在職護理人員進修學士學位壓力之探討

A Study of the Stress of the Registered Nurses in BSN Program

近年來，護理人員進修學位在職場中已成為風氣，本研究目的在探討在職進修之護理人員其基本屬性及進修動機與壓力大小之相關性。研究方法採立意取樣為橫斷式相關性調查研究。研究對象為南部某科技大學進修部護理系及護理管理系具護理工作背景之在職進修的學生，在發出318份問卷中，回收306份，回收率96.5％，其中6份為無效問卷，有效問卷共計300份。問卷內容包括基本資料、個人、家庭、工作、學校、求學動機等方面的測量，壓力測量工具採用 Breakwell所發展出的壓力量表之結構性問卷施測。資料分析除次數分配外，並利用卡方檢定進行變項間之相關分析。研究結果顯示自我提升之求學動機與壓力大小有顯著相關；依個人收入所得來分，以30001至50000元者之中高壓力比例最大；於醫院工作者之中高壓力之比例比學校、衛生所高；地區醫院工作者之中高壓力比例比醫學中心及區域醫院高；若以服務部門來分，行政部門及基層臨床部門工作者之中高壓力比例比社區、學校工作者高；以職位來分，主管之中高壓力比例比非主管壓力高。本研究結果可提供醫院主管與學校方面在調整工作或安排課程時，能考量護理人員的特殊性，滿足其需求，使人力素質能夠因此而提升，達到雙贏的目標。

Pursuing higher degree has become popular among hospital nursing staff recently. In this crosssectional, we explored the factors associated with the stress of pursuing Bachelor degree among parttime nursing students. Samples were selected from the part-time nursing students pursuing Bachelor degrees in the Nursing and Nursing Management Departments at a university in southern Taiwan. Data were collected by a self-administered questionnaire, which contained subjects’ basic characteristics including personal factors, family factors, workplace related factors, school related factors, and motivation of pursuing degrees. The measurement of stress was done by the structured stress evaluation questionnaire developed by Breakwell. Among total 318 eligible students, 300 questionnaires were successfully collected, representing a 96.5% response rate. Data were analyzed by frequency distribution and chi-square test for association. The results showed that the self-promoting study motivation was associated with the stress level. Higher proportion of medium to high stress was found among the group of monthly income between 30 and 50 thousands; hospital nurses, especially those in local hospitals; administrative and clinical nurses; and nurses in supervising level. The study results provide useful information for hospital managers and college administrators. They are advised to take special consideration in arranging hospital work loading and in planning campus curriculum for part-time nursing students. Part-time nursing students pursuing higher degree will not only improve the nursing quality but also create a win-win situation for the employers and nursing staff themselves.