Pub Date : 2022-12-01DOI: 10.53106/102711202022123302003
賀俊智 賀俊智
數位媒體的普及催生了許多協助推動地方創生的適地性服務，然而即便是數位科技相對成熟的今日，成功的案例仍非常有限。過度聚焦遊客，未將在地人納入地方創生發生過程，可能是問題的癥結。相關研究一再指出：在地人為推動地方創生的關鍵角色，然而當深入探究數位適地性媒體導入偏鄉地方創生的相關發表即會發現，在地人經常是被忽略的角色。的確，自助式服務科技的發展，以及偏鄉與都會的數位落差，對於是否納入在地人於數位地方創生有相當程度的影響。因此思考「合宜」的策略，開啟遊客與在地人的「交流」，為導入數位適地性媒體於偏鄉地方創生首要面對的課題。透過量化分析使用者實地測試金峰Let’s Go App的回饋；比較有無納入在地人，對於使用者部落探索體驗，以及部落觀光發展影響感受之差異，且配合質性分析，研究者進一步歸納四項，導入數位適地性媒體推動偏鄉地方創生之策略：(一) 開啟與在地人面對面的「交流」、(二) 合宜的媒介使用觸發人與人的「交流」、(三) 透過「交流」深化在地體驗、(四) 透過「交流」永續地方創生。此外藉由反思配合大學社會責任計畫 (University Social Responsibility, 以下稱「USR計畫」)執行之教學實踐過程，對學校與地方部落產生的影響，期盼能提供後續導入數位科技於地方創生與USR計畫執行之參考。 The widespread use of digital media encourages the implementation of diverse location based services (LBSs) to develop rural placemaking. Nevertheless, although digital technologies are relatively mature at the current time, successful projects are still rare. This may be due to an excessive focus on tourists at the expense of local residents in the ongoing process of placemaking. Relevant studies frequently indicate that local residents play a key role in placemaking; they are however often ignored within the process. Indeed, attempting to bring local residents into rural placemaking through digital location based media (LBM) involves challenges such as the digital divide and self-service technologies; namely, there is no need to seek help from others. Therefore, strategies must first be found to encourage communication between tourists and local residents. Presented here is a statistical analysis of user feedback from two tests of the Jin-Feng Let’s Go App in-situ, one with and one without local residents; these facilitate comparison of the differences in users’ adventure experiences and their attitudes toward the development of local tourism. A qualitative analysis further identifies four strategies for introducing digital LBM into rural placemaking: (1) Encourage face to face communication, (2) Identify a suitable method by which to use the medium to promote communication between people, (3) Deepen local adventure experiences through communication, and (4) Enable sustainable placemaking through communication. Furthermore, by reexamining the implementation of university social responsibility (USR) projects that may influence the teaching practice and attitude of the local tribe toward cooperation with the university, this article will provide valuable references for future digital placemaking and USR project implementations.
数位媒体的普及催生了许多协助推动地方创生的适地性服务，然而即便是数位科技相对成熟的今日，成功的案例仍非常有限。过度聚焦游客，未将在地人纳入地方创生发生过程，可能是问题的症结。相关研究一再指出：在地人为推动地方创生的关键角色，然而当深入探究数位适地性媒体导入偏乡地方创生的相关发表即会发现，在地人经常是被忽略的角色。的确，自助式服务科技的发展，以及偏乡与都会的数位落差，对于是否纳入在地人于数位地方创生有相当程度的影响。因此思考「合宜」的策略，开启游客与在地人的「交流」，为导入数位适地性媒体于偏乡地方创生首要面对的课题。透过量化分析使用者实地测试金峰Let’s Go App的回馈；比较有无纳入在地人，对于使用者部落探索体验，以及部落观光发展影响感受之差异，且配合质性分析，研究者进一步归纳四项，导入数位适地性媒体推动偏乡地方创生之策略：(一) 开启与在地人面对面的「交流」、(二) 合宜的媒介使用触发人与人的「交流」、(三) 透过「交流」深化在地体验、(四) 透过「交流」永续地方创生。此外借由反思配合大学社会责任计划 (University Social Responsibility, 以下称「USR计划」)执行之教学实践过程，对学校与地方部落产生的影响，期盼能提供后续导入数位科技于地方创生与USR计划执行之参考。 The widespread use of digital media encourages the implementation of diverse location based services (LBSs) to develop rural placemaking. Nevertheless, although digital technologies are relatively mature at the current time, successful projects are still rare. This may be due to an excessive focus on tourists at the expense of local residents in the ongoing process of placemaking. Relevant studies frequently indicate that local residents play a key role in placemaking; they are however often ignored within the process. Indeed, attempting to bring local residents into rural placemaking through digital location based media (LBM) involves challenges such as the digital divide and self-service technologies; namely, there is no need to seek help from others. Therefore, strategies must first be found to encourage communication between tourists and local residents. Presented here is a statistical analysis of user feedback from two tests of the Jin-Feng Let’s Go App in-situ, one with and one without local residents; these facilitate comparison of the differences in users’ adventure experiences and their attitudes toward the development of local tourism. A qualitative analysis further identifies four strategies for introducing digital LBM into rural placemaking: (1) Encourage face to face communication, (2) Identify a suitable method by which to use the medium to promote communication between people, (3) Deepen local adventure experiences through communication, and (4) Enable sustainable placemaking through communication. Furthermore, by reexamining the implementation of university social responsibility (USR) projects that may influence the teaching practice and attitude of the local tribe toward cooperation with the university, this article will provide valuable references for future digital placemaking and USR project implementations.
{"title":"數位適地性媒體導入偏鄉地方創生與大學社會責任之教學實踐 – 以金峰Let’s Go App 為例","authors":"賀俊智 賀俊智","doi":"10.53106/102711202022123302003","DOIUrl":"https://doi.org/10.53106/102711202022123302003","url":null,"abstract":"\u0000 數位媒體的普及催生了許多協助推動地方創生的適地性服務，然而即便是數位科技相對成熟的今日，成功的案例仍非常有限。過度聚焦遊客，未將在地人納入地方創生發生過程，可能是問題的癥結。相關研究一再指出：在地人為推動地方創生的關鍵角色，然而當深入探究數位適地性媒體導入偏鄉地方創生的相關發表即會發現，在地人經常是被忽略的角色。的確，自助式服務科技的發展，以及偏鄉與都會的數位落差，對於是否納入在地人於數位地方創生有相當程度的影響。因此思考「合宜」的策略，開啟遊客與在地人的「交流」，為導入數位適地性媒體於偏鄉地方創生首要面對的課題。透過量化分析使用者實地測試金峰Let’s Go App的回饋；比較有無納入在地人，對於使用者部落探索體驗，以及部落觀光發展影響感受之差異，且配合質性分析，研究者進一步歸納四項，導入數位適地性媒體推動偏鄉地方創生之策略：(一) 開啟與在地人面對面的「交流」、(二) 合宜的媒介使用觸發人與人的「交流」、(三) 透過「交流」深化在地體驗、(四) 透過「交流」永續地方創生。此外藉由反思配合大學社會責任計畫 (University Social Responsibility, 以下稱「USR計畫」)執行之教學實踐過程，對學校與地方部落產生的影響，期盼能提供後續導入數位科技於地方創生與USR計畫執行之參考。\u0000 The widespread use of digital media encourages the implementation of diverse location based services (LBSs) to develop rural placemaking. Nevertheless, although digital technologies are relatively mature at the current time, successful projects are still rare. This may be due to an excessive focus on tourists at the expense of local residents in the ongoing process of placemaking. Relevant studies frequently indicate that local residents play a key role in placemaking; they are however often ignored within the process. Indeed, attempting to bring local residents into rural placemaking through digital location based media (LBM) involves challenges such as the digital divide and self-service technologies; namely, there is no need to seek help from others. Therefore, strategies must first be found to encourage communication between tourists and local residents. Presented here is a statistical analysis of user feedback from two tests of the Jin-Feng Let’s Go App in-situ, one with and one without local residents; these facilitate comparison of the differences in users’ adventure experiences and their attitudes toward the development of local tourism. A qualitative analysis further identifies four strategies for introducing digital LBM into rural placemaking: (1) Encourage face to face communication, (2) Identify a suitable method by which to use the medium to promote communication between people, (3) Deepen local adventure experiences through communication, and (4) Enable sustainable placemaking through communication. Furthermore, by reexamining the implementation of university social responsibility (USR) projects that may influence the teaching practice and attitude of the local tribe toward cooperation with the university, this article will provide valuable references for future digital placemaking and USR project implementations.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"125 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79510870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53106/102711202022123302004
盧彥丞 盧彥丞, 陳瑞斌 陳瑞斌, 黃琬婷 黃琬婷
本研究目的旨在探討大學院校開設防身自衛術選項課程的必要性，並透過文獻蒐集之方法加以研究探討後，希望藉由所得結果能提供作為，各校未來規劃體育與通識課程開課之參考。防身自衛術課程頗受學生的喜愛，防身術並可以提升學生身體的健康，又可以增強學生的心理素質，起到防止他人暴力侵襲、保護學生自身安全的目的，具有一定的健身價值和實用性，因此，在大學校院體育選項和通識教育相關課程，應該推廣開設防身自衛術選項教學課程。防身自衛術是一種具有攻防含義，能夠提高防身和自衛能力的技擊性動作，也是源自於柔道和柔術、擒拿術等多種技術動作之中。而隨著防身自衛術課程的發展，漸漸地進入了大學興趣體育選課項目之中，正在逐漸的被大學生所接受。大學生學習並掌握防身自衛術，可以提高自衛防身的保護能力，當碰到突發的意外險境時，就會有足夠的膽量和氣魄來保護自身的安全，以免遭到傷害，並還能夠給不良分子以沉重的打擊。但由於學生防身術運動課程的推廣特點，應根據學生生理、心理特徵，探索合適的教學模式和教學方法，才能在校園內永續的發展。 The purpose of this study is to investigate the need for developing self-defense courses in universities through literature review. It is hoped that the results can be used as a reference for future development of physical education or general education program. Self-defense courses are popular among students because it can improve students’ physical health, enhance students’ psychological quality, prevent violent attacks by others, and protect students’ own safety, and has fitness value and practicality. Therefore, the development of self-defense courses should be promoted in the physical education and general education at university campuses. Self-defense is a technical action with the meaning of attack and defense, which can improve the ability of self-defense and self-defense. It is derived from judo and jiu-jitsu, grappling and other technical actions. With the development of self-defense courses, it is an elective physical education course and is gradually being welcome by college students. University students who learn and master self-defense can improve their self-defense protection ability, when encountering unexpected danger. Students will have enough courage and courage to protect their own safety, so as not to be hurt, and can also give bad people a heavy blow. However, due to the characteristics of the self-defense courses, appropriate teaching models and methods should be explored according to the physiological and psychological characteristics of students in order to develop the self-defense courses in a sustainable manner on campus.
本研究目的旨在探讨大学院校开设防身自卫术选项课程的必要性，并透过文献搜集之方法加以研究探讨后，希望借由所得结果能提供作为，各校未来规划体育与通识课程开课之参考。防身自卫术课程颇受学生的喜爱，防身术并可以提升学生身体的健康，又可以增强学生的心理素质，起到防止他人暴力侵袭、保护学生自身安全的目的，具有一定的健身价值和实用性，因此，在大学校院体育选项和通识教育相关课程，应该推广开设防身自卫术选项教学课程。防身自卫术是一种具有攻防含义，能够提高防身和自卫能力的技击性动作，也是源自于柔道和柔术、擒拿术等多种技术动作之中。而随著防身自卫术课程的发展，渐渐地进入了大学兴趣体育选课项目之中，正在逐渐的被大学生所接受。大学生学习并掌握防身自卫术，可以提高自卫防身的保护能力，当碰到突发的意外险境时，就会有足够的胆量和气魄来保护自身的安全，以免遭到伤害，并还能够给不良分子以沉重的打击。但由于学生防身术运动课程的推广特点，应根据学生生理、心理特征，探索合适的教学模式和教学方法，才能在校园内永续的发展。 The purpose of this study is to investigate the need for developing self-defense courses in universities through literature review. It is hoped that the results can be used as a reference for future development of physical education or general education program. Self-defense courses are popular among students because it can improve students’ physical health, enhance students’ psychological quality, prevent violent attacks by others, and protect students’ own safety, and has fitness value and practicality. Therefore, the development of self-defense courses should be promoted in the physical education and general education at university campuses. Self-defense is a technical action with the meaning of attack and defense, which can improve the ability of self-defense and self-defense. It is derived from judo and jiu-jitsu, grappling and other technical actions. With the development of self-defense courses, it is an elective physical education course and is gradually being welcome by college students. University students who learn and master self-defense can improve their self-defense protection ability, when encountering unexpected danger. Students will have enough courage and courage to protect their own safety, so as not to be hurt, and can also give bad people a heavy blow. However, due to the characteristics of the self-defense courses, appropriate teaching models and methods should be explored according to the physiological and psychological characteristics of students in order to develop the self-defense courses in a sustainable manner on campus.
{"title":"大學體育選項與通識教育課程開設防身自衛術的必要性之探討","authors":"盧彥丞 盧彥丞, 陳瑞斌 陳瑞斌, 黃琬婷 黃琬婷","doi":"10.53106/102711202022123302004","DOIUrl":"https://doi.org/10.53106/102711202022123302004","url":null,"abstract":"\u0000 本研究目的旨在探討大學院校開設防身自衛術選項課程的必要性，並透過文獻蒐集之方法加以研究探討後，希望藉由所得結果能提供作為，各校未來規劃體育與通識課程開課之參考。防身自衛術課程頗受學生的喜愛，防身術並可以提升學生身體的健康，又可以增強學生的心理素質，起到防止他人暴力侵襲、保護學生自身安全的目的，具有一定的健身價值和實用性，因此，在大學校院體育選項和通識教育相關課程，應該推廣開設防身自衛術選項教學課程。防身自衛術是一種具有攻防含義，能夠提高防身和自衛能力的技擊性動作，也是源自於柔道和柔術、擒拿術等多種技術動作之中。而隨著防身自衛術課程的發展，漸漸地進入了大學興趣體育選課項目之中，正在逐漸的被大學生所接受。大學生學習並掌握防身自衛術，可以提高自衛防身的保護能力，當碰到突發的意外險境時，就會有足夠的膽量和氣魄來保護自身的安全，以免遭到傷害，並還能夠給不良分子以沉重的打擊。但由於學生防身術運動課程的推廣特點，應根據學生生理、心理特徵，探索合適的教學模式和教學方法，才能在校園內永續的發展。\u0000 The purpose of this study is to investigate the need for developing self-defense courses in universities through literature review. It is hoped that the results can be used as a reference for future development of physical education or general education program. Self-defense courses are popular among students because it can improve students’ physical health, enhance students’ psychological quality, prevent violent attacks by others, and protect students’ own safety, and has fitness value and practicality. Therefore, the development of self-defense courses should be promoted in the physical education and general education at university campuses. Self-defense is a technical action with the meaning of attack and defense, which can improve the ability of self-defense and self-defense. It is derived from judo and jiu-jitsu, grappling and other technical actions. With the development of self-defense courses, it is an elective physical education course and is gradually being welcome by college students. University students who learn and master self-defense can improve their self-defense protection ability, when encountering unexpected danger. Students will have enough courage and courage to protect their own safety, so as not to be hurt, and can also give bad people a heavy blow. However, due to the characteristics of the self-defense courses, appropriate teaching models and methods should be explored according to the physiological and psychological characteristics of students in order to develop the self-defense courses in a sustainable manner on campus.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"130 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87013674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53106/102711202022123302001
蘇鈺楠 蘇鈺楠, 周泓達 周泓達
D. Griffiths是近代重要的教育行政學者之一，以實證主義為研究原則，建立其著名之行政決策理論。在1970年代Griffiths與Greenfield進行了著名的兩格論戰，並藉由對主觀主義之回應體認到實證主義無法有效說明情境之困境，轉為自省在科學理論研究上的缺陷，進而放棄追尋統一、抽象理論，改以接納多元研究典範對教育行政現象進行說明。本研究以文獻分析方式探究，從對Griffiths學術生涯發展的四個探究分期-教育行政理論建立期、理論運動反思期、研究典範再建期與兩格論戰初期、研究典範多元認同期與兩格論戰後期開始切入，分析其學術立場之轉變，進而論述在教育行政上的蘊義，這整個探究期程便是教育行政理論典範轉移的重要時點，代表了教育行政學從理論運動後之變化，對其學術立場轉變之研究，也是研究教育行政學思想轉變之縮影。 D. Griffiths is one of the crucial educational administration scholars in modern time, establishing administrative decisions theory by empiricism, and have famous “Greenfield-Griffiths Debate” in 1970s. During the debate against subjectivism, Griffiths realizes empiricism cannot completely interpret the fields of educational administration, therefore he reflects the deficiency of empiricism, following by abandoning, abstract theory, for embracing multiple-paradigm to interpret the nature of educational administration. This paper adopts literature review method, begin from four phase of Griffiths academic career-The establish of educational administration theory, The Theory Movement reflection, the primary stage, and a later stage of The Greenfield-Griffiths Debate, and analyzed the academic standpoint development, which makes implications on educational administration. The career of Griffiths is crucial paradigm changing period of educational administration, which reveals the educational administration change after The Theory Movement, so the change of his academic standpoint is also the change of educational administration perspective.
D. Griffiths是近代重要的教育行政学者之一，以实证主义为研究原则，建立其著名之行政决策理论。在1970年代Griffiths与Greenfield进行了著名的两格论战，并借由对主观主义之回应体认到实证主义无法有效说明情境之困境，转为自省在科学理论研究上的缺陷，进而放弃追寻统一、抽象理论，改以接纳多元研究典范对教育行政现象进行说明。本研究以文献分析方式探究，从对Griffiths学术生涯发展的四个探究分期-教育行政理论建立期、理论运动反思期、研究典范再建期与两格论战初期、研究典范多元认同期与两格论战后期开始切入，分析其学术立场之转变，进而论述在教育行政上的蕴义，这整个探究期程便是教育行政理论典范转移的重要时点，代表了教育行政学从理论运动后之变化，对其学术立场转变之研究，也是研究教育行政学思想转变之缩影。 D. Griffiths is one of the crucial educational administration scholars in modern time, establishing administrative decisions theory by empiricism, and have famous “Greenfield-Griffiths Debate” in 1970s. During the debate against subjectivism, Griffiths realizes empiricism cannot completely interpret the fields of educational administration, therefore he reflects the deficiency of empiricism, following by abandoning, abstract theory, for embracing multiple-paradigm to interpret the nature of educational administration. This paper adopts literature review method, begin from four phase of Griffiths academic career-The establish of educational administration theory, The Theory Movement reflection, the primary stage, and a later stage of The Greenfield-Griffiths Debate, and analyzed the academic standpoint development, which makes implications on educational administration. The career of Griffiths is crucial paradigm changing period of educational administration, which reveals the educational administration change after The Theory Movement, so the change of his academic standpoint is also the change of educational administration perspective.
{"title":"當代教育行政學發展之縮影－D. Griffiths學術立場的轉變及其在教育行政學之蘊義","authors":"蘇鈺楠 蘇鈺楠, 周泓達 周泓達","doi":"10.53106/102711202022123302001","DOIUrl":"https://doi.org/10.53106/102711202022123302001","url":null,"abstract":"\u0000 D. Griffiths是近代重要的教育行政學者之一，以實證主義為研究原則，建立其著名之行政決策理論。在1970年代Griffiths與Greenfield進行了著名的兩格論戰，並藉由對主觀主義之回應體認到實證主義無法有效說明情境之困境，轉為自省在科學理論研究上的缺陷，進而放棄追尋統一、抽象理論，改以接納多元研究典範對教育行政現象進行說明。本研究以文獻分析方式探究，從對Griffiths學術生涯發展的四個探究分期-教育行政理論建立期、理論運動反思期、研究典範再建期與兩格論戰初期、研究典範多元認同期與兩格論戰後期開始切入，分析其學術立場之轉變，進而論述在教育行政上的蘊義，這整個探究期程便是教育行政理論典範轉移的重要時點，代表了教育行政學從理論運動後之變化，對其學術立場轉變之研究，也是研究教育行政學思想轉變之縮影。\u0000 D. Griffiths is one of the crucial educational administration scholars in modern time, establishing administrative decisions theory by empiricism, and have famous “Greenfield-Griffiths Debate” in 1970s. During the debate against subjectivism, Griffiths realizes empiricism cannot completely interpret the fields of educational administration, therefore he reflects the deficiency of empiricism, following by abandoning, abstract theory, for embracing multiple-paradigm to interpret the nature of educational administration. This paper adopts literature review method, begin from four phase of Griffiths academic career-The establish of educational administration theory, The Theory Movement reflection, the primary stage, and a later stage of The Greenfield-Griffiths Debate, and analyzed the academic standpoint development, which makes implications on educational administration. The career of Griffiths is crucial paradigm changing period of educational administration, which reveals the educational administration change after The Theory Movement, so the change of his academic standpoint is also the change of educational administration perspective.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87463124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53106/102711202022123302002
蕭佳純 蕭佳純
教師專業是提升教育品質的關鍵，也是教育成功的基礎，然而目前國內的專業成長量表多是著重在教師自己認知目前專業成長的程度，並非強調是參加專業發展活動或研習後的專業成長程度，因此量表可能有侷限性，不符合使用。所以，本研究目的在以實踐取向為依歸，編制一套適合衡量教師在參加專業發展活動後的專業成長量表。本研究透過探索性因素分析、驗證性因素分析、聚斂效度、區別效度以及測量恆等性等步驟，編製教師專業成長的量表，量表內涵在文獻探討時一共包含專業知能（以教學工作為主軸）、專業倫理與態度（包含教師理念、反思等）、專業實踐（強調學習是否能實際應用在教學上，並且以關注學生學習為焦點），三個構面。經過14位學者專家的修訂，以及314樣本進行量表預試分析與因素結構探索，建構出四個構面分別為專業倫理、專業實踐、專業知能以及專業反思。而後以656名正式樣本進行量表之驗證性因素分析、聚斂效度、區別效度以及年資測量恆等性等各項考驗。研究結果顯示，本量表建構的二階四因素模式具有良好的契合度，且本量表模式更具有跨樣本的穩定性，同時適用不同年資群組的分析。整體而言，本研究量表具有實務應用之參考價值。 It is the key element to improve the quality of education as well as the foundation of educational success by improving teachers’ teaching profession. However, the current scales used for professional growth are mostly focused on teachers’ personal perception of their professional growth level, rather than the profession degree after participating in the professional development activities or studies. Therefore, the scale may be limited and unsuitable for use in that case. Thence, the purpose of this research is to develop a set of Professional Growth Scales which is suitable for measuring the degree of teachers’ professional growth after participating in professional development activities based on practice orientation. Via the steps of exploratory factor analysis, confirmatory factor analysis, convergent validity, discriminant validity, and measurement invariance, this research has developed a scale for teachers’ authentic participation in professional learning communities. There are three dimensions considered and discussed in the literature review to be the connotation of this scale. They are professional knowledge and ability which focus on teaching tasks, professional ethics and attitude including teachers’ teaching philosophy and reflection, and professional practice with emphasizing on practical teaching skills to assist students’ learning needs. After revision by 14 scholars and experts with 314 samples for pre-test analysis of the scale and exploration of factor structure, four dimensions were constructed. They are professional ethics, professional practice, professional knowledge and professional reflection. Then, 656 formal samples were employed to test the scales’ confirmatory factor analysis, convergent validity, discriminant validity and the identity of seniority measurement. The research results show that the second-order with four-factor model which constructed by this scale made a positive model fit, and it is applicable to analysis the different seniority groups. Overall, this research scale makes valuable reference for practical application.
教师专业是提升教育品质的关键，也是教育成功的基础，然而目前国内的专业成长量表多是著重在教师自己认知目前专业成长的程度，并非强调是参加专业发展活动或研习后的专业成长程度，因此量表可能有局限性，不符合使用。所以，本研究目的在以实践取向为依归，编制一套适合衡量教师在参加专业发展活动后的专业成长量表。本研究透过探索性因素分析、验证性因素分析、聚敛效度、区别效度以及测量恒等性等步骤，编制教师专业成长的量表，量表内涵在文献探讨时一共包含专业知能（以教学工作为主轴）、专业伦理与态度（包含教师理念、反思等）、专业实践（强调学习是否能实际应用在教学上，并且以关注学生学习为焦点），三个构面。经过14位学者专家的修订，以及314样本进行量表预试分析与因素结构探索，建构出四个构面分别为专业伦理、专业实践、专业知能以及专业反思。而后以656名正式样本进行量表之验证性因素分析、聚敛效度、区别效度以及年资测量恒等性等各项考验。研究结果显示，本量表建构的二阶四因素模式具有良好的契合度，且本量表模式更具有跨样本的稳定性，同时适用不同年资群组的分析。整体而言，本研究量表具有实务应用之参考价值。 It is the key element to improve the quality of education as well as the foundation of educational success by improving teachers’ teaching profession. However, the current scales used for professional growth are mostly focused on teachers’ personal perception of their professional growth level, rather than the profession degree after participating in the professional development activities or studies. Therefore, the scale may be limited and unsuitable for use in that case. Thence, the purpose of this research is to develop a set of Professional Growth Scales which is suitable for measuring the degree of teachers’ professional growth after participating in professional development activities based on practice orientation. Via the steps of exploratory factor analysis, confirmatory factor analysis, convergent validity, discriminant validity, and measurement invariance, this research has developed a scale for teachers’ authentic participation in professional learning communities. There are three dimensions considered and discussed in the literature review to be the connotation of this scale. They are professional knowledge and ability which focus on teaching tasks, professional ethics and attitude including teachers’ teaching philosophy and reflection, and professional practice with emphasizing on practical teaching skills to assist students’ learning needs. After revision by 14 scholars and experts with 314 samples for pre-test analysis of the scale and exploration of factor structure, four dimensions were constructed. They are professional ethics, professional practice, professional knowledge and professional reflection. Then, 656 formal samples were employed to test the scales’ confirmatory factor analysis, convergent validity, discriminant validity and the identity of seniority measurement. The research results show that the second-order with four-factor model which constructed by this scale made a positive model fit, and it is applicable to analysis the different seniority groups. Overall, this research scale makes valuable reference for practical application.
{"title":"國小教師專業成長量表編制之研究","authors":"蕭佳純 蕭佳純","doi":"10.53106/102711202022123302002","DOIUrl":"https://doi.org/10.53106/102711202022123302002","url":null,"abstract":"\u0000 教師專業是提升教育品質的關鍵，也是教育成功的基礎，然而目前國內的專業成長量表多是著重在教師自己認知目前專業成長的程度，並非強調是參加專業發展活動或研習後的專業成長程度，因此量表可能有侷限性，不符合使用。所以，本研究目的在以實踐取向為依歸，編制一套適合衡量教師在參加專業發展活動後的專業成長量表。本研究透過探索性因素分析、驗證性因素分析、聚斂效度、區別效度以及測量恆等性等步驟，編製教師專業成長的量表，量表內涵在文獻探討時一共包含專業知能（以教學工作為主軸）、專業倫理與態度（包含教師理念、反思等）、專業實踐（強調學習是否能實際應用在教學上，並且以關注學生學習為焦點），三個構面。經過14位學者專家的修訂，以及314樣本進行量表預試分析與因素結構探索，建構出四個構面分別為專業倫理、專業實踐、專業知能以及專業反思。而後以656名正式樣本進行量表之驗證性因素分析、聚斂效度、區別效度以及年資測量恆等性等各項考驗。研究結果顯示，本量表建構的二階四因素模式具有良好的契合度，且本量表模式更具有跨樣本的穩定性，同時適用不同年資群組的分析。整體而言，本研究量表具有實務應用之參考價值。\u0000 It is the key element to improve the quality of education as well as the foundation of educational success by improving teachers’ teaching profession. However, the current scales used for professional growth are mostly focused on teachers’ personal perception of their professional growth level, rather than the profession degree after participating in the professional development activities or studies. Therefore, the scale may be limited and unsuitable for use in that case. Thence, the purpose of this research is to develop a set of Professional Growth Scales which is suitable for measuring the degree of teachers’ professional growth after participating in professional development activities based on practice orientation. Via the steps of exploratory factor analysis, confirmatory factor analysis, convergent validity, discriminant validity, and measurement invariance, this research has developed a scale for teachers’ authentic participation in professional learning communities. There are three dimensions considered and discussed in the literature review to be the connotation of this scale. They are professional knowledge and ability which focus on teaching tasks, professional ethics and attitude including teachers’ teaching philosophy and reflection, and professional practice with emphasizing on practical teaching skills to assist students’ learning needs. After revision by 14 scholars and experts with 314 samples for pre-test analysis of the scale and exploration of factor structure, four dimensions were constructed. They are professional ethics, professional practice, professional knowledge and professional reflection. Then, 656 formal samples were employed to test the scales’ confirmatory factor analysis, convergent validity, discriminant validity and the identity of seniority measurement. The research results show that the second-order with four-factor model which constructed by this scale made a positive model fit, and it is applicable to analysis the different seniority groups. Overall, this research scale makes valuable reference for practical application.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"87 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72386242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53106/168020042022122202002
張芳全 張芳全
{"title":"補習有用嗎？國中生家庭社經地位、英語補習時間成長軌跡對英語學習成就的影響","authors":"張芳全 張芳全","doi":"10.53106/168020042022122202002","DOIUrl":"https://doi.org/10.53106/168020042022122202002","url":null,"abstract":"<jats:p>\u0000 \u0000 </jats:p>","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48687589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.53106/168020042022122202001
郭晏輔 郭晏輔
{"title":"探討學校層級的社經文化背景對學習成就之影響及其制度性成因","authors":"郭晏輔 郭晏輔","doi":"10.53106/168020042022122202001","DOIUrl":"https://doi.org/10.53106/168020042022122202001","url":null,"abstract":"<jats:p>\u0000 \u0000 </jats:p>","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47869914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"漢語考試大綱詞表和語料庫詞頻的反向檢視研究","authors":"S. Hsin, Jin Rui, Keqin Zhou","doi":"10.1075/csl.21030.hsi","DOIUrl":"https://doi.org/10.1075/csl.21030.hsi","url":null,"abstract":"\u0000 國際漢語教材的生詞經過專家編訂及實際教學錘煉，可反向檢視漢語考試大綱詞彙分級的合宜性以及語料庫詞頻的對應性。本研究從九套具有代表性的初級國際漢語教材選出生詞樣本，分別依據中國大陸及臺灣的漢語考試分級詞表及大型漢語語料庫，統計樣本詞的等級及詞頻分佈。發現初級教材生詞竟普遍包括考試大綱的高級詞及超綱詞，顯示大綱的詞量及收詞有待商榷。而其詞頻分佈也普遍有高比例的低頻詞，可見語料庫的詞頻難以作為教材實際編寫的選詞依憑。","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81384726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
血液透析血管通路功能障礙是醫護人員及病人十分重視的議題。近年的醫學研究顯示，血管通路功能障礙的核心機轉為血管重塑、新內膜增生。部分研究指出應用中醫護理方法於血管通路照護，能改善血管通路的併發症及促進成熟。本文梳理西醫和中醫的觀點，彙整血管通路功能障礙的機制，期能對未來發展血液透析血管通路中西醫結合照護方案有所啟發。 Hemodialysis vascular access dysfunction is an important issue for both patients and medical professionals. Studies have shown that integrating traditional Chinese medicine and nursing care of vascular access for hemodialysis can reduce vascular access complications and promote arteriovenous fistula maturity. This article aims to review literatures regarding the Western and traditional Chinese medicine on pathogenesis and pathology of vascular remodeling and neointimal hyperplasia in the setting of hemodialysis vascular access dysfunction, and to inspire the future development of the integrative Western and traditional Chinese medical nursing care programs for hemodialysis vascular access.
血液透析血管通路功能障碍是医护人员及病人十分重视的议题。近年的医学研究显示，血管通路功能障碍的核心机转为血管重塑、新内膜增生。部分研究指出应用中医护理方法于血管通路照护，能改善血管通路的并发症及促进成熟。本文梳理西医和中医的观点，汇整血管通路功能障碍的机制，期能对未来发展血液透析血管通路中西医结合照护方案有所启发。 Hemodialysis vascular access dysfunction is an important issue for both patients and medical professionals. Studies have shown that integrating traditional Chinese medicine and nursing care of vascular access for hemodialysis can reduce vascular access complications and promote arteriovenous fistula maturity. This article aims to review literatures regarding the Western and traditional Chinese medicine on pathogenesis and pathology of vascular remodeling and neointimal hyperplasia in the setting of hemodialysis vascular access dysfunction, and to inspire the future development of the integrative Western and traditional Chinese medical nursing care programs for hemodialysis vascular access.
{"title":"血液透析血管通路功能障礙之中西醫觀點","authors":"林彥君 林彥君, 江慧珠 Yen-Chun Lin, 張若曇 Hui-Chu Chiang, 徐清華 徐清華, 黃伯瑜 黃伯瑜, 楊素眞 楊素眞, 吳泓彥 Su-Chen Yang","doi":"10.53106/172674042022112101001","DOIUrl":"https://doi.org/10.53106/172674042022112101001","url":null,"abstract":"\u0000 血液透析血管通路功能障礙是醫護人員及病人十分重視的議題。近年的醫學研究顯示，血管通路功能障礙的核心機轉為血管重塑、新內膜增生。部分研究指出應用中醫護理方法於血管通路照護，能改善血管通路的併發症及促進成熟。本文梳理西醫和中醫的觀點，彙整血管通路功能障礙的機制，期能對未來發展血液透析血管通路中西醫結合照護方案有所啟發。\u0000 Hemodialysis vascular access dysfunction is an important issue for both patients and medical professionals. Studies have shown that integrating traditional Chinese medicine and nursing care of vascular access for hemodialysis can reduce vascular access complications and promote arteriovenous fistula maturity. \u0000This article aims to review literatures regarding the Western and traditional Chinese medicine on pathogenesis and pathology of vascular remodeling and neointimal hyperplasia in the setting of hemodialysis vascular access dysfunction, and to inspire the future development of the integrative Western and traditional Chinese medical nursing care programs for hemodialysis vascular access.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74503658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-01DOI: 10.53106/172674042022112101004
蔡侑臻 蔡侑臻, 沈燕芬 沈燕芬, 何美蓮 何美蓮, 廖秋萍 廖秋萍
<>本文敘述一名末期腎病之中年男性在面臨需接受透析治療時，因無法適應內心之衝擊，而對其採取一系列生理、心理調適之護理經驗。於2019年10月01日至2019年12月31日護理期間，依Gordon十一項健康功能型態進行評估，運用會談、觀察、身體評估、病歷查閱及直接照護等方式收集資料，確立個案有體液容積過量、潛在危險性感染、知識缺失等健康問題。體液容積過量方面，利用個人專屬飲水容器與制約方式控制水份攝取，有效減少體內多餘水份，避免體液容積過量之併發症再度發生；針對潛在危險性感染提供導管傷口及瘻管傷口照護指導單張，並藉由回覆示教了解個案理解程度，提升導管傷口居家照護能力及技巧，以預防感染發生；知識缺失方面，利用網路教學影片協助教導，運用跨團隊模式，整合各專業相關醫護人員與病人配合，即時提供完整瘻管照護指導，提升正確認知，希望藉由此次護理經驗，做為日後護理同仁面對同疾病照護之參考，並運用在臨床照護中。<><>This article narrates the nursing experience of caring a middle aged man with end stage renal disease who is unable to sustain the psychological shock originated from the necessity of hemodialysis treatment, and serial following strategies composed of physical and psychological accommodation we adopt. Nursing care was provided from October 1 to December 31 of 2019, the evaluation was conducted based on Gordon’s 11 functional health patterns. Data collection was performed via interviews, clinical observation, physical examination, retrospective chart review/medical record review and primary care to evaluate the patient’s health problems such as excess fluid volume, risk for infection and deficient knowledge. For excess fluid volume, water restriction was conducted by using a personal water bottle and conditioning method, which can effectively reduce the excessive water in the body and avoid the recurrence of body fluid overload. In regard to risk for infection, we provided instructional leaflets about the wound care of catheter and fistula. Teach back method was done to learn patient’s insight and whether he could understand or not, it could improve the wound care ability and skills of vascular access at home and prevent the occurrence of infection. In terms of deficient knowledge, online teaching videos were used to assist teaching, interdisciplinary team model integrated relevant medical staff and patient. We provided complete fistula care guidance and improved patient’s correct cognition. To sum up above, we hope that this nursing experience will provide reference for future nursing in the care of the similar case and apply it in clinical care.<>
<>本文叙述一名末期肾病之中年男性在面临需接受透析治疗时，因无法适应内心之冲击，而对其采取一系列生理、心理调适之护理经验。于2019年10月01日至2019年12月31日护理期间，依Gordon十一项健康功能型态进行评估，运用会谈、观察、身体评估、病历查阅及直接照护等方式收集资料，确立个案有体液容积过量、潜在危险性感染、知识缺失等健康问题。体液容积过量方面，利用个人专属饮水容器与制约方式控制水份摄取，有效减少体内多余水份，避免体液容积过量之并发症再度发生；针对潜在危险性感染提供导管伤口及瘘管伤口照护指导单张，并借由回复示教了解个案理解程度，提升导管伤口居家照护能力及技巧，以预防感染发生；知识缺失方面，利用网路教学影片协助教导，运用跨团队模式，整合各专业相关医护人员与病人配合，即时提供完整瘘管照护指导，提升正确认知，希望借由此次护理经验，做为日后护理同仁面对同疾病照护之参考，并运用在临床照护中。<><>This article narrates the nursing experience of caring a middle aged man with end stage renal disease who is unable to sustain the psychological shock originated from the necessity of hemodialysis treatment, and serial following strategies composed of physical and psychological accommodation we adopt. Nursing care was provided from October 1 to December 31 of 2019, the evaluation was conducted based on Gordon’s 11 functional health patterns. Data collection was performed via interviews, clinical observation, physical examination, retrospective chart review/medical record review and primary care to evaluate the patient’s health problems such as excess fluid volume, risk for infection and deficient knowledge. For excess fluid volume, water restriction was conducted by using a personal water bottle and conditioning method, which can effectively reduce the excessive water in the body and avoid the recurrence of body fluid overload. In regard to risk for infection, we provided instructional leaflets about the wound care of catheter and fistula. Teach back method was done to learn patient’s insight and whether he could understand or not, it could improve the wound care ability and skills of vascular access at home and prevent the occurrence of infection. In terms of deficient knowledge, online teaching videos were used to assist teaching, interdisciplinary team model integrated relevant medical staff and patient. We provided complete fistula care guidance and improved patient’s correct cognition. To sum up above, we hope that this nursing experience will provide reference for future nursing in the care of the similar case and apply it in clinical care.<>
{"title":"跨團隊模式照護初次建立血管通路的末期腎病病患之護理經驗","authors":"蔡侑臻 蔡侑臻, 沈燕芬 沈燕芬, 何美蓮 何美蓮, 廖秋萍 廖秋萍","doi":"10.53106/172674042022112101004","DOIUrl":"https://doi.org/10.53106/172674042022112101004","url":null,"abstract":"\u0000 <>本文敘述一名末期腎病之中年男性在面臨需接受透析治療時，因無法適應內心之衝擊，而對其採取一系列生理、心理調適之護理經驗。於2019年10月01日至2019年12月31日護理期間，依Gordon十一項健康功能型態進行評估，運用會談、觀察、身體評估、病歷查閱及直接照護等方式收集資料，確立個案有體液容積過量、潛在危險性感染、知識缺失等健康問題。體液容積過量方面，利用個人專屬飲水容器與制約方式控制水份攝取，有效減少體內多餘水份，避免體液容積過量之併發症再度發生；針對潛在危險性感染提供導管傷口及瘻管傷口照護指導單張，並藉由回覆示教了解個案理解程度，提升導管傷口居家照護能力及技巧，以預防感染發生；知識缺失方面，利用網路教學影片協助教導，運用跨團隊模式，整合各專業相關醫護人員與病人配合，即時提供完整瘻管照護指導，提升正確認知，希望藉由此次護理經驗，做為日後護理同仁面對同疾病照護之參考，並運用在臨床照護中。<><>This article narrates the nursing experience of caring a middle aged man with end stage renal disease who is unable to sustain the psychological shock originated from the necessity of hemodialysis treatment, and serial following strategies composed of physical and psychological accommodation we adopt. Nursing care was provided from October 1 to December 31 of 2019, the evaluation was conducted based on Gordon’s 11 functional health patterns. Data collection was performed via interviews, clinical observation, physical examination, retrospective chart review/medical record review and primary care to evaluate the patient’s health problems such as excess fluid volume, risk for infection and deficient knowledge. For excess fluid volume, water restriction was conducted by using a personal water bottle and conditioning method, which can effectively reduce the excessive water in the body and avoid the recurrence of body fluid overload. In regard to risk for infection, we provided instructional leaflets about the wound care of catheter and fistula. Teach back method was done to learn patient’s insight and whether he could understand or not, it could improve the wound care ability and skills of vascular access at home and prevent the occurrence of infection. In terms of deficient knowledge, online teaching videos were used to assist teaching, interdisciplinary team model integrated relevant medical staff and patient. We provided complete fistula care guidance and improved patient’s correct cognition. To sum up above, we hope that this nursing experience will provide reference for future nursing in the care of the similar case and apply it in clinical care.<>\u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89635169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-01DOI: 10.53106/172674042022112101005
王淯涵 王淯涵, 吳麗敏 吳麗敏
本文探討一位因長期藥物濫用致腎衰竭，需接受血液透析治療，於住院期間及出院後透析時，引發生理、心理和社會衝擊之護理經驗。筆者於2019年01月08日至2019年03月30日，運用羅氏適應模式，藉由直接護理、身體評估、觀察、傾聽、會談及查閱病歷等技巧收集相關資料，確立健康問題有：體液容積過量、潛在危險性感染及因應能力失常等。運用接納關懷建立良好護病關係，給予個別性、整體性護理措施。教導水分控制及導管照護知識，提升自我照顧能力，並照會社工師跨團隊照護，協助案父申請長照2.0服務，及急難補助金、就業服務站、民間戒毒團體等資源，使其接受血液透析造成的生活改變，以正向態度面對未來生活；建議定期舉辦跨領域、跨專業討論，如：每月舉辦跨團隊討論會，邀請民間及政府相關人員到院演講，使護理人員運用不同專業，提供適切護理照顧，期望藉由此經驗，為日後臨床照護之參考。 This article discusses the nursing experience of a patient who required hemodialysis treatment for kidney failure caused by long-term drug abuse and the associated physical, psychological, and social shocks during hospitalization and dialysis after hospital discharge. From January 8, 2019 to March 30, 2019, Roy’s adaptation model of nursing was used to collect relevant information through techniques of direct care, physical assessment, observation, listening, interviews, and medical record review. Fluid overload, potentially dangerous infections, and response malfunction were observed in the patient. Meanwhile, acceptance therapy was used to establish a good nurse-patient relationship and to provide individualized as well as holistic care measures. The patient was provided knowledge on water control and catheter care to improve his self-care ability; social workers were also available for cross-team care. Furthermore, the patient was provided assistance in applying for long-term care 2.0 services, as well as for accessing resources from emergency subsidies, employment service stations, and private drug treatment groups to enable him to accept changes in his life caused by hemodialysis and to help him maintain a positive attitude toward life. It is recommended to schedule multi-disciplinary and cross-professional discussions, such as monthly cross-team discussions inviting private and government personnel to deliver lectures, on a regular basis to help the nursing staff make the best use of the different healthcare professionals to provide appropriate nursing care. The nursing experience reported here is expected to serve as a reference for future clinical care.
本文探讨一位因长期药物滥用致肾衰竭，需接受血液透析治疗，于住院期间及出院后透析时，引发生理、心理和社会冲击之护理经验。笔者于2019年01月08日至2019年03月30日，运用罗氏适应模式，借由直接护理、身体评估、观察、倾听、会谈及查阅病历等技巧收集相关资料，确立健康问题有：体液容积过量、潜在危险性感染及因应能力失常等。运用接纳关怀建立良好护病关系，给予个别性、整体性护理措施。教导水分控制及导管照护知识，提升自我照顾能力，并照会社工师跨团队照护，协助案父申请长照2.0服务，及急难补助金、就业服务站、民间戒毒团体等资源，使其接受血液透析造成的生活改变，以正向态度面对未来生活；建议定期举办跨领域、跨专业讨论，如：每月举办跨团队讨论会，邀请民间及政府相关人员到院演讲，使护理人员运用不同专业，提供适切护理照顾，期望借由此经验，为日后临床照护之参考。 This article discusses the nursing experience of a patient who required hemodialysis treatment for kidney failure caused by long-term drug abuse and the associated physical, psychological, and social shocks during hospitalization and dialysis after hospital discharge. From January 8, 2019 to March 30, 2019, Roy’s adaptation model of nursing was used to collect relevant information through techniques of direct care, physical assessment, observation, listening, interviews, and medical record review. Fluid overload, potentially dangerous infections, and response malfunction were observed in the patient. Meanwhile, acceptance therapy was used to establish a good nurse-patient relationship and to provide individualized as well as holistic care measures. The patient was provided knowledge on water control and catheter care to improve his self-care ability; social workers were also available for cross-team care. Furthermore, the patient was provided assistance in applying for long-term care 2.0 services, as well as for accessing resources from emergency subsidies, employment service stations, and private drug treatment groups to enable him to accept changes in his life caused by hemodialysis and to help him maintain a positive attitude toward life. It is recommended to schedule multi-disciplinary and cross-professional discussions, such as monthly cross-team discussions inviting private and government personnel to deliver lectures, on a regular basis to help the nursing staff make the best use of the different healthcare professionals to provide appropriate nursing care. The nursing experience reported here is expected to serve as a reference for future clinical care.
{"title":"照護一位因藥物濫用初次接受血液透析個案之護理經驗","authors":"王淯涵 王淯涵, 吳麗敏 吳麗敏","doi":"10.53106/172674042022112101005","DOIUrl":"https://doi.org/10.53106/172674042022112101005","url":null,"abstract":"\u0000 本文探討一位因長期藥物濫用致腎衰竭，需接受血液透析治療，於住院期間及出院後透析時，引發生理、心理和社會衝擊之護理經驗。筆者於2019年01月08日至2019年03月30日，運用羅氏適應模式，藉由直接護理、身體評估、觀察、傾聽、會談及查閱病歷等技巧收集相關資料，確立健康問題有：體液容積過量、潛在危險性感染及因應能力失常等。運用接納關懷建立良好護病關係，給予個別性、整體性護理措施。教導水分控制及導管照護知識，提升自我照顧能力，並照會社工師跨團隊照護，協助案父申請長照2.0服務，及急難補助金、就業服務站、民間戒毒團體等資源，使其接受血液透析造成的生活改變，以正向態度面對未來生活；建議定期舉辦跨領域、跨專業討論，如：每月舉辦跨團隊討論會，邀請民間及政府相關人員到院演講，使護理人員運用不同專業，提供適切護理照顧，期望藉由此經驗，為日後臨床照護之參考。\u0000 This article discusses the nursing experience of a patient who required hemodialysis treatment for kidney failure caused by long-term drug abuse and the associated physical, psychological, and social shocks during hospitalization and dialysis after hospital discharge. From January 8, 2019 to March 30, 2019, Roy’s adaptation model of nursing was used to collect relevant information through techniques of direct care, physical assessment, observation, listening, interviews, and medical record review. Fluid overload, potentially dangerous infections, and response malfunction were observed in the patient. Meanwhile, acceptance therapy was used to establish a good nurse-patient relationship and to provide individualized as well as holistic care measures. The patient was provided knowledge on water control and catheter care to improve his self-care ability; social workers were also available for cross-team care. Furthermore, the patient was provided assistance in applying for long-term care 2.0 services, as well as for accessing resources from emergency subsidies, employment service stations, and private drug treatment groups to enable him to accept changes in his life caused by hemodialysis and to help him maintain a positive attitude toward life. It is recommended to schedule multi-disciplinary and cross-professional discussions, such as monthly cross-team discussions inviting private and government personnel to deliver lectures, on a regular basis to help the nursing staff make the best use of the different healthcare professionals to provide appropriate nursing care. The nursing experience reported here is expected to serve as a reference for future clinical care.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89645120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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