近年來，醫療照護模式轉以醫療提供者的保健經驗和病人相互參與的共享決策模式為主，衛生福利部於2017年開始推動醫病共享決策(SDM)實踐運動，護理人員是醫療團隊的關鍵成員，應對於共享決策的製定以及執行過程具備完整概念。但若護理人員在工作中的需求未能獲得滿足，產生心理壓力導致精神疲憊，進而影響工作滿意度。本研究目的為探討護理人員共享決策態度與工作滿意度之關係，並進一步瞭解護理人員對共享決策教育訓練之需求，期能建備護理人員共享決策相關教育訓練，同時提升護理人員共享決策態度、專業自主性及工作滿意度。

本研究採橫斷式研究設計，使用護理人員共享決策態度量表及護理人員工作滿意度量表，以北區某教學醫院護理人員立意抽樣60位為研究對象。研究資料以SPSS 22.0版本統計分析軟體進行描述性統計、獨立樣本t檢定、ANOVA等統計分析。研究結果發現：研究結果發現：(1)不同年齡層、工作年資的護理人員在共享決策態度都有顯著的差異；(2)不同背景的護理人員在工作滿意度未達顯著差異；(3)共享決策態度與工作滿度意呈現顯著正向相關。

期望能透過本研究結果之探討，鼓勵醫療機構建備護理人員共享決策相關教育訓練，提升護理人員共享決策態度、專業自主性及工作滿意度，未來可以運用於臨床醫病共享決策之推廣，最終提升整體健康醫療照護之品質。

In recent years, the medical care model has shifted to the health care experience of medical providers and the shared decision-making model in which patients participate in each other. The Ministry of Health and Welfare began to promote the SDM practice exercise in 2017, and nursing staff is the key to the medical team. Members should have a complete concept of the formulation and implementation of shared decisions. However, if the needs of nursing staff at work are not met, psychological stress leads to mental exhaustion, which in turn affects job satisfaction. The purpose of this study is to explore the relationship between nursing staff's shared decision-making attitude and job satisfaction, and to further understand the needs of nursing staff for shared decision-making education and training. It is also possible to build nursing staff to share decision-related education and training, and to improve the sharing of decision-making attitudes among nursing staff. Professional autonomy and job satisfaction.

This study adopted a cross-sectional research design, using the nursingstaff to share the decision-making attitude scale and the nursing staff job satisfaction scale, and the 60 nursing staff of a teaching hospital in the North District to sample 60 people as the research object. The research data was statistically analyzed by SPSS 22.0 statistical analysis software for descriptive statistics, independent sample t-test, ANOVA and so on.

The results of the study found that: (1) Nursing staff of different age groups and working years have significant differences in sharing decision-making attitudes; (2) Nursing staff with different backgrounds did not reach significant differences in job satisfaction; (3) The shared decision-making attitude is significantly positively correlated with the job satisfaction.

It is hoped that through the discussion of the results of this study, medical institutions will be encouraged to build a nursing staff to share decision-related education and training, and to improve the sharing of decision-making attitude, professional autonomy and job satisfaction among nursing staff. In the future, it can be applied to the promotion of clinical medical and disease sharing decisions. Improve the quality of overall health care.