以中文版工作內容問卷（C-JCQ）評估醫院基層員工之工作壓力

目的：調查醫院職場的基層員工壓力盛行率。方法：以南部某900床區域醫院的1800位全職員工為樣本。於2009年5月利用中文版工作內容問卷（C-JCQ）蒐集職場員工的工作壓力。以平行模擬法及因素分析粹取其因素個數。有效樣本1,124 份（回收率62.64%），單因數變異數分析檢測部門間的職場壓力是否相同，並發展一具C-JCQ 圖示座標系統，提供臨床上輔導改善勞工職場壓力的應用。結果：本研究發現：（1）該個案醫院的職場基層員工壓力盛行率為15.41%；（2）部門間在工作技能、心理工作需求及同僚支持等分量表上，呈現統計顯著性的不同。其中行政人員與護理人員呈現明顯的對比差異：行政人員工作技能及心理上的工作需求滿足低於護理人員；在同僚支持上，護理人員卻不如其行政人員。結論：本研究發展出來的C-JCQ圖示座標系統，可以提供心理醫師輔導員工心理壓力時之依據。每年定期利用C-JCQ蒐集職場員工的工作壓力情形，以C-JCQ圖示座標系統，探討醫院的職場壓力盛行率，並作為臨床上輔導改善勞工職場壓力的應用參考。
Objective: To determine the prevalence of hospital workers' strain in the workplace.
Methods: Exploration factor analysis and parallel analysis were used to validate the items retained in the Chinese-version of the Job-Content Questionnaire (C-JCQ). The setting was a 900-bed hospital in southern Taiwan. A total of 1,800 full-time workers in this hospital were asked to participate in a job perception survey in May 2009.The effective sample size was 1,124 for a return rate of 62.64%. One way analysis of variance (ANOVA) was applied to analyze the differences in work strain among work sections. A visual representation of the C-JCQ findings was then prepared to provide practitioners with a tool for use in clinical settings.
Results: The prevalence rate of hospital workers' strain in the study workplace was 15.41%. There were significant differences among work sections on most C-JCQ subscales.
Conclusions: Periodical surveys of the quality of work life with the C-JCQ are urgently needed. A visual representation of C-JCQ findings could be made available to highlight the need for mental health consultation in clinical settings. Copyright © 2012臺灣醫務管理學會.