Hsu Hui-Chuan, Kung Yuan-Wei, Huang Hsiao-Chien, Ho Pei-Yu, Lin Ya-Ying, Chen Wen-Shin
Department of Healthcare Administration, Asia University, 500, Lioufeng Road, Wufeng Township, Taichung 413, Taiwan.
Int J Nurs Stud. 2007 Jul;44(5):736-46. doi: 10.1016/j.ijnurstu.2005.12.006. Epub 2006 Feb 14.
Care attendants constitute the main workforce in nursing homes, but their heavy workload, low autonomy, and indefinite responsibility result in high levels of stress and may affect quality of care. However, few studies have focused of this problem.
The aim of this study was to examine work-related stress and associated factors that affect care attendants in nursing homes and to offer suggestions for how management can alleviate these problems in care facilities.
We recruited participants from nine nursing homes with 50 or more beds located in middle Taiwan; 110 care attendants completed the questionnaire. The work stress scale for the care attendants was validated and achieved good reliability (Cronbach's alpha=0.93). We also conducted exploratory factor analysis.
Six factors were extracted from the work stress scale: insufficient ability, stressful reactions, heavy workload, trouble in care work, poor management, and working time problems. The explained variance achieved 64.96%. Factors related to higher work stress included working in a hospital-based nursing home, having a fixed schedule, night work, feeling burden, inconvenient facility, less enthusiasm, and self-rated higher stress.
Work stress for care attendants in nursing homes is related to human resource management and quality of care. We suggest potential management strategies to alleviate work stress for these workers.
护理员是养老院的主要劳动力，但他们工作量大、自主性低且责任不明确，导致压力水平较高，可能会影响护理质量。然而，很少有研究关注这个问题。
本研究旨在调查养老院护理员的工作相关压力及相关影响因素，并就管理层如何缓解护理机构中的这些问题提出建议。
我们从台湾中部9家床位在50张及以上的养老院招募参与者；110名护理员完成了问卷调查。护理员工作压力量表经过验证，具有良好的信度（克朗巴哈系数=0.93）。我们还进行了探索性因素分析。
从工作压力量表中提取出六个因素：能力不足、压力反应、工作量大、护理工作困难、管理不善和工作时间问题。解释方差达到64.96%。与较高工作压力相关的因素包括在医院型养老院工作、有固定排班、夜班工作、感到负担、设施不便、热情不高以及自我评定压力较高。
养老院护理员的工作压力与人力资源管理和护理质量有关。我们提出了缓解这些工作人员工作压力的潜在管理策略。
