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| 題 名 | 醫事人員病人安全文化認知與工作生活平衡之相關性:以南部某醫學中心為例=Study on the Impact of Healthcare Personnel's Patient Safety Culture on Work Life Balance |
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| 作 者 | 柯妍嬪; 鄭宇潔; 李佳妮; 陳澤龍; 林宗憲; | 書刊名 | 健康促進研究與實務 |
| 卷 期 | 7:2 2024.12[民113.12] |
| 頁 次 | 頁77-84 |
| 分類號 | 419.29 |
| 關鍵詞 | 病人安全文化; 工作生活平衡; 醫事人員; Patient safety culture; Work life balance; Healthcare personnel; |
| 語 文 | 中文(Chinese) |
| DOI | 10.29442/HPRP.202412_7(2).0006 |
| 中文摘要 | 目的 病人安全的核心目標在於保護病人在接受醫療照護過程中免於遭受意外傷害,而醫事人員的 身心健康與工作效能直接影響病人的安全與治療品質。因此,深入研究醫事人員病人安全與工作 生活平衡之間的關係將對改善醫療品質和提升醫事人員工作效能,以提升病人安全水準。 方法 本研究採用由醫策會辦理的「全國醫療機構病人安全文化調查與分析」計畫中於南部某醫學 中心做全院性的網路調查,以2022年所回收的問卷資料以回朔性橫斷面研究進行分析。本研究採 用卡方檢定以瞭解人口學變項分佈之情形;單因子獨立變異數分析,探討醫師、護理師及醫技人 員的工作生活平衡是否有顯著差異;多元線性迴歸分析,探討醫師、護理師、醫技人員不同類別 下,病人安全文化對工作生活平衡之關係,以及人口學變項不同,工作生活平衡是否產生影響。 結果 病人安全文化中,「安全風氣」(β=-0.133)、「壓力認知」(β=-0.030)對工作生活平 衡有負向顯著影響,「工作滿意」(β=0.053)、「復原力」(β=0.246)、「對管理的感受」 (β=0.056)、「工作狀況」(β=0.184)對工作生活平衡有正向顯著影響。醫師工作生活平衡顯著 大於護理師,醫技人員工作生活平衡顯著大於護理師。51-60歲的工作生活平衡平均分數顯著低於 21-30歲(p =0.015)。 結論 醫療機構應重視建立一個在工作與生活之間達到平衡的環境,透過訂定友善工作制度,發展 創紓壓工作環境、支持性家庭照顧資源資訊等,以營造正向的工作環境,進一步提升醫療品質和 病人滿意度,還將有助於保護醫療機構醫事人員的身心健康,為整個醫療體系的可持續發展奠定 堅實的基礎。 |
| 英文摘要 | Purposes The core goal of patient safety is to protect patients from unintended harm during medical care. The mental and physical well-being, as well as the job performance of healthcare personnel, directly impact patient safety and treatment quality. Therefore, an in-depth study of the relationship between patient safety and work-life balance among healthcare professionals will be crucial in improving healthcare quality and enhancing work efficiency, thereby raising the level of patient safety. Methods This study is based on the "National Healthcare Institution Patient Safety Culture Survey and Analysis" conducted by the Joint Commission of Taiwan. A web-based survey was conducted throughout a medical center in southern Taiwan, and the data from the 2022 survey were analyzed using a retrospective cross-sectional study. Chisquare tests were used to understand the distribution of demographic variables. One-way ANOVA was conducted to explore whether there were significant differences in work-life balance among physicians, nurses, and medical technicians. Multiple linear regression analysis was used to investigate the relationship between patient safety culture and work-life balance across different categories of healthcare professionals and whether demographic variables affected work-life balance. Results Within the patient safety culture, "safety climate" (β = -0.133) and "perception of stress" (β = -0.030) showed a significant negative impact on work-life balance, while "job satisfaction" (β = 0.053), "resilience" (β = 0.246), "perception of management" (β = 0.056), and "work conditions" (β = 0.184) had a significant positive impact on work-life balance. Physicians' work-life balance was significantly higher than that of nurses, and medical technicians' work-life balance was also significantly higher than that of nurses. The average work-life balance score for those aged 51-60 was significantly lower than that of those aged 21-30 (p = 0.015). Conclusion Healthcare institutions should prioritize creating an environment that fosters a balance between work and life by implementing supportive work policies, developing stress-relieving workplace environments, and providing resources for family care. This will help create a positive work environment, which in turn will improve healthcare quality and patient satisfaction. Additionally, it will contribute to protecting the mental and physical health of healthcare personnel, laying a solid foundation for the sustainable development of the healthcare system. |
本系統中英文摘要資訊取自各篇刊載內容。