急診室護理人員於新冠肺炎疫情下工作壓力之評估

Assessment of Work-Related Stress Among Emergency Room Nurses During the COVID-19 Pandemic

新冠疫情在近兩年來迅速擴散，急診室成為第一線抗疫戰場，造成臨床護理人員工作量暴增，加上因穿著防護裝備導致的不適及擔心染疫等問題，提升了工作壓力程度。本文為針對個案群之個案報告，旨在瞭解急診護理人員於新冠疫情下的工作壓力感受及其相關因素。護理對象包含八位急診護理人員，為瞭解護理人員面對新冠疫情時的工作壓力感受，採用問卷調查，問卷評估工具包含『covid 19疫情下護理人員的壓力問卷』及『新冠病毒壓力量表』，同時利用半結構式訪談指引進行『質性訪談』，評估個案與資料收集。八位個案評估結果發現:（1）在非防疫區工作之護理人員比防疫區之人員承受較高程度的壓力感受；（2）臨床年資淺的人員比年資深的人員，其壓力感受程度較高；相關壓力來源可包含防護裝備、政策及擔心感染等，透過質性資料顯示，人員於工作期間，感受到的壓力情境分別為：害怕染疫、防護裝備不適與不便及需隨時掌握滾動式的感控資訊。在臨床上，可經由此評估結果瞭解護理人員工作壓力導因，擬定相關減壓措施使其有效減輕壓力程度，穩定臨床護理質量，以提供更優質的照護品質。

Over the past two years, the COVID-19 pandemic has spread rapidly, placing the emergency department at the frontline of the response. This situation has significantly increased the workload of nursing staff, while concerns about infection and discomfort associated with personal protective equipment have contributed to elevated levels of work-related stress. This study aims to explore the perceived work stress among emergency department nurses during the COVID-19 pandemic and examine the associated factors.
Eight emergency department nurses participated in this study. To evaluate their work stress, two instruments were administered: the Stress Questionnaire for Nurses during the COVID-19 Pandemic and the COVID-19 Stress Scale. In addition, semi-structured interviews were conducted to collect qualitative data. Findings from the eight cases revealed the following: (1) Nurses working in non-quarantine areas experienced higher stress levels compared to those working in quarantine areas; (2) Nurses with less clinical experience reported higher stress than those with more experience. Major sources of stress included the use of personal protective equipment, frequent changes in institutional policies, and concerns about infection. Qualitative data further highlighted stress-inducing experiences such as fear of contracting the virus, discomfort and inconvenience caused by protective equipment, and the constant need to stay updated on evolving infection control protocols. These findings enhance the understanding of work stress among emergency department nurses during the COVID-19 pandemic and may guide the development of targeted stress reduction interventions aimed at improving nursing quality and ensuring optimal patient care.