美容醫學近年來成為醫學專科中的主要發展之一，以致服務人力需求增加，加上是對「美的需求」，必然對專業及服務要求更高，故有其必要了解及探討美容醫學護理師工作壓力源及其構面層級比重，依結果探究解決方案，協助改善工作壓力，增進專業護理服務品質。 本研究以層級分析程序法(The Analytic Hierarchy Process，AHP)，針對臺北市美容醫學機構護理師，共發放30份問卷；以Expert Choice 11.5軟體輸入，將未達一致性的4份問卷剔除不採用，共計25份(83.3%)進行分析，後輔以個案質性訪談法進行驗證。 結果顯示：第一層構面為：內部組織因素(47.7%)>個人屬性因素(26.4%)>工作職能因素(25.9%)。第二層各構面為：薪資獎金(17.3%)>身心健康狀態(9.6%)>專業能力(9.4%)>職場友誼(8.2%)>角色認同(7.9%)>工作負荷(7.7%)>工作倦怠感(7.7%)>管理制度(6.8%)>升遷制度(5.4%)>服務對象(4.7%)>上級考核(4.4%)>家庭支持(4.2%)>年齡(3.5%)>組織類型環境(3.3%)。並由訪談中驗證：「薪資獎金」排序第一，主因美容醫學專科多為自費項目，除醫學專業外需以療程銷售為診所營運之主要考量，不熟悉消費者行銷專業必承受極大壓力。 依據結果建議，護理教育及美容醫學機構除專業課程外，同時將「行銷服務」列為重點課程，於服務時能提供專業諮詢建議，以獲得良性互動模式；並依年資、職務設計在職課程、並重視職場友誼，藉以改善工作壓力。 Aesthetic medicine has become one of the main developments in the medical specialty in recent years, so that the demand for service manpower has increased. In addition to the "demand for beauty", it is bound to have higher professional and service standards. Therefore, it is necessary to understand and explore the work of aesthetic medicine nurses. The proportion of stressors and their dimensions, and explore solutions based on the results to help improving work environment and the quality of professional nursing cares. In this study, the Analytic Hierarchy Process (AHP) was used to distribute 30 questionnaires to nurses in aesthetic medicine institutions in Taipei City. The Expert Choice 11.5 software was used to input, and 4 questionnaires that did not reach consistency were excluded. Twenty-five cases (83.3%) were analyzed and verified by a qualitative interview method. The results show that the first level of dimensions is: internal organizational factors (47.7%)>personal attribute factors (26.4%)>job function factors (25.9%). The dimensions of the second layer are: salary bonus (17.3%)> physical and mental health (9.6%)> professional ability (9.4%)> workplace friendship (8.2%)> role recognition (7.9%)> workload (7.7%) >Work burnout (7.7%)>Management system (6.8%)>Promotion system (5.4%)>Service target (4.7%)>Superior assessment (4.4%)>Family support (4.2%)>Age (3.5%)> Organization type environment (3.3%). It is verified by interviews that "salary bonus" ranks first, mainly because aesthetic medicine specialties are mostly self-paid procedures. In addition to medical majors, treatment procedure and product promotions are the main consideration for clinic operations. Those who are not familiar with consumer marketing will face great pressure. Based on the results, it is suggested that in addition to professional courses, nursing education and aesthetic medicine institutions also list "marketing" as key courses. They can provide professional consultation and advice during service to obtain a beneficial interactive mode; design on-the-job courses based on seniority and position, and attach importance to workplace friendships to improve work pressure.
