Chen Kun-Chuan, Hsieh Wan-Hua, Hu Sheng-Chuan, Lai Pei-Fang
Department of Emergency, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
Department of Public Health, Tzu Chi University, Hualien, Taiwan.
Tzu Chi Med J. 2017 Jan-Mar;29(1):30-36. doi: 10.4103/tcmj.tcmj_12_17.
The objective of this study is to investigate the feelings (well-being) of emergency physicians in Taiwan regarding their job and the relationship between these feelings and the work environment.
A questionnaire was used to survey emergency physicians across Taiwan from January to June 2014. The questionnaire contents were categorized into five specific factors that could affect well-being, including "emergency quality, emergency safety, support environment, workload, and salary and benefits." Well-being was rated directly on a scale of 1-10, with 10 indicating the highest level of happiness. Physician retention was also surveyed. The correlations among the five factors, well-being, and physician retention were analyzed. The five factors were quantified as a "happiness index" and compared between religious and nonreligious hospitals and medical centers and regional hospitals.
A total of 398 questionnaires were received, and the response rate was 39%. Of these, 42.7% of responders reported high ratings for well-being (scores of 7-10, 1 is the worse, and 10 is the best) and 40.3% felt neutral (scores of 5-6). Only 12.3% doctors did not think they would stay at the same position for the next 3 years. All five factors had moderately significant correlations with each other (γ = 0.195-0.534, < 0.01). All five factors also significantly correlated with well-being. Emergency safety (γ = 0.121, < 0.05), salary and benefits (γ = 0.143, < 0.05), and well-being (γ = 0.189, < 0.01) were correlated with physician retention. The happiness indices of emergency quality, support environment, and workload were significantly higher in regional hospitals than medical centers.
All five indicators had impacts on well-being. The respondents reported heavy workloads, including high stress and even poorly met physiological needs. In addition, the threat of violence, salaries, and well-being correlated with physician retention. Hospital administrators can make efforts to improve the well-being of doctors and physician retention by adjusting environmental factors.
本研究旨在调查台湾急诊医师对其工作的感受（幸福感），以及这些感受与工作环境之间的关系。
2014年1月至6月，采用问卷调查台湾各地的急诊医师。问卷内容分为五个可能影响幸福感的具体因素，包括“急诊质量、急诊安全、支持环境、工作量以及薪资福利”。幸福感直接以1至10分进行评分，10分表示最高幸福水平。还对医师留任意愿进行了调查。分析了这五个因素、幸福感与医师留任意愿之间的相关性。将这五个因素量化为一个“幸福指数”，并在宗教医院与非宗教医院、医学中心和地区医院之间进行比较。
共收到398份问卷，回复率为39%。其中，42.7%的受访者报告幸福感评分较高（7至10分，1分为最差，10分为最佳），40.3%感觉一般（5至6分）。只有12.3%的医生认为他们在未来3年不会留在同一岗位。所有五个因素之间均存在中度显著相关性（γ = 0.195 - 0.534，P < 0.01）。所有五个因素也与幸福感显著相关。急诊安全（γ = 0.121，P < 0.05）、薪资福利（γ = 0.143，P < 0.05）和幸福感（γ = 0.189，P < 0.01）与医师留任意愿相关。地区医院的急诊质量、支持环境和工作量的幸福指数显著高于医学中心。
所有五个指标均对幸福感有影响。受访者报告工作量繁重，包括高压力甚至生理需求难以满足。此外，暴力威胁、薪资和幸福感与医师留任意愿相关。医院管理人员可通过调整环境因素努力提高医生的幸福感和医师留任意愿。
