降低腫瘤病房護理師工作倦怠之改善專案

A Project for Reducing Fatigue of Oncology Nurses

腫瘤病房護理師會因繁重的癌症照護工作而出現工作倦怠時，除了會影響護理品質外，負面工作態度也速增，本專案旨在降低腫瘤病房護理師倦怠，分析原因有臨床護理工作、個人因素、輪班制度及環境因素，改善策略有：安排癌症照護／抗癌治療相關訓練課程、合理護病比、運用資訊簡化紙本作業、善用輔具、照護經驗分享、音樂治療、安排休閒放鬆活動，以及合適排班等，專案推動後單位護理師「經常」或「總是」覺得工作倦怠的比例，從原本的有56.3％下降到27.8％，有效改善護理師的工作倦怠程度，且人員異動率由6.3％降至0％，建議本專案之改善策略，可供腫瘤病房護理師工作倦怠預防與因應的具體參考。

The oncology nurses will feel burnout due to heavy cancer care work. In addition to affect the quality of care, negative work attitudes will also increase. This project aimed to reduce the fatigue of the oncology ward nurses by analyzing the causes of clinical nursing work, individuals' factors, shift system and environmental factors. The improving strategies included arrange cancer care/ anti-cancer treatment related training courses, reasonable care ratio, use technology information to simplify paperwork, make good use of aids, care experience sharing, music therapy, arrange leisure and relaxation activities, as well as proper scheduling, etc. After the project was promoted, the unit nurses felt that the proportion of work fatigued “often” or “always” decreased from 56.3% to 27.8%, effectively improving the workman's work fatigue and personnel. The transaction rate was reduced from 6.3% to 0%. It is concluded that the improvement strategy of this project can be used as a specific reference for the prevention and response of job burnout in the oncology ward.