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題名：精神科護理人員人格堅毅性、因應策略與職業疲潰相關性之探討
書刊名：護理雜誌
作者：謝佳容 引用關係／謝馨儀／陳碧霞／蕭伃伶／李選 引用關係
作者(外文)：Hsieh, Chia-jung／Hsieh, Hsin-yi／Chen, Pi-hsia／Hsiao, Yu-ling／Lee, Sheuan
出版日期：2004
卷期：51:3
頁次：頁24-33
主題關鍵詞：人格堅毅性；因應策略；職業疲潰；精神科護理人員；Hardiness；Coping strategies；Burnout；Psychiatric nurses
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(8) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:8
  • 共同引用共同引用:34
  • 點閱點閱:128
　　　　　人格堅毅性是指在健康方面具有緩衝壓力作用的人格特質，在健康的領域中常被熱切探討，本研究在探討精神科護理人員人格堅毅性、因應策略和職業疲潰的相關性，以瞭解精神科護理人員的人格堅毅性，發揮有效的因應策略，預防職業疲潰，進而提升護理照顧的品質。本研究採分層隨機抽樣法，對象為臺北市區域醫院以上的精神科病房護理人員計147名，以問卷調查法為主，以結構性問卷收集資料。問卷內容含樣本基本屬性量表、人格堅毅性量表、因應策略量表及職業疲潰量表。結果顯示：（一）研究對象多數擁有高程度的人格堅毅性（M=157.84分，SD=18.42），（二）精神科護理人員人格堅毅性與因應策略型態中的面對問題、樂觀式、支持性、自恃性因應策略有統計正相關，（三）人格堅毅性與職業疲潰中「情緒耗竭、乏人性化」具有統計負相關，而與職業疲潰中「個人成就感」具有統計正相關，（四）精神科護理人員因應策略型態中「逃避式因應策略」與職業疲潰中「情緒耗竭」具有統計正相關。而護理人員因應策略三種型態中「 面對問題、樂觀式、自恃性因應策略 」與職業疲潰中「個人成就感」亦具有統計正相關。以上結果可應用於精神科護理領域，有助於瞭解護理人員人格堅毅性特質、因應策略與職業疲潰的相關性，可作為臨床護理實務及護理行政工作之參考。
　　　　　Hardiness is a personality trait in which the ability to buffer the health related effects of stress is inherent. It has been frequently and enthusiastically investigated in connection with human health. In order to understand hardiness in psychiatric nurses, to prevent burnout, and to enhance the quality of nursing care, this study sought to investigate the relationships between hardiness, burnout and quality of nursing care. One hundred and forty-seven psychiatric nurses were selected in a stratified random sample from the psychiatric units of district hospitals in Taipei City. Data were collected through structured questionnaires and concerned: (1) demographic variables, (2) the Health Related Hardiness Scale, (3) the Jalowiec Coping Scale, and (4) the Maslach Burnout Inventory. The main results indicated that: (l) Most respondents enjoyed high levels of hardiness (M=157.84, SD=18.42); (2) Respondents' levels of hardiness were positively correlated to the use of confrontational coping styles, optimistic coping styles, supportive coping styles and self-reliant coping styles; (3) Levels of hardiness were negatively correlated to emotional exhaustion but positively correlated to personal accomplishment; (4) There was a significantly positive correlation between the evasive coping style and emotional exhaustion; (5) The confrontational, optimistic and self-reliant coping styles were positively correlated to personal accomplishment. The findings of this study should contribute to our understanding of the relationship between hardiness, coping strategies and burnout in psychiatric nurses.
期刊論文
1.Lambert, V. A.、Lambert, C. E.(1993)。Relationships among faculty practice involvement, perception of role stress, and psychological hardiness of nurse educators。Journal of Nursing Education，32(4)，171-179。  new window
2.謝佳容、蔡欣玲、蕭淑貞、陳展航(20010800)。社區精神分裂病患主要照顧者人格堅毅性與其健康狀況相關性探討。新臺北護理期刊，3(2)，88-100。  延伸查詢new window
3.Pengilly, J.、Dowd, E. T.(2000)。Hardiness and social support as moderator of stress。Journal of Clinical Psychology，56(6)，813-820。  new window
4.李選(19890100)。臨床護理人員壓力感、疲潰與自我主見度之探討。護理雜誌，36(1)，85-98。new window  延伸查詢new window
5.Boyle, A.、Grap, M. J.、Younger, J.、Thornby, D.(1991)。Personality hardiness, ways of coping, social support and burnout in critical care nurse。Journal of Advanced Nursing，16，850-857。  new window
6.Clark, P. C.(2002)。Effects of individual and family hardiness on caregiver depression and fatigue。Research in Nursing & Health，25，35-48。  new window
7.Costantini, A.、Solano, L.、DiNapoli, R.、Bosco, A.(1997)。Relationship between hardiness and risk of burnout in a sample of 92 nurses working in oncology and AIDS wards。Psychotherapy & Psychosomatics，66(2)，78-82。  new window
8.Cronin-Stubbs, D.、Rooks, C. A.(1985)。The stress, social support, and burnout of crinical care nurse: The result of search。Heart and Lung，14，31-39。  new window
9.DePew, C. L.、Gordon, M.、Yoder, L. H.(1999)。The relationship of burnout, stress, and hardiness in nurses in a military medical center: A replicated descriptive study。Journal of Burn Care & Rehabilitation，11，515-522。  new window
10.Florian, V.、Mikulincer, M.、Taubman, O.(1995)。Does hardiness contribute mental health during a stressful real-life situation? The roles of appraisal and coping。Journal of Personality and Social Psychology，68(4)，687-695。  new window
11.Jalowiec, A.、Murphy, S. P.、Power, M. J.(1984)。Psychometeric assessment of the Jalowiec coping scale。Nursing Research，33(3)，157-161。  new window
12.Jennings, B. M.、Staggers, N.(1994)。A critical analysis of hardiness。Nursing Research，43(5)，274-281。  new window
13.Johnson-Saylor, M. T.(1991)。Psychosocial predictors of health behaviors in women。Journal of Advanced Nursing，16，1164-1171。  new window
14.Kane, D.(1993)。Coping with multiple roles: Mother/wife/ nurse。Nursing Forum，28(4)，17-21。  new window
15.Kobasa, S. C.(1979)。Stress life events, personality and health: An inquiry into hardiness。Journal of Personality and Social Psychology，37(1)，1-11。  new window
16.Lawrence, R. M.、Lawrence, S. A.(1988)。The nurse and job related stress: Resposes, Rx, and self-dependency。Nursing Forum，23(2)，45-51。  new window
17.McCarthy, P.(1985)。Burnout in psychiatric nursing。Journal of Advanced Nursing，10，305-310。  new window
18.Patrick, P. K. S.(1984)。Professional roles at risk for burnout, family and community health。Journal of Health Promotion and Maintenance，6(4)，25-31。  new window
19.Pick, D.、Leiter, M. P.(1991)。Nurse'€™s perceptions of burnout: A comparison of self-reports and standardize measures。The Canadian Journal of Nursing Research，23(3)，33-48。  new window
20.Pine, A. M.、Kanner, A. D.(1982)。Nurses'€™ burnout: Lack of positive conditions and presence of negative conditions as two independent sources of stress。Journal of Psychosocial Nursing and Mental Health Services，17(2)，43-49。  new window
21.Pine, A. M.、Maslach, C.(1978)。Characteristics of staff burnout in mental health settings。Hospital and Community Psychiatry，29(4)，233-237。  new window
22.Pollock, S. E.(1999)。Health-related hardiness with different ethnic population。Holistic Nursing Practice，13(3)，1-10。  new window
23.Rodney, V.(2002)。Nurse stress associated with aggression in people with dementia: It's relationship to hardiness, cognitive appraisal and coping。Journal of Aging of Advanced Nursing，31(1)，172-180。  new window
24.Schimied, L. A.、Lawler, K. A.(1986)。Hardiness, Type A behavior, and the stress-illness relationship in working women。Journal of Personality and Social Psychology，51(6)，1218-1223。  new window
25.Simoni, P. S.、Paterson, J. J.(1997)。Hardiness, coping, and burnout in the nursing workplace。Journal of Professional Nursing，13(3)，178-185。  new window
26.Soderstorm, M.、Dolbier, C.、Leiferman, J.、Steinhardt, M.(2000)。The relationship of hardiness, coping strategies, and perceived stress to symptoms of illness。Journal of Behavior Medicine，23(3)，311-328。  new window
27.Sortet, J. P.、Banks, S. R.(1996)。Hardiness, job stress, and health in nurses。Hospital Topics，74(2)，28-33。  new window
28.Tarolli-Jager, K.(1994)。Personal hardiness: Your buffer against burnout。American Journal of Nursing，94(2)，71-72。  new window
29.Tierney, M. J.、Lavelle, M.(1997)。An investigation into modification of personality hardiness in staff nurses。Journal for Nurses in Staff Development，13(4)，212-217。  new window
30.Hairission, M.、Loiselle, C. G.、Duquette, A.、Scmenic, S. E.(2002)。Hardiness, work support and psychological distress among nursing assistants and registered nurses in Quebec。Journal of Aging of Advanced Nursing，38(6)，584-591。  new window
31.Nicholas, P. K.(1993)。Hardiness, self-care practices and perceived health status in older adults。Journal of Advanced Nursing，18，1085-1094。  new window
32.Pollock, S. E.(1989)。The hardiness characteristic: A motivating factor in adaptation。Advanced Nursing Science，11(2)，53-62。  new window
33.Pollock, S. E.、Duffy, M. E.(1990)。The health-related hardiness scale: Development and psychometric analysis。Nursing Research，39(4)，218-222。  new window
34.Sullivan, P. J.(1993)。Occupational stress in psychiatric nursing。Journal of Advanced Nursing，18，591-601。  new window
35.Jalowiec, A.、Powers, M. J.(1981)。Stress and coping in hypertensive and emergency room patients。Nursing Research，30(1)，10-15。  new window
36.戴傳文(19980200)。我國精神衛生工作的發展。護理雜誌，45(1)，5-11。new window  延伸查詢new window
37.毛家舲、李引玉(19920300)。精神科護士的壓力感受與因應行為。護理雜誌，39(1)，107-118。new window  延伸查詢new window
學位論文
1.許曉玲(1996)。精神科急性病房護理人員個人特徵、工作壓力及其與職業疲潰關係之探討(碩士論文)。國立台灣大學。  延伸查詢new window
圖書
1.Calhoun, C. L.、Calhoun, J. G.(1983)。Occupational stress implication。New York：Van Nostrand Rrinhold。  new window
2.Jalowiec, A.(1987)。Jalowiec coping scale (JCS)。Chicago：Loyola University。  new window
3.Maslach, C.、Jackson, S. E.(1986)。The Maslach Burnout Inventory Manual。Palo Alto, CA：Consulting Psychologists Press。  new window
4.Maslach, Christina(1982)。Burnout: the Cost of caring。Prentice-Hall, Inc.。  new window
5.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
 
 
 
 
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