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論著名稱:
醫院員工對醫院實施不僱用吸菸者之認知
文獻引用
編著譯者: 汪秀玲
出版日期: 2015.11
刊登出處: 台灣/臺灣醫學第 19 卷 第 6 期/581-588 頁
頁  數: 12 點閱次數: 406
下載點數: 48 點 銷售明細: 權利金查詢 變更售價
授 權 者: 汪秀玲
關 鍵 詞: 吸菸無菸醫院非吸菸者僱用倫理
中文摘要: 台灣是全球第 51 個宣示接受 World Health Organization(WHO)Framework Convention on Tobacco Control,但尚未立法施行 WHO「nonsmoker-only」僱用策略。本文探討醫院員工對不僱用吸菸者政策的認知。研究採橫斷性設計,2014 年 1 月藉由線上問卷匿名調查某區域教學醫院員工,自陳吸菸行為(分為有 1、無 0)、瞭解優體保單(分為知道 1、不知道 0),感受四項無菸政策(不僱用吸菸者、員工健檢包含尼古丁測試、員工懲戒程序、外包員工僱用應遵從無菸要求),採李克特五點尺度(1~5)進行衡量。全院 805 名員工中 448 名回覆,回收率 52.9%。除描述性分析外,利用多元邏輯斯迴歸分析影響員工是否贊成四項無菸政策之因素。97.1%受試者自陳無吸菸習慣,73.0%有接觸二手菸,14.7%知道優體保單內容。僅 22.5%同意不錄用吸菸者,50.0%同意員工健檢(含新人)應通過尼古丁測試,多數(65.6%)同意員工違反無菸納入懲戒,85.5%要求外包商員工遵從無菸環境。有否吸菸、是否知道體優保單、個人特徵對於是否贊成「不僱用吸菸者」及「員工懲戒」皆無顯著差異。是否贊成「尼古丁測試」之影響因素,包含男性(勝算比 2.136,p=0.046)、年資 1-3 年(勝算比 2.247,p=0.011)、護理職(勝算比 3.351,p=0.047),其贊成尼古丁測試的勝算顯著較高;年齡>40(勝算比 0.456,p=0.05)其贊成尼古丁測試的勝算顯著較低。是否贊成「外包員工遵從無菸要求」,有吸菸(勝算比 0.176,p=0.015)、有接觸二手菸(勝算比 0.431,p=0.028)其贊成外包遵從之勝算顯著較低,年資 1~3 年(勝算比 2.708,p=0.018)及 5 年以上(勝算比 3.307,p=0.049)、碩博士(勝算比 5.731,p=0.050)其贊成外包遵從之勝算較高。僅有少數員工認為醫院有權利拒絕聘僱吸菸者,建議欲實施無菸政策的醫院應評估員工吸菸行為和態度,當員工普遍接受可降低吸菸行為的政策,再漸進採取反菸雇用。為配合 WHO 政策,初探結果供參酌。
英文關鍵詞: smokingsmoking-free hospitalnon-smoker hiringethic
英文摘要: Taiwan is the 51st country declaredly accepted the World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) in the world while has not yet proposed legislation to implement "nonsmoker- only" hiring. We explore the employees' cognitions toward "smoke-free hospital" strategies. A cross-sectional study was conducted at a teaching regional hospital in Jan 2014 by online questionnaire anonymous survey. Employees self-reported personal demographic characteristics, smoking habits and second hand smoking exposure categorically rated as 1 (yes) and 0 (no), and attitudes about the smoke-free policy rated on a five-point Liker scale from strongly disagree (1) to strongly agree (5). 805 staff totally, 448 valid questionnaires were returned, for a response rate of 52.9%. Besides description statistics, we used multivariate logistic regression to analyze underlying factors affecting employees' attitudes toward supporting implementation of smoking free policy. 97.1% of employees self-reported that they are no smoking and 73.0% reported no exposure to second-hand smoking. 14.7% reported they have understood "excellent body policy" in insurance companies (such as a reduced health insurance premium 50% for not smoking). Furthermore, 50.0% thought employees or new applicants for job should be tested for nicotine. Only 22.5% agreed to implement the non-smoking hiring. We found that there is no significant effect of smoking habit on employees' attitudes toward "non-smoker only hiring policy" and "take disciplinary action against smoking". Regarding associated factors supporting implementation of "nicotine test of health examine" for employees or new comer, male (OR=2.136, p=0.046), employees with tenure of 1~3 years (OR=2.247, p=0.011), nurse group (OR=3.351, p=0.047)) and were more supportive. Employees with smoking habit (OR=0.176, p=0.015) were more likely to be agree that "outsourced worker should comply with smoke-free environment". Those with tenure of 1~3 years (OR=2.708, p=0.018), more than 5 years (OR=3.307, p=0.049), with PhD and master degree group (OR=5.731, p=0.050) were more supportive. Most employees believed that hospitals did not have a right to refuse to hire a smoker. Hospitals considering employment restrictions policies should institute new policies gradually and with employee input.
目  次: 前言
材料與方法
結果
討論
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相關論著:
汪秀玲,醫院員工對醫院實施不僱用吸菸者之認知,臺灣醫學,第 19 卷 第 6 期,581-588 頁,2015年11月。
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