/S0165-0327(00)00338-4 Togo, F., Takahashi, M. (2009). Heart rate variability in occupational health --a systematic review. Industrial Health, 47(6), 589-602. doi：10.2486 / indhealth. 47.589 Umetani, K., Singer, D. H., McCraty, R., Atkinson, M. (1998). Twenty-four hour time domain heart rate variability and heart rate: Relations to age and gender over nine decades. Journal of the American College of Cardiology, 31(3), 593-601. doi:https://doi.org/10.1016/S0735-1097(97)00554-8 United Nurses Associations of California/Union of Health Care Professionals. (2008). California nurse-to-patient ratios. Retrieved November 6, 2019, from https://www.unacuhcp.org/california-nurse-to-patient-ratios/ van den Berg, M. E., Rijnbeek, P. R., Niemeijer, M. N., Hofman, A., van Herpen, G., Bots, M. L., . . . Kors, J. A. (2018). Normal values of corrected heart-rate variability in 10-second electrocardiograms for all ages. Frontiers in Physiology, 9(424). doi:10.3389/fphys.2018.00424 Wagner, A., Hammer, A., Manser, T., Martus, P., Sturm, H., Rieger, M. A., WorkSafeMed, C. (2018). Do occupational and patient safety culture in hospitals share predictors in the field of psychosocial working conditions? Findings from a cross-sectional study in German university hospitals. International Journal of Environmental Research and Public Health, 15(10), 2131. doi:10.3390/ijerph15102131 Wang, J., Okoli, C. T. C., He, H., Feng, F., Li, J., Zhuang, L., Lin, M. (2020). Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study. International Journal of Nursing Studies, 102, 103472. doi:https://doi. org/10.1016/j.ijnurstu.2019.103472 Wei, C.-Y., Chiou, S.-T., Chien, L.-Y., Huang, N. (2016). Workplace violence against nurses – Prevalence and association with hospital organizational characteristics and health-promotion efforts: Cross-sectional study. International Journal of Nursing Studies, 56, 63-70. doi:https://doi.org/10. 1016/j.ijnurstu.2015.12.012 World Health Organization. (2006). Health workers: a global profile. In The World Health Report 2006: Working Together for Health (pp. 1-18). Geneva: World Health Organization. World Health Organization. (2019). ICD-11 for Mortality and Morbidity Statistics. Retrieved May 1, 2019, from https://icd.who.int/browse11/l-m/en#/http://id. who.int/icd/entity/129180281 World Health Organization. (2020). Year of the nurse and the midwife 2020. Retrieved June 6, 2020, from https://www.who.int/news-room/campaigns/ year-of-the-nurse-and-the-midwife-2020 Xin, S., Jiang, W., Xin, Z. (2019). Changes in Chinese nurses' mental health during 1998–2016: A cross-temporal meta-analysis. Stress and Health, 35(5), 665-674. doi:10.1002/smi.2907 Ying, L., Aungsuroch, Y. (2018). Factors influencing nurse-assessed quality nursing care: A cross-sectional study in hospitals. Journal of Advanced Nursing, 74(4), 935-945. doi:10.1111/jan.13507 Yoshizaki, T., Kawano, Y., Tada, Y., Hida, A., Midorikawa, T., Hasegawa, K., . . . Togo, F. (2013). Diurnal 24-hour rhythm in ambulatory heart rate variability during the day shift in rotating shift workers. Journal of Biological Rhythms, 28(3), 227-236. doi:10.1177/0748730413489957 | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/78397 | - |
| dc.description.abstract | 研究背景：目前研究顯示護理工作量與工作壓力有關，並進而影響護理人員的心理健康狀態與離職意圖。而護理工作以病人為中心，每位護理人員照護的病人數（護病比）可能與護理工作壓力源相關，因此護理執業環境中，有關護病比、護理職業壓力源等因素對於護理人員的影響值得深入討論。 研究目的：本研究共包含三大主題：（1）護病比對護理人員離職意圖之影響；（2）護病比與護理工作壓力源之相關性；（3）工作壓力源與護理人員生心理健康之探討。 研究方法：（1）以全國醫院評鑑合格醫院為母群體，以橫斷性問卷調查及中介效應模型分析全日平均護病比是否因個人疲勞、對服務對象疲勞及工作滿意度差等中介變項間接影響護理人員的離職意圖；（2）以全國醫院評鑑合格醫院為母群體，透過橫斷性問卷調查分析全日平均護病比與護理工作壓力源量表之相關性；（3）以臺北市及新北市醫院內外科病房護理人員為研究對象，自最後一天休假日起至第二工作日共72小時，透過貼片型心率感測器收集心律變異性參數作為生理健康指標、以問卷調查簡式健康量表及疲勞量表得分作為心理健康指標，並使用護理工作壓力源量表評估護理工作壓力，檢視護理職業壓力源與生理、心理健康指標之相關性。 研究結果：（1）共分析1,409份有效問卷，標準化全日平均護病比可因護理人員自覺之個人疲勞、對服務對象疲勞及工作滿意度差間接影響離職意圖；（2）經分析698份有效問卷後，發現護病比與護理工作壓力源量表之所有分量表均呈正相關，且當標準化全日平均護病比增加時，「未能滿足基本生理需求」、「告假困難」及「工作家庭衝突」等壓力源感受度較高；（3）護理職業壓力源與護理人員自覺之個人疲勞、對服務對象疲勞及心理困擾呈正相關，與工作後睡眠期間之心律變異性增加較少有關；而心律變異性減少則與疲勞及心理困擾的增加有關。 結論與建議：綜合以上發現，建議醫療機構除了遵循法規安排足夠的護理人力，應定期評估護理職業壓力源，依結果針對不同單位擬定優先改善目標；建議衛生福利部所公告之各醫院全日平均護病比資訊，可進一步增列符合法定護病比標準的病房百分比，並再評估護病比標準的適切性；建議未來研究可同時比較法定護病比計算公式與本研究所提出之計算方法，兩者與護理職業壓力源、生心理健康指標與離職傾向之相關性為何，依評估結果檢視與擬定執業環境改善措施，以降低護理人力之流失。 | zh_TW |
| dc.description.abstract | Background: Nursing workload has been reported as associated with occupational stress, and might further influence nurses’ mental health and their intention to leave the job. Nursing highlights patient-centered care and consequently the total number of patients taken care of by each nurse in each shift, patient–nurse ratio (PNR), may be related to nurses’ occupational stressors. Therefore, the effects of PNR and nurses’ occupational stressors on nurses is worthwhile to explore. Objectives: This study included three themes: (1) the effects of the PNR on nurses’ intention to leave and considering the mediating roles of burnout and job dissatisfaction; (2) to identify the association between the PNR and nurses’ occupational stressors; (3) to analyze the relationship among nurses’ occupational stressors, mental health status and heart rate variability (HRV). Method: (1) The study analyzed the data of two pooled cross-sectional surveys collected in 2013 and 2014. The average daily PNR (ADPNR), nurses’ personal burnout, client-related burnout, job dissatisfaction, intention to leave, and other demographics were collected using a structured questionnaire. The ADPNR were standardized according to the level of hospitals. Multiple regression models were used to examine mediation hypotheses. (2) Data was obtained by a self-administered questionnaire, which queried the ADPNR, the subscales of the Nurses’ Occupational Stressor Scale (NOSS), and other demographic data. Multivariate linear regression models were used to estimate the adjusted standardized ADPNR for the incremental trend of nursing stressors. (3) Nurses were recruited from medical and surgical wards of hospitals in Taipei City and New Taipei City. Data collection started from the last off day and the following two work days. The NOSS was regarded as the independent variable, parameters of HRV were mediators, and the Brief Symptom Rating Scale (BSRS-5), personal burnout scale and client-related burnout scale were the dependent variables for the mental health indictors. Results: (1) A total of 1,409 valid questionnaires were analyzed. The association between the ADPNR and intention to leave their job was significantly mediated by personal burnout, client-related burnout, and job dissatisfaction. Higher standardized ADPNRs predicted higher levels of personal burnout, client-related burnout, and job dissatisfaction, each of which resulted in higher levels of intention to leave the current job. (2) Among the 698 nurses who participated, higher standardized ADPNR was significantly positively associated with the subscales of the NOSS. “Difficulty taking leave,” “unmet basic physiological needs,” and “work-family conflict” increased more than the other subscales when the ADPNR increased. (3) There was a positive relationship between the NOSS and nurses’ personal burnout, client-related burnout and BSRS-5, and a positive relationship between less increased HRV during the recovery phase after work. Besides, decreased HRV was associated with higher personal burnout, client-related burnout and BSRS-5. Conclusions and suggestions: According to the above findings, it is suggested that medical institutions should arrange sufficient PNRs in compliance with the standard, as well as regularly assess the nursing occupational stressors and then set improvement targets for different units based on the results. In addition, the information of the ADPNR of each hospital announced by the Ministry of Health and Welfare should further add the percentage of wards that meet the standard of PNR, and reassess the suitability of the standard. Last, future studies can collect more information, such as bed occupancy rate, to compare the formula of the ADPNR by the Standards for Setting up Medical Institutions with the formula proposed in this study, and explore whether these two kinds of ADPNR are associated with occupational stressors, physical and mental health indicators, and nurses’ intention to leave. Then the assessment can be used to improve the nursing practice environment and nursing staff retention. | en |
| dc.description.provenance | Made available in DSpace on 2021-07-11T14:54:52Z (GMT). No. of bitstreams: 1 U0001-2306202016043700.pdf: 7194988 bytes, checksum: f70b9ba9f1e054da8f9b4acb446864b8 (MD5) Previous issue date: 2020 | en |
| dc.description.tableofcontents | 口試委員會審定書 i 誌謝 ii 摘要 iii Abstract v 目錄 viii 圖目錄 x 表目錄 xi 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 2 第二章 文獻探討 3 第一節 護病比之立法與其相關影響 3 第二節 護理職業壓力源與其相關影響 7 第三節 心律變異性及其研究應用 11 第三章 研究方法 22 第一節 護病比與護理人員之離職意圖 22 第二節 護病比與護理職業壓力源之相關性 27 第三節 職業壓力源與護理人員之生心理健康 29 第四章 研究結果 34 第一節 護病比與護理人員之離職意圖 34 第二節 護病比與護理職業壓力源之相關性 42 第三節 職業壓力源與護理人員之生心理健康 55 第五章 討論 85 第一節 護病比與護理人員之離職意圖 85 第二節 護病比與護理職業壓力源之相關性 87 第三節 職業壓力源與護理人員之生心理健康 89 第六章 結論與建議 91 第一節 結論 91 第二節 建議 92 第三節 研究限制 94 參考文獻 97 附錄一 台大醫院研究倫理委員會研究計畫審查通過證明 109 附錄二 簡式心理健康量表使用同意書 112 附錄三 護病比與護理職業壓力源研究問卷 113 附錄四 工作壓力源與護理人員之生心理健康研究問卷 117 附錄五 已發表論文摘要 120 | |
| dc.language.iso | zh-TW | |
| dc.subject | 疲勞 | zh_TW |
| dc.subject | 護病比 | zh_TW |
| dc.subject | 心律變異性 | zh_TW |
| dc.subject | 職業壓力源 | zh_TW |
| dc.subject | 護理人員 | zh_TW |
| dc.subject | 心理健康 | zh_TW |
| dc.subject | burnout | en |
| dc.subject | patient–nurse ratio | en |
| dc.subject | occupational stressor | en |
| dc.subject | nurse | en |
| dc.subject | mental health | en |
| dc.subject | heart rate variability | en |
| dc.title | 職業壓力源對護理師生理、心理健康之影響
| zh_TW |
| dc.title | The Impact of Occupational Stressors on Nurses' Physical and Mental Health | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 108-2 | |
| dc.description.degree | 博士 | |
| dc.contributor.author-orcid | 0000-0001-7848-1383 | |
| dc.contributor.advisor-orcid | 蕭淑銖(0000-0002-6725-0034) | |
| dc.contributor.oralexamcommittee | 何俊傑(Jiune-Jye Ho),林麗嬋(Li-Chan Lin),洪啟盛 (Chi-Sheng Hung),黃敬淳(Ching-Chun Huang),郭育良(Yue-Liang Leon Guo) | |
| dc.contributor.oralexamcommittee-orcid | ,林麗嬋(0000-0003-2994-2475),黃敬淳(0000-0003-1898-5330),郭育良(0000-0002-8530-4809) | |
| dc.subject.keyword | 護理人員,職業壓力源,心律變異性,心理健康,疲勞,護病比, | zh_TW |
| dc.subject.keyword | burnout,heart rate variability,mental health,nurse,occupational stressor,patient–nurse ratio, | en |
| dc.relation.page | 121 | |
| dc.identifier.doi | 10.6342/NTU202001120 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2020-06-30 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 護理學研究所 | zh_TW |
| dc.date.embargo-lift | 2025-06-10 | - |
| 顯示於系所單位： | 護理學系所 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| U0001-2306202016043700.pdf 未授權公開取用 | 7.03 MB | Adobe PDF |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。