| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 93 === The purpose of the study was to describe home care nurses’ perceptions on job stressors, job stress and job satisfaction; to explore the relationship between home care nurses’ characteristics and their perceived job stressor, job stress and job satisfaction; to examine the correlations among home care nurses’ perceived job stressors, job stress and job satisfaction; and finally to identify factors predicting their job stress and job satisfaction. The cross-sectional, correlational research design was used. Target population of this study were all qualified home care nurses who had made home visit at least once per month. Stratify sampling was used to mail 200 questionnaires to 194 home care agencies. A total of 163 valid returned (response rate: 81.5%). The research instruments were self developed with acceptable content validity (CVI ＞ .94) and internal consistency (α ＝ .80 - .94).
The results revealed that home care nurses perceived highest on the professional technique as the job stressor. “Often oncerning that there are many things in the work can not finish” ranked highest on stressor perception. Home care nurses felt most satisfied on “geting along with unit's co-worker in the work” among job satisfaction items. Study also found stressors of working situation and professional knowledge were relate to participation of the
training program and whether home care agencies offering the bonus system situation. Home care nurses characteristics of educational degree, marital status, agencies’ attribute, professional title, accredation by Taiwan Long-Term Care Professional Association and participation of home care nurses’ self- development group also had significant associations with their job stressors in patient care, working situation, professional knowledge, professional technique and professional attitude domains. Minor correlations between perceived job stress and home care agencies attribute and with bonus policy had also been identified. Home care nurses’ characteristics on pre job training, accredation by Taiwan Long-Term Care Professional Association and governmental body, in-service schooling were significantly relate to job satisfaction. Finally, there were positive correlation between job stress and all 6 domains of job stressors; and negative correlations between patient care, working situation and professional attitude job stressors and internal, external and general domains of the job satisfaction. Results of multiple regression identified the major factors predicting perceived job stress were professional attitude and working situation stressors and these two variables can explained 40.1% of variance. The training program of the home care nurses, proportion of home care cases and results of the counties or cities’ accreditation were 4 variables that predicting job satisfaction (21.8% of variance).
In order to promote home care nurses’ job satisfaction, encourage home care nurses to attend home care nurses’ self-development group, hold a home care nurses’ related in-service training program periodically and to reinforce computerization of nursing record were recommended.
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