臺灣博碩士論文加值系統

中文摘要
本研究旨在探討護生於最近一年內在醫療情境中，遭受性騷擾之盛行情形、因應行為以及處理策略。研究設計為一橫斷性調查研究，採立意取樣，選取南部共八所具有護理科、系之學校，有效樣本數共624名護生。以無記名、自填結構式問卷進行資料收集，問卷經過內在一致性、內容效度與建構效度之檢定，並以描述性統計，進行資料分析。
研究結果顯示：(1)在624位護生中，有265位曾在醫療情境遭受過性騷擾，佔取樣人數的42.5 %。(2)護生認為最同意的一項性騷擾定義是非語言方面的「違反妳的意願且帶有性意味的撫摸」。(3)語言性騷擾（9.63%）發生的經驗程度比非語言性騷擾高（4.92 %），但發生經驗程度最高的項目是「令妳感到不自在或厭惡的性注意」。(4)男病患是護生遭受語言/非語言性騷擾時，最主要的騷擾來源；護生遭受性騷擾最多的科別是內科；最常遭受性騷擾的地點是病房。(5)護生遭受性騷擾時，最常採取的因應行為是採取解決問題行動的「我會在下次要提防對方」、「我會注意自己的穿著」。(6)護生認為最同意且須加強的處理與預防策略，是個人認知及監視系統方面的「特定身體部位檢查，主動要求第三者在場」。(7)在語言性騷擾之因應行為量表中，解決問題行動組護生在遭受語言性騷擾時，使用正向之因應行為頻率最高；在非語言性騷擾之因應行為量表中，認知再界定組護生在遭受非語言性騷擾時，最常使用正向之因應行為。
此研究結果不僅可提供學校、醫院及臨床實習指導老師有關性騷擾之防範策略，亦可了解護生於醫療情境中，遭受性騷擾之盛行情形、因應行為以及處理策略；並且可作為實習單位與臨床指導老師，在指引護生如何預防與處理性騷擾的教材時之參考。因此，研究者建議在兩性平等教育課程中，除了教導護生性騷擾防範之具體行動外，並強化其在職場的問題解決能力、因應技巧，以減少甚至杜絕性騷擾事件的發生。

The purpose of this study is to investigate the prevalence, coping behaviors and management strategies of different-program nursing students suffering from sexual harassment in medical practice during this recent year. Methodologically, a cross-sectional survey with a self-administered structured questionnaire was implemented for this study. Subjects of this survey were recruited from the nursing students of five universities and three junior colleges by the purposive sampling method. A total of 624 sampling students were selected. Cronbach’s alpha, test-retest reliability, content validity and construct validity were conducted to assess the reliability and validity of the scales. Data were analyzed by descriptive and inferential statistics.
The results shows：(1) There are 265 subjects experienced sexual harassment in medical practice, which is 42.5% of 624 sampling students. (2) Most nursing students think the best definition of sexual harassment belongs to the non-verbal category: “ The stroke with sexual purport but not your willingness.” (3) The frequency of verbal sexual harassment (9.63%) is higher than non-verbal sexual harassment (4.92%). The item to which the nursing students most often face is “Sexual watching which makes you embarrassed and reluctant.” (4) Male patients are main harassers no matter which kind of sexual harassment the nursing students meet with. In addition, the nursing students most frequently meet with sexual harassment in department of internal medicine and ward. (5) The coping behaviors that the nursing students most often adopt when they face to sexual harassment are “ I would take precaution against sexual harassers next time.” and “ I would watch out my dressing to avoid the close fitting or transparent clothes to protect myself.” (6) Most nursing students agree that preventive and management strategies of sexual harassment in medical practice have to be improved for the individual cognition and monitoring system. (7) In the coping behavior scale of verbal sexual harassment, the nursing students who take problem-solving action most often utilize the positive coping behaviors. However, the nursing students who use cognitive redefinition most frequently take the positive coping behaviors in the coping behavior scale of non-verbal sexual harassment.
The results of this study can provide the information for schools, hospitals, and clinical instructors to understand the prevalence, coping behaviors and management strategies of nursing students suffering from sexual harassment in medical practice. Also, the findings may be the useful references for designing the teaching materials and precautionary guidelines to conduct the nursing students how to prevent and manage the sexual harassment. The researcher suggests gender equality education should not only train the students for the preventive and coping strategies, but also strengthen and improve their problem-solving ability and coping skills in vocational nursing schools to reduce the occurrence of the sexual harassment.

頁次
中文摘要……………………………………………………………………….i
英文摘要……………………………………………………………………….iii
目錄……………………………………………………………………………...v
圖表目次……………………………………………………………………….viii
第一章 緒論
第一節 研究動機及重要性………………………………………………1
第二節 研究目的…………………………………………………………4
第二章 文獻探討
第一節 性騷擾之定義……………………………………………………5
第二節 性騷擾發生的原因………………………………………………8
第三節 工作職場中的性騷擾…………………………………………..11
第四節 在醫療情境中遭受性騷擾之盛行情形………………………..15
第五節 性騷擾所造成之衝擊與影響…………………………………..19
第六節 因應行為………………………………………………………..22
第七節 在醫療情境中遭受性騷擾之因應行為………………………..28
第八節 影響因應行為之因素………………………………………..…30
第九節 性騷擾之處理及預防策略………………………………….….34
第三章 概念架構與名詞界定
第一節 概念架構………………………………………………………..39
第二節 名詞界定………………………………………………………..40
第四章 研究方法
第一節 研究對象…………………………………………………………45
第二節 研究工具…………………………………………………………46
第三節 研究工具之效度檢定……………………………………………49
第四節 研究工具之信度檢定……………………………………………60
第五節 資料收集…………………………………………………………61
第六節 研究對象之權益維護……………………………………………65
第七節 資料分析…………………………………………………………65
第五章 研究結果
第一節 護生個人基本屬性分佈…………………………………………66
第二節 護生對醫療情境性騷擾之定義…………………………………68
第三節 護生在醫療情境遭受性騷擾之盛行情形………………………71
第四節 護生在醫療情境遭受性騷擾之因應行為特性…………………77
第五節 護生在醫療情境遭受性騷擾之因應行為的差異………………83
第六節 護生在醫療情境遭受性騷擾之處理及預防措施………………87
第六章 討論
第一節 護生在醫療情境中遭受性騷擾之盛行情形……………………91
第二節 護生在醫療情境遭受性騷擾之因應行為………………………99
第三節 護生在醫療情境遭受性騷擾之處理及預防策略..……………102
第七章 結論與建議
第一節 結論……………………………………………………………..105
第二節 應用與建議……………………………………………………..109
第三節 研究限制………………………………………………………..114
第四節 未來研究發展方向……………………………………………..115
參考文獻
一. 中文部份…………………………………………………………………116
二. 英文部份…………………………………………………………………119
附錄一 專家效度名單…………………………………………124
附錄二 研究工具同意使用函……………………………………… 125
附錄三 研究工具………………………………………………………126

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