臺灣博碩士論文加值系統

本研究之目的在探討護生實習場所霸凌經驗與生涯希望感的現況，並進一步探討其影響因素及相關性。以結構式問卷進行調查，使用「負向行為量表」及「生涯希望感量表」作為收集資料的工具。研究樣本取自中、南部某科大護理系及南部某護專已完成醫學中心、區域、地區及專科醫院各科臨床護理實習之護生，採立意取樣，共計發放500份問卷，有效樣本為387份(有效回收率77.4％)。資料分析方法包含描述性統計、t檢定、單因子變異數分析、Pearson積差相關及多元迴歸分析。研究結果顯示：(一)護生遭受實習場所霸凌經驗為從來沒有至偶而發生。(二)護生對於未來生涯充滿希望感。(三)護生就讀的就讀學制、學區、護理類相關工作經驗對實習場所霸凌經驗達顯著差異。(四)護生就讀的就讀學制、對護理的興趣、護理類相關工作經驗對生涯希望感有顯著影響。(五)護生實習場所霸凌經驗與其生涯希望感間無顯著相關，護生認為實習場所霸凌經驗不會影響生涯希望感。(六)護生對護理有興趣、五專就讀學制、曾經工作護理類相關經驗、平均每月家庭收入於30,000元以下皆能顯著預測護生未來的生涯希望感，共可解釋13.5％變異量。本研究發現提供臨床指導老師及護理人員瞭解護生心中的實習經驗感受，及作為營造安全友善之實習教學環境的參考。

The purpose of this study is to probe into the current state of nursing students‘ bullied experiences in the workplace and their hopes of careers in the future. Furtherly, this study explores the influences and the correlation between the two factors. It is based on “ structured questionnaire” and gathering information by “ Negative Acts Questionnaire Revised” (NAQ-R) and “ the Trait Hope Scale”. The study sample taken from the nursing students from a central college, a southern nursing medical center which has a medical center, regional nurses, local nurses and the specialist nursing students in clinical nursing practice in hospitals. This study takes purposive samples with a total of 500 questionnaires and the effective 387 sample (effective rate 77.4%). The way to analyze data includes Descriptive Statistics, Independent Sample t-test, One-way ANOVA, Pearson’s Product-Moment Correlation Coefficient and Multiple Stepwise Regression Analysis. The results shows the following conditions.
1.The bullied exprience for nursing students in internship workplaces is from “never” to “happen occasionally”.
2.The nursing students are full of bright hopes for the future career.
3.The different educational systems, the school locations and the nursing-related working experience have significant differences with bullied experience.
4.The different educational systems, the students’ interests and the nursing-related working experience have a significant impact on their hopes for careers.
5.Students’ bullied experience in internship workplaces has no strong relationship with their hopes for future careers. So students think that bullied experience in internship workplaces will not affect their hopes for future careers.
6.Nursing students who have interests in nursing, who are from five-year academic educational system, who have the nursing-related experience and students whose average monthly household income is below $ 30,000 can be clearly predicted their hopes for future careers. It has 13.5% explained variance.
According to the result, this study will help teachers and nursing staff at workplaces not only understand the thoughts of bullied nursing students but create a healthy and safe nursing environment for every nursing student. The students’ healthy and wonderful internship experience and feelings will also strengthen the willings for the future nurses to enter the nursing workplaces.

目錄
致謝 I
中文摘要 II
英文摘要 III
目錄 V
圖目錄 VIII
表目錄 IX
第一章 緒論
第一節 研究背景與動機 1
第二節 研究目的 4
第三節 研究假設 4
第四節 名詞解釋 5
第二章 文獻探討
第一節 實習場所霸凌及其影響因素 6
第二節 生涯希望感及其影響因素 11
第三節 實習場所霸凌與生涯希望感的關係 17
第三章 研究方法
第一節 研究架構 20
第二節 研究變項的操作型定義 21
第三節 研究工具 22
第四節 受訪對象及資料收集方式 33
第五節 資料處理與分析 35
第六節 研究倫理考量 37
第四章 結果與討論
第一節 受訪護生特性分析 38
第二節 護生實習場所霸凌經驗之工作相關負向行為及個人相關負向行為現況分析 43
第三節 不同背景護生與實習場所霸凌經驗之差異分析 47
第四節 分析不同背景護生與生涯希望感之差異分析 57
第五節 分析護生實習場所霸凌經驗與其生涯希望感之關係 63
第六節 護生實習場所霸凌經驗對其生涯希望感之預測力 67
第五章 結論與建議
第一節 結論 71
第二節 建議 72
第三節 研究困難與限制 74
參考文獻
中文部分 75
英文部分 79

附錄
附錄一 人體試驗計劃同意書 85
附錄二 護生負向行為量表與生涯希望感量表之專家效度問卷 86
附錄三 專家效度評定專家名單 92
附錄四 專家效度審核結果及修改建議彙整 93
附錄五 護生實習場所霸凌經驗與生涯希望感預試調查問卷 99
附錄六 護生實習場所霸凌經驗與生涯希望感正式調查問卷 102
附錄七 負向行為量表授權使用同意函 105
附錄八 生涯希望感量表授權使用同意函 106
附錄九 招募文宣廣告 107
附錄十 防範實習場所霸凌宣導教育 108

圖目錄
圖3-1-1研究架構 20

表目錄
表 2-1-1 各學者對於實習場所霸凌的定義 8
表 3-3-1 負向行為量表預試問卷項目分析 25
表 3-3-2 生涯希望感量表預試問卷項目分析 28
表 3-3-3 負向行為量表KMO與Bartlett’s考驗 30
表 3-3-4 負向行為量表因素分析及信度分析結果摘要表 31
表 3-3-5 生涯希望感量表KMO與Bartlett’s考驗 32
表 3-3-6 生涯希望感量表因素分析及信度分析結果摘要表 33
表4-1-1 受訪護生特性分析 40
表4-1-2 不同背景護生選讀護理科系的動機 42
表4-2-1 實習場所霸凌構面分析 43
表4-2-2 護生實習場所霸凌經驗之個人相關負向行為行為各題項得分分析 44
表4-2-3 護生實習場所霸凌經驗之工作相關負向行為行為各題項得分分析 45
表4-2-4 護生生涯希望感構面分析 46
表4-2-5 護生生涯希望感各題項得分分析 47
表4-3-1 護生實習場所霸凌之個人相關負向行為經驗的差異分析 51
表4-3-2 護生實習場所霸凌之工作相關負向行為經驗的差異分析 56
表4-4-1 不同背景護生生涯希望感的差異分析 61
表4-5-1 護生工作及工作相關負向行為各構面與生涯希望感之相關分析 63
表4-5-2 護生實習場所霸凌經驗與生涯希望感之相關分析 66
表4-6-1 護生基本資料及實習場所霸凌經驗對生涯希望感之多元迴歸分析 70

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