方法:研究對象由從事5年護士工作的朋友介紹，並徵得受訪者同意，以質性深度訪談訪問25位失眠並有使用過安眠藥物的女性護理人員。結果:受訪者的失眠困擾，主要是工作壓力引起，造成失眠的工作情境包括有:耗費心神的輪班、擾人的認知勞動、不受重視的情緒勞動等。除了工作壓力，有5位受訪者也提及家庭照護壓力會影響其睡眠。當失眠干擾至IJ工作時，受訪者會使用安眠藥物;對於安眠藥物各種作用，受訪者會透過多元管道來瞭解，並組合適合自己狀況的藥物使用方式。結論:受訪者工作壓力的主要癥結，是來自醫療院所的人力配置。為了達到成本控制，醫院管理政策偏向績效與利潤導向，因而對人力資源採彈性、緊縮逕用，使得護理人員工作壓力過大而引發睡眠困擾。護理人員是適用勞動基準法，許多醫院卻未確實執行，相關政府單位應落實勞動檢查，才能改善護理人員工作的勞動條件。由於有5位受訪者受到性別社會角色、責任的期待，家庭照護壓力亦對其睡眠造成影響，顯示護理人員睡眠模式是受到社會脈絡和文化型塑。另外，受訪者使用安眠藥物是為了維持正常工作，亦即藥物的使用不只是醫學專業理性的考量，也是回應護理人員所處社會脈絡的困境。

Objectives: This study explored the social context of work stress in the narratives of hypnotic-taking nurses about their experiences with insomnia.Methods: Introduced by a friend who works as a nurse, the researcher interviewed 25 female nursing staff with insomnia and hypnotic medication,with their consent. Results:Participants cited stress in work as the primary causal agent in their development of insomnia.The major working conditions causing insomnia included exhausting shift work, distressing cognitive labor and neglected emotion labor. Apart from stress at work,5 participants mentioned stress in domestic care as another factor affecting their sleep.Interviewees took hypnotics irregularly when insomnia disturbed their performance at work. They learned about hypnotic medication through multiple channels and took dosage according to their needs.Conclusions:The shortage of nursing workforce, resulting from cost control and proft orientation in hospital management,was the key stress factor at work for the interviewees. Intensive work made the nursing staff unable to get enough rest and induced sleep disorders. Although the Labor Standards Act is supposed to be applied to nursing staff,most hospitals do not fully comply with it.The government should enforce inspection of labor conditions so that the working conditions of nursing staff can be improved.The sleep behaviors of 5 interviewees were affected by their social roles, gender expectations,and stressful domestic care.This study showed that sleep patterns of nursing staff are shaped by social context and culture. Furthermore,the interviewees took hypnotics to maintain their daily performance at work.Hypnotic medication was not only a onsideration based on profession opinion but also a response to the social context.