背景和目的：本研究藉由護理人員之敘述，探討其職場中危害暴露的情境，並了解其因應的安全行為及無法落實的因素。方法：受訪對象來自台北地區兩家公私立醫院中自願參與的9名護理長與17位臨床護理人員。共進行12場深度訪談及4場焦點團體訪談。結果：護理人員對職場的危害如針扎或尖銳物品切割傷、傳染性疾病、化療藥物、游離輻射及肌肉骨骼傷害等是有概念的。因自己或同儕的工作習慣不佳而導致針扎或切割傷的發生，對化學品的危害認知不足無法採行積極的防護行為，工作忙碌及負荷過大則為肌肉骨骼危害的主因。面對高傳染性的疾病或游離輻射時，會以謹慎小心的態度面對，使用個人防護具的意願也較高。結論：護理人員的學校教育與在職訓練中，對於化學性危害的認知是不足的。透過學校教育及在職訓練，強化人員的認知與安全行為，進而提升職場安全文化，以有效改善危害暴露狀況。

Background and Purpose: This study aimed to explore the scenarios the health hazards and the nurses’ safety practices to limit their potential exposures. Methods: Twenty-six nurses from a district general hospital and a teaching hospital in Taipei voluntarily participated in this study. Among the participants, nine were nurse leaders and 17 were clinical nurses. Twelve indepth interviews and four focus group interviews were conducted. Results: The participated n urses were able to identify the potential hazards such as needlesticks and sharp injuries, infection diseases, antineoplastic drugs, ionizing radiation and ergonomic issues. Personal and the colleague inappropriate working behaviors caused the needlestick injuries. Insufficient knowledge of chemical hazard resulted in being incapable of performing safety practices. Musculoskeletal disorders were raised by heavy workload and tight working schedule. Forhigh-risk infectious agents and ionizing radiation, nurses would enhance their safety practices including the willingness of wearing personal protective equipments. Conclusions: Neither school education nor on-site occupational training program provided sufficient knowledge of chemical hazards for nurses. The safety and health knowledge should be implanted in both school education and on-site training program to enhance the hazard perception and safety behaviors, as well as the workplace safety climate.