Hsu Ming-Yi, Kernohan George
Institute of Nursing Research, University of Ulster, Newtownabbey, County Antrim, Northern Ireland, UK.
J Adv Nurs. 2006 Apr;54(1):120-31. doi: 10.1111/j.1365-2648.2006.03788.x.
This paper is a report of a study describing the quality of working life of nurses in Taiwan. The purpose of the study was to gather data on which to base a questionnaire to be used in further research.
Nurses often complain of overwork and underpay. Problems persist with nurses' job satisfaction, stress, organizational commitment and intent to leave. 'Quality of working life' is a system of analysing how people experience work: it relates to job satisfaction, intent to leave, turnover rate, personality and work stress. However, reliable information on hospital nurses' quality of working life is limited.
A descriptive study was carried out with a convenience sample. A total of 16 focus groups in one medical centre and five regional hospitals informed a quality of working life framework. Each group had three to five participants who were Registered Nurses in medical or surgical wards with at least 2 years' nursing experience, and who held a position below assistant nurse manager. The data were collected in 2000.
A total of 56 nurses' quality of working life categories were identified and fitted into six dimensions: socio-economic relevance, demography, organizational aspects, work aspects, human relation aspects and self-actualization. In this paper, we focus on issues emphasized by focus group participants. These were managing shift work within the demands of family life; accommodation; support resources; and nurses' clinical ladder system and salary system.
Further research is needed with other groups of nurses in a wider variety of settings in order to examine strengths and weaknesses in the total healthcare work environment and to develop appropriate strategies for nurses' quality of working life.
本文是一项关于描述台湾护士工作生活质量的研究报告。该研究的目的是收集数据，以便在此基础上编制一份问卷用于进一步的研究。
护士经常抱怨工作过度而报酬过低。护士的工作满意度、压力、组织承诺和离职意愿等问题依然存在。“工作生活质量”是一种分析人们如何体验工作的体系：它与工作满意度、离职意愿、离职率、个性和工作压力相关。然而，关于医院护士工作生活质量的可靠信息有限。
采用便利抽样进行描述性研究。在一家医学中心和五家地区医院共开展了16个焦点小组讨论，形成了一个工作生活质量框架。每个小组有三至五名参与者，他们是医疗或外科病房的注册护士，至少有两年护理经验，且职位低于助理护士长。数据于2000年收集。
共确定了56个护士工作生活质量类别，并归纳为六个维度：社会经济相关性、人口统计学、组织方面、工作方面、人际关系方面和自我实现。在本文中，我们关注焦点小组参与者所强调的问题。这些问题包括在家庭生活需求范围内安排轮班工作；住宿；支持资源；以及护士的临床晋升体系和薪资体系。
需要在更广泛的环境中对其他护士群体进行进一步研究，以审视整个医疗工作环境的优势和劣势，并制定提高护士工作生活质量的适当策略。
