本研究旨在瞭解職業衛生護理人員工作執行情形及執行工作時的障礙因素，並探討社會人口學變項與工作執行情形間的相關，進而分析影響工作執行的障礙因素。本研究以國內職業衛生護理人員580名為研究對象，於民國87年2月9日至87年3月9日，以郵寄問卷的方式收集資料，共收回有效問卷293份，回收率約五成。所得之重要結果如下：一、職業衛生護理人員工作執行情形最好的類別為「執行傷病照護及保健工作」，其次為「辦理健康檢查與健康管理」；執行情形較差的類別為「辦理團體衛教活動」、「規畫（或協助規畫）緊急救護事宜」及「認知工作現場危害及職業傷病」。二、研究對象在「執行傷病照護及保健工作」所花時間比例最高，佔29.80％，「辦理健康檢查與健康管理」也佔了23.39％的時間；而辦理「其他事務」所佔的時間也高達26.74％。三、對「傷病照護及保健工作」最有影響力的變項是設備經費因素，其次是職責認知因素，再其次為升遷因素與知能技術因素。四、對「規畫緊急救護事宜」最有影響力的變項是主管認知因素，其次是職責認知因素、設備經費因素與人力配置因素。五、對「認知工作現場危害與職業傷病」最有影響力的變項是主管認知因素，其次是知能技術因素。六、對「辦理健康檢查與健康管理」最有影響力的變項是主管認知因素，其次是知能技術因素與人力配置因素。七、對「辦理團體衛教活動」最有影響力的變項是知能技術因素，其次是主管認知因素與人力配置因素。針對研究結果提出以下建議：欲提升職業衛生護理工作的執行情形，增加主管對職業衛生護理工作的認知、加強職業衛生護理人員本身的專業知能以及使職業衛生護理人員能專職其工作是最有效的方法。

practices of occupational health nurses and their deterrent factors. A questionnaire was mailed to all occupational health nurses in industrial manufacturing plants with more than 300 employees in Taiwan. The response rate was 50.51%. For the study, the duties of occupational health nurses were classified into five categories: medical service delivering, emergency planing, environmental health hazards identification, medical examination and case management, and health education. Among all of the duties, 'medical service delivering' was practiced best, and 'health education' was the worst. For the total working time, 29.8% was spent on 'medical service delivering', 23.39% on 'medical examination and case management', and 26.74% on 'other fairs'. The result different task had different deterrent factors was also showed. However, increasing some specific knowledge and skills, the sense of duty, and the support from the authorties were suggested for better occupational health nursing practice.