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系統識別號 U0026-1006201915514800
論文名稱(中文) 精神科護理人員人際衝突處理型態之探討
論文名稱(英文) Exploring of Interpersonal Conflict Management Styles among Nurses in the Psychiatric Units
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 107
學期 2
出版年 108
研究生(中文) 劉玉萍
研究生(英文) Yu-Ping Liu
學號 T26051123
學位類別 碩士
語文別 中文
論文頁數 57頁
口試委員 指導教授-顏妙芬
口試委員-李歡芳
口試委員-王作仁
中文關鍵字 精神科護理人員  人際衝突處理型態 
英文關鍵字 Psychiatric nursing staff  Interpersonal conflict management styles 
學科別分類
中文摘要 背景:精神科病人疾病的特殊性,護理人員與醫療專業團隊之間必需密切合作,因特殊工作環境和人際互動過程,若缺乏有效的溝通型態,可能隨時引發人際衝突,導致團隊合作性及照護品質下降。瞭解並有效使用衝突解決型態,可降低人際衝突所帶來的負面影響,營造一個健康的醫療照護環境。
目的:探討精神科護理人員人際衝突處理型態的使用現況及其影響因素。
方法:本研究為橫斷式相關性研究設計,採立意取樣型態,選取南部某精神區域教學醫院精神科護理人員為研究對象,利用結構問卷「人口學資料」及「衝突處理型態量表」進行問卷調查,樣本數估算以G-power估計約需103位精神科護理人員,估計樣本流失率20%,約需124位精神科護理人員。以SPSS軟體進行資料分析,將研究變項以描述性統計;影響因素則以簡單線性廻歸及多元廻歸進行推論性統計分析。
結果:有效問卷為103份,結果顯示精神科護理人員自覺衝突最多的對象為同事(含直屬主管),整合為常使用的衝突處理型態,支配為最不常使用。簡易迴歸分析結果,人口學變項分別於讓步型態在工作單位、年齡、護理年資及精神科年資;妥協型態在婚姻狀況、年齡及精神科年資,達統計之意義。進一步以多元迴歸分析,研究結果也達統計之意義。
結論/實務應用:在探索影響因子方面,婚姻及精神科年資變項為影響衝突處理型態因素。為了讓精神科護理人員可以更了解和學習人際衝突處理型態之各種形態利弊,以利於在面對不同情境有效運用,建議可以辦理衝突處理相關課程,運用情境案例方式導入。未來招募新進人員或晉升正職人員或主管時,將衝突處理型態之評量列入評核。
英文摘要 The typical and complexity of diseases suffered by psychiatric patients demands an intensive collaborative relationship between the nursing staff and professional medical team. Understanding the effective use of conflict management styles will minimize the negative impact of interpersonal conflict. A cross-sectional study was conducted. A purposive sampling was adopted to recruit 124 psychiatric nursing staff from a Southern psychiatric teaching hospital. Questionnaires were used demographics and “Rahim Organizational Conflict Inventory-II.” Data analysis involved descriptive statistics to describe demographics and status of interpersonal conflict management styles performed by psychiatric nursing staff. A multiple linear regression was applied to identify the predictors of interpersonal conflict management styles. Total of 103 subjects was included. The results indicated that the majority of the subject was female, age 21-55 years old, married, had higher education. Interpersonal conflict commonly occurs among fellow nurses, including direct supervisors. Integrating was the most commonly used interpersonal conflict management styles (3.82 ± 0.60) followed by compromising (3.77 ± 0.63), avoiding (3.41 ± 0.62), obliging (3.19 ± 0.62) and dominating (2.60 ± 0.62). Among interpersonal conflict management styles subscales young staff with less working year tend to use obliging as conflict management styles. Nursing staff who married with more mature age and had high working experience commonly perform compromising style in dealing with conflict. Psychiatric department seniority (B = .33, p = .033) and marital status (B = .31, p = .013) were predictors of compromising conflict management styles. The selections of interpersonal conflict management styles were influenced by marital status and work seniority of nursing staffs. In order for the psychiatric nursing staff to learn and gain a better understanding interpersonal conflict management styles, it is recommended to organize courses for conflict management by introducing case scenarios.
論文目次 考試合格證明 ii
中文摘要 iii
英文摘要 v
致 謝 viii
圖表目錄 xii
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 4
第三節 研究問題 4
第二章 文獻查證 5
第一節 人際衝突的定義和相關概念 5
第二節 人際衝突處理型態 7
第三節 人際衝突處理型態的影響因素 9
第四節 人際衝突處理型態的測量工具 16
第五節 文獻總結 18
第三章 研究方法 19
第一節 研究架構 19
第二節 研究設計 20
第三節 研究對象 20
第四節 名詞界定 21
第五節 研究工具 22
第六節 資料收集 23
第七節 研究倫理 24
第八節 研究分析 25
第四章 研究結果 26
第一節 人口學之描述性統計 26
第二節 人際衝突處理型態之描述性統計 28
第三節 影響人際衝突處理型態之因素 32
第五章 討論 36
第一節 精神科護理人員人際衝突處理型態現況 36
第二節 影響精神科護理人員人際衝突處理型態之因素 38
第三節 精神科護理人員人際衝突處理型態之預測因子 42
第六章 結論與建議 43
第一節 結論 43
第二節 研究運用與建議 44
第三節 研究限制 46
參考文獻 47
一、 中文文獻 47
二、 英文文獻 49
附錄一 基本人口學問卷 53
附錄二 衝突處理型態量表使用同意書 55
附錄三 人體試驗委員會同意書 56

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