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台北市长期照护机构护士所感受到的工作赋权与工作压力之间的关系。

The relationship between work empowerment and work stress perceived by nurses at long-term care facilities in Taipei city.

作者信息

Li I-Chuan, Chen Yu-Ching, Kuo Huai-Ting

机构信息

Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan.

出版信息

J Clin Nurs. 2008 Nov;17(22):3050-8. doi: 10.1111/j.1365-2702.2008.02435.x.

DOI:10.1111/j.1365-2702.2008.02435.x
PMID:19012771
Abstract

AIM

To explore the relationships between work empowerment, including both structural and psychological empowerment and work stress among nurses at long-term care facilities in Taiwan.

DESIGN

Cross-sectional design with a descriptive correlation.

METHODS

Work empowerment includes both psychological and structural empowerment; 178 nurses participated in the study.

RESULTS

The results of this study showed that the average age of the subjects was 35.5 years and that 56.2% of subjects had less than two years work experience in the facility. The results indicated that there was a moderate level of psychological empowerment (mean 59.9, SD 8.1) and structural empowerment (mean 59.2, SD 11.1). A moderate level of work stress was also found with an average score of 72.3 (SD 14.4). Both psychological empowerment and structural empowerment were found to be significantly associated with total work stress (r = -0.4, r = -0.5, p < 0.001, respectively). The variables of age (standardised beta = -0.1), resources (standardised beta = -1.6), meaningful work (standardised beta = -0.4) and impact (standardised beta = -1.3) were significant predictors of work stress (R(2) = 0.32, F = 17.3, p<0.001).

CONCLUSION

Both psychological empowerment and structural empowerment were found to be significantly associated with work stress among nurses in this study. The four significant predictors of job satisfaction were age, resources, meaningful work and impact.

RELEVANCE TO CLINICAL PRACTICE

The managers of the facilities should provide available resources for nurses to accomplish work and to involve nurses in the development goals of the facilities to enhance their influence in the making of important changes within the organisation to decrease their work stress.

摘要

目的

探讨台湾长期照护机构护士的工作赋权(包括结构赋权和心理赋权)与工作压力之间的关系。

设计

采用描述性相关性横断面设计。

方法

工作赋权包括心理赋权和结构赋权;178名护士参与了本研究。

结果

本研究结果显示,受试者的平均年龄为35.5岁,56.2%的受试者在该机构的工作经验少于两年。结果表明,心理赋权处于中等水平(均值59.9,标准差8.1),结构赋权也处于中等水平(均值59.2,标准差11.1)。工作压力也处于中等水平,平均得分为72.3(标准差14.4)。心理赋权和结构赋权均与总工作压力显著相关(相关系数分别为r = -0.4,r = -0.5,p < 0.001)。年龄(标准化β系数 = -0.1)、资源(标准化β系数 = -1.6)、有意义的工作(标准化β系数 = -0.4)和影响力(标准化β系数 = -1.3)是工作压力的显著预测因素(R(2) = 0.32,F = 17.3,p<0.001)。

结论

本研究发现心理赋权和结构赋权均与护士的工作压力显著相关。工作满意度的四个显著预测因素是年龄、资源、有意义的工作和影响力。

与临床实践的相关性

机构管理者应为护士提供完成工作所需的资源,并让护士参与机构的发展目标,以增强他们在组织内进行重要变革时的影响力,从而减轻他们的工作压力。

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