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研究生:費愛瑪
研究生(外文):NUR FITHRIYANTI IMAMAH
論文名稱:台灣長期照顧機構印尼籍員工在工作壓力對健康行為與因應方式影響之研究
論文名稱(外文):The Influence of Work Stress on Indonesian Workers to the Health Behavior and the Coping Strategies in Long Term Care Facility in Taiwan
指導教授:許哲瀚許哲瀚引用關係
指導教授(外文):HSU,CHE-HAN
口試委員:龔建吉
口試委員(外文):KUNG,CHIEN-CHI
口試日期:2016-06-13
學位類別:碩士
校院名稱:中臺科技大學
系所名稱:醫療暨健康產業管理系碩士班
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2016
畢業學年度:104
語文別:英文
論文頁數:96
中文關鍵詞:印尼籍員工工作壓力健康行為因應策略
外文關鍵詞:Indonesian workersWork StressHealth BehaviorCoping Strategies
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背景:越來越多的老年人口使台灣的家庭結構改變,許多家庭將父母送到長期照護機構安置。因此對長期照護的需求增加,造成需要大量的照顧服務員和外籍看護,包含了印尼籍的員工。由於語言、生活習慣和文化的差異影響他們的工作品質、思考模式和工作方式。目的:本研究擬探討長期照護機構的印尼籍員工如何面對工作壓力,及是否影響他們的健康行為與因應策略。方法:此研究為一質性研究。研究人員使用紮根理論面對面的深度訪談6位印尼籍員工。所得資料以恆常比較分析法進行分析。結果:參與者都曾經歷工作壓力。與工作有關的壓力來源因素,如:住民的行動能力、照顧住民的勞務性工作、住民的家人和住民的健康狀況。當住民的健康狀況愈差照顧起來就愈吃力。看護的工作對外籍員工是一種新的經驗,其工作壓力也來自語言障礙與適應力的挑戰,因為他們對照顧住民的認知不足並與台灣人有著不同的工作方式。一旦適應後,壓力的來源可能是與同事的關係,無論是與印尼人、台灣人或主管。其他影響工作壓力的因素還有來自於印尼的家庭問題。受訪者皆表示會與朋友交談以解決他們工作場所的問題,也會嘗試分析和討論這些問題以改善工作表現。也有受訪者表示試圖接受、調整、選擇沉默和自我反省以解決工作壓力,還有人喜歡逛街。大部分受訪者因為疲勞而沒有機會運動。但也有受訪者會利用時間慢跑、騎自行車或走路,以保持自己的健康。多數受訪者有著正常飲食和充足睡眠以保持良好的健康狀況。結論:長期照護機構的印尼籍員工在台灣工作都會經歷工作壓力。受訪者的因應策略會使用問題焦點和情緒焦點來解決問題。研究顯示工作壓力會影響受訪者的健康行為。良好的時間管理以及保持自己的健康行為,並與他人保持良好的關係對印尼看護解決工作壓力問題是很重要的。
Background: The impact of increasing elderly population in Taiwan changed family structure which leads the family to send their parents to long term care facilities. As the result of increasing caring demands for long term care in Taiwan, it required a large number of foreign nurse aides and caregivers including Indonesian workers. The differences of language, living habits, and cultures affect their quality of work, the way of thinking, and the way of the works. Objective: This study tried to explore the work stress on Indonesian workers who work in long term care facility and how work stress influences their health behavior and coping strategies. Method: This study is a qualitative study. The researcher used grounded theory approach to interview 6 persons by face to face in depth interview. The data analysis used Constant Comparative Analysis. Result: All of participants experienced work stress. The stressors could be from work-related factors such as patient’s mobilization and other physical demanding patient care tasks, resident’s family, and patient’s health condition. The severer health condition of patients was heavier to care. As a new experience to work as foreign caregiver, the work stressors came from language barrier and adaptation challenge due to poor knowledge about caring patient and different way of work with Taiwanese. After conquered the challenges, the stressors could be relationship with colleagues, either Indonesian or Taiwanese, and supervisor. Other factor related to work stress came from family matters in Indonesia. All participants talked with friends to solve the problem in their workplace. Some of them try to analyze and discuss the problem, and improve behavior and work performance. The others tried to accept, be resilience, or prefer to choose silence and self-introspection to solve their work stress. While others like to shop more during the stress time. Most of participants failed to engage with exercise due to lack of opportunity and tiredness. On the other hand, some of participants tried to keep their health behavior by jogging, biking and walking when they had time. Most of participants ate healthy food and took enough sleep to keep their health well. Conclusion: Indonesian workers who work at long term care facility experienced work stress during their work. Participants used both of problem and emotional focused coping to solve the problems. This study showed that work stress influenced participant’s health behavior. It is important to Indonesian workers to manage time well to keep their health behavior and keep good relationship with others to solve the problem easier.
CONTENTS
ACKNOWLEDGMENT I
中文摘要 II
ABSTRACT IV
LIST OF TABLES VIII
LIST OF FIGURES IX
CHAPTER I INTRODUCTION 1
1.1 Research Background 1
1.2 Research Objectives 7
1.3 Research Questions 7
1.4 Scope of Study 7
1.5 Research Process 8
1.6 Definition of Critical Terms 8
CHAPTER II LITERATURE REVIEW 10
2.1 Introduction of Work Stress 10
2.1.1 Stress 10
2.1.2 Work Stress 11
2.1.3 Factors Related to Work Stress 12
2.1.4 Stress Management Interventions 14
2.2 Indonesian Workers in Taiwan 16
2.3 Health Behavior 17
2.4 The Coping Strategies 22
2.4.1 Definition of Coping 22
2.4.2 Coping Strategies 24
2.4.3 Measurement of Coping 26
2.5 Long term Care Facility in Taiwan 27
CHAPTER III RESEARCH METHOD 32
3.1 Research Design 32
3.2 Research Place 32
3.3 Participants 32
3.4 Procedures 32
3.5 Instruments 33
3.6 Data Analysis 34
3.7 Trustworthiness of the Data 35
3.8 Ethical Consideration 36
CHAPTER IV RESULT & DISCUSSION 37
4.1 Demographic Characteristic 37
4.2 Analysis of Qualitative Interview 39
4.3 Theme 1: The Experience of Work Stress 40
4.4 Theme 2: Source of Work Stress 42
4.5 Theme 3: Extra Organizational Stressor 49
4.6 Theme 4: The Coping Strategies 50
4.7 Theme 5: Health Behavior 53
CHAPTER V CONCLUSION AND SUGGESTION 57
REFERENCES 60
APPENDICES 73


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