探討台灣民間救護車公司緊急救護技術員工作環境與工作家庭衝突之相關性

Correlation between working conditions and work-family conflict in emergency medical technicians working for private ambulance companies in Taiwan

目標：本研究旨在探討民間救護車救護技術員（救護員）的工作環境與工作家庭衝突之關係。方法：採橫斷式線上問卷調查，依方便取樣法選取滿20歲民間救護車公司救護員為研究對象。主要依變項為工作家庭衝突，由工作家庭衝突量表測量。首先，以描述統計進行單變項分析，呈現樣本社會人口學變項、工作環境與家庭關係衝突的狀況。接著，以線性迴歸分析檢視工作環境與工作家庭衝突之關係。結果：收案人數計113人，平均33.46歲，男性佔84.07%。結果顯示，近三成樣本的工作時段為24小時制，且值班（75.22%）、加班（76.11%）情形普遍， 平均每月薪資30,001-50,000元的佔64.6%。迴歸分析發現，工作時段為24小時制者，工作家庭衝突分數顯著較8小時制者高（β = 2.93, p = 0.01），有加班者相較未加班者，亦有較高的工作家庭衝突。結論：民間救護車公司救護員的工作環境與工作家庭衝突息息相關。建議政府與民間救護車公司落實執行勞基法政策以改善救護員的工作環境，使其能兼顧工作與家庭，進而提升健康照護品質。

Objectives: We investigated the correlation between working conditions and work–family conflict in emergency medical technicians (EMTs) working for private ambulance companies in Taiwan. Methods: A cross-sectional online questionnaire survey was conducted. EMTs (age, ≥20 years) of private ambulance companies were recruited through convenience sampling. The primary dependent variable was work–family conflict, which was measured using the Chinese version of the Work–Family Conflict Scale. Descriptive data were collected to identify trends in sociodemographic variables, working conditions, and work–family conflict in EMTs. Linear regression was performed to identify the likely correlation between working conditions and work–family conflict. Results: We analyzed the data of 113 EMTs (mean age: 33.46 years; men, 84.07%). Approximately 30% of the EMTs worked on a 24-hr system, with most respondents working regular shifts (75.22%) and overtime (76.11%). Of the EMTs, 64.6% received an average monthly salary of NT$30,001–NT$50,000. Linear regression analysis revealed that the EMTs working under a 24-hr system had a significantly higher average score for work–family conflict than did those working under an 8-hr system (β = 2.93; p = .01). In addition, the EMTs who worked overtime generally had higher work–family conflict scores than did those who did not work overtime. Conclusions: A correlation was found between working conditions and work–family conflict in EMTs working for private ambulance companies. Therefore, governmental and private ambulance companies are recommended to implement the Labor Standards Law policy to improve the working conditions of EMTs and thus their work–family balance, subsequently enhancing the quality of health care provided by EMTs.