| 中文摘要 |
本研究旨在探討有無發生醫療異常事件之護理人員，其在人格韌性及離職意願的差異。採橫斷式研究，立意取樣並利用結構式問卷，包含個人基本特性、人格韌性量表及離職意願量表，對南部一家醫學中心、一家區域及二家地區醫院的護理人員進行調查，共發出535份問卷，回收有效問卷519份，回收率為97.0%。研究結果發現：1.有無發生醫療異常事件者在婚姻狀況、年齡、子女數、護理總工作年資、單位服務年資及服務單位等變項有顯著差異。2.有發生醫療異常事件者在人格韌性的平均值低於無發生醫療異常事件者，t 檢定結果顯示兩者在人格韌性具有顯著差異（p<.05）。3.有發生醫療異常事件者在離職意願平均值高於無發生醫療異常事件者，t檢定結果顯示有無發生醫療異常事件者在離職意願有顯著差異（p<.05）。根據本研究發現，建議護理主管將醫療異常事件預防技巧納入新進人員輔導計畫中，並運用策略強化護理人員的人格韌性，藉此將有助於護理人員防範醫療異常事件的發生，並降低護理人員的離職意願。The purpose of this study is to compare nurses' hardiness and intention to leave between those who had medical error with those didn't have such incident. This is a cross-sectional descriptive study. Purposeful sampling was applied, and the subjects in this study are nurses who worked in a medical center, a regional hospital and two district hospitals in southern Taiwan. 535 questionnaires were distributed, including personal basic characteristics, health related hardiness scale, and intention to leave questionnaire, and the response rate was 97%. Results show that: 1. individual characteristics, including marital status, age, children numbers, total nursing service years, working unit and service years in the unit, are significantly different between nurses who had medical errors with those who didn’t have medical errors. The hardiness of nurses who had medical errors is lower than those who didn’t have medical errors. Results of t tests show that the hardiness levels of the two groups are significantly different (p<.05). The intention to leave of nurses who had medical errors is significantly different from those who didn't have medical errors (p< .05). We suggest that prevention strategies should be built in training programs for new nursing staffs in order to reinforce nurses' hardiness, which should prevent the occurrence of medical errors and reduce their intention to leave. |
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