提升護理人員跨單位支援之工作滿意度方案

Measures to Enhance the Job Satisfaction of Nursing Personnel at Cross-unit Support

本專案旨在提升護理人員跨單位支援之工作滿意度，跨單位支援可使醫院充分且彈性運用人力，但若工作壓力超出負荷，將影響人力之穩定。經調查發現，本單位護理人員跨單位支援之工作滿意度為33.0%，原因有：單位內支援標準未明確規範、支援間隔時間不定；護理人員對未知感到有壓力、未感受到主管的關心與支持、其他科別的專業知識不足、對支援制度不滿意；病人狀況不易掌握；各單位物品擺放位置不一、對被支援單位常規及儀器操作不熟悉。故擬定解決方案：改善單位現有支援相關之計畫；製作適當的輔助工具；成立關心團隊；增進護理人員次專科專業知識。方案實施後，滿意度提升至85.3%，達目標值，期此專案能提供護理單位人力運用之參考。

This project aims to increase the job satisfaction of nursing personnel with cross-unit support, as cross-unit support enables hospitals to fully and flexibly utilize its manpower yet may also affect the stability of hospital manpower if the work pressure exceeds the workload. As indicated by the investigation, the job satisfaction of our nursing personnel with cross-unit support was initially 33.0%, the results revealed that a clear standard for support within a unit, irregular time required for such support, nursing personnel’s fear for the unknown, nursing personnel not being able to feel the concern and support from their supervisors, nursing personnel’s insufficient knowledge of other departments, nursing personnel’s dissatisfaction with the support system, nursing personnel’s difficulty in having a good grasp of the condition of patients, supplies being placed differently in different units, as well as being unfamiliar with the norms and operation of apparatus at the supported unit were all reasons for low job satisfaction of nursing personnel. The solutions to the low job satisfaction included four measures: improving the unit’s current plans in relation to cross-unit support, designing appropriate accessory plans, establishing a caring team, and enhancing the non-professional knowledge of nursing personnel. After the implementation, satisfaction level reached 85.3%. It is anticipated that this project can be a reference for nursing units in the deployment of manpower.