医院员工的冲突处理模式及职场暴力相关性之探讨 林惠美1，李素幸2.docVIP

醫院員工的衝突處理模式及職場暴力相關性之探討 林惠美，李素幸，何聖佑 1台南新樓醫院，2長榮大學 摘要 據估醫療與健康照護機構中超過50%的專業工作者有職場暴力經驗。衝突是社會互動行為，會因個人的背景、工作性質，事件的知覺，而產生衝突對立，引發暴力行為。本研究目的主要探討醫療院所員工遭受職場暴力的現況與衝突處理模式相關性。 本研究以南部某區域教學醫院員工950人為對象，以問卷調查立意取樣做橫斷性研究。問卷內容含三個部份：第一部份為衝突處理模式量表，分為整合型、支配型、妥協型、逃避型、讓步型五個構面、第二部分為工作環境中之暴力調查、第三部份為個人特性。研究結果發現機構員工衝突處理模式趨向『整合型』，最不常用為『支配型』。過去一年中職場暴力（肢體暴力、言語暴力、性騷擾）整體盛行率為27.7%，以言語暴力佔最高為22.5%；整體而言病人、親屬或其朋友為主要的暴力來源 48-73% ，但員工間的暴力也佔27-52%；進一步交叉分析發現發生肢體暴力者較傾向為支配型 p 0.01 ，相反的未發生過肢體及言語暴力者較傾向為逃避型 p 0.05 。本研究的結果發現職場暴力在醫療院所內除了外來的病人及家屬外，員工間的暴力不容忽視，此研究結果作為管理者及員工間預防職場暴力的參考，期望建立一個對暴力事件「零容許」的醫療職場文化，提供安全的照護環境。 關鍵字：、職場暴力、衝突處理模式 A Study on The Relationship between Workspace Violence and Conflict Handling Intention among Hospital Staff Lin.HM1; Lee.SH2; Ho.SY1 Tainan Sin-Lau Hospital; 2. Chang Jung Christian University Abstract According to the recent estimates from medical and health care institutions, there are more than 50% of professionals have experience of workplace violence. The conflict is a social interaction behavior, it arises the discord and leads to violent acts due to the differences of personal background, nature of work and event perception. The goal of this study is to investigate the relationship between the current status of workplace violence and the conflict handling intention among hospital staff. The object of this study is the 950 staff of a regional teaching hospital in south Taiwan. We investigate the purposive sampling using questionnaires and does a cross-sectional study in this paper. The content of the questionnaire includes three parts. The first part is the scale of conflict handling intention, which divided into five dimensions: integrated type, domination type, compromise type, avoidant type, and obliging-type. The second part is the violence investigation in the work environment. The final part is personal characteristics of hospital staff. We find that the conflict handling intention of hospital staff tends to be the integrated type, and the dominant type is the one that le