台灣專科護理師的角色功能包括病人直接照護者、醫療照護協調者、健康知識教育者及照護品 質監測者，複雜的角色要求與衍生的職場疲勞，甚而影響其工作滿意度。本研究目的為探討專 科護理師之基本屬性、工作壓力、職場疲勞與工作滿意度之相關性，並找出專科護理師工作滿 意度重要預測因子。採方便取樣選取南部某一家醫學中心及兩家區域教學醫院共144位專科護 理師為研究對象，研究工具包含基本資料表、護理人員壓力量表、職場疲勞及專科護理師工作 滿意度量表等進行資料收集。結果顯示服務單位工作滿意度有顯著差異，而年資及每週工作時 數與工作滿意度有低度負相關。工作壓力及職場疲勞與工作滿意度皆呈中度負相關。職場疲勞 及工作壓力為專科護理師工作滿意度的重要預測因子。期望本研究結果能提供醫療相關單位在 專科護理師行政管理、工作規劃及相關法規修訂之參考。

In Taiwan, the roles nurse practitioners (NP) play include patients5 direct-carers, the coordinator of medical care, the educators of health-related knowledge, and the monitors of care quality. The complexity of the roles they play and the demand resulted have led to workplace fatigue, which further influences their job satisfaction. This study aims at investigating the relationship among nurse practitioners5 basic attributes, working stress, occupational burnout and job satisfaction and further locating the important predictors to improve their job satisfaction. We selected a total of 144 NPs from one medical center and two regional teaching hospitals in southern Taiwan as our subjects. The research instruments included background information sheets, the Likert-scale questionnaires for the evaluation of stress, occupational burnout and job satisfaction. The result revealed a significant difference between working units and job satisfaction. Seniority and weekly working hours negatively correlated with job satisfaction. Working stress and occupational burnout were negatively correlated with job satisfaction. Occupational burnout and working stress were the important predictors of NP5s job satisfaction. It is expected that the results of this study provide the references for the relevant medical units to amend NP administrative management, work planning and other related regulations.