Pub Date : 2022-11-01DOI: 10.53106/172674042022112101002
吳麗惠 吳麗惠, 林淑卿 林淑卿, 吳麗敏 吳麗敏, 王佳慧 Li-Min Wu
腹膜透析發生腹膜炎不僅會影響透析效果，嚴重時需終止腹膜透析治療，佔腹膜透析病人致死因素的15%。專案期間為2019年4月1日至9月30日，目標在改善腹膜炎發生率。經現況分析發現腹膜炎發生率高的原因有:病人及主要照顧者未正確執行換液技術、認知不足；未明確增加技術稽核時機、缺乏相關衛教指導、提醒標語以及多元衛教輔助工具。藉由修訂腹膜透析換液技術標準，提升換液技術正確率、加強腹膜炎相關認知、增加技術稽核時機、製作相關衛教單張及提醒標語、使用多元衛教輔助工具等改善對策後，腹膜炎發生率由3.62次/100人月降至1.55次/100人月。本專案運用多元策略降低腹膜炎發生，提高腹膜透析治療的自我照顧認知與技巧，進而提升腹膜透析醫療照護品質。 Peritonitis will not only influence the efficacy of peritoneal dialysis (PD), but it is necessary to terminate PD treatment in severe cases. It has been reported that peritonitis-related deaths account for 15% of the mortality of PD patients. The project period is from April 1st to September 30th, 2019. The goal of this project is to implement multiple strategies to reduce the incidence of peritonitis. According to our present analysis, we found that the high incidence of peritonitis is due to incorrect execution and under-cognition of fluid exchange technique by the patient and main caregiver, no well-established timing of technical audits, lack of relevant health education guidance, reminder slogans and various health education aids. By revising the technical standards for PD fluid exchange, improving the accuracy of exchange technique, strengthening the awareness of peritonitis, increasing the timing of technical audits, making relevant health education leaflets and reminder slogans, using various health education aids and other improvement measures, the occurrence of peritonitis events dropped from 3.62 times/100 person-months to 1.55 times/100 person-months. In conclusion, this project used multiple strategies to reduce the occurrence of peritonitis, enhance self-care awareness and skills in PD treatment, and thereby improve the quality of PD care.
腹膜透析发生腹膜炎不仅会影响透析效果，严重时需终止腹膜透析治疗，占腹膜透析病人致死因素的15%。专案期间为2019年4月1日至9月30日，目标在改善腹膜炎发生率。经现况分析发现腹膜炎发生率高的原因有:病人及主要照顾者未正确执行换液技术、认知不足；未明确增加技术稽核时机、缺乏相关卫教指导、提醒标语以及多元卫教辅助工具。借由修订腹膜透析换液技术标准，提升换液技术正确率、加强腹膜炎相关认知、增加技术稽核时机、制作相关卫教单张及提醒标语、使用多元卫教辅助工具等改善对策后，腹膜炎发生率由3.62次/100人月降至1.55次/100人月。本专案运用多元策略降低腹膜炎发生，提高腹膜透析治疗的自我照顾认知与技巧，进而提升腹膜透析医疗照护品质。 Peritonitis will not only influence the efficacy of peritoneal dialysis (PD), but it is necessary to terminate PD treatment in severe cases. It has been reported that peritonitis-related deaths account for 15% of the mortality of PD patients. The project period is from April 1st to September 30th, 2019. The goal of this project is to implement multiple strategies to reduce the incidence of peritonitis. According to our present analysis, we found that the high incidence of peritonitis is due to incorrect execution and under-cognition of fluid exchange technique by the patient and main caregiver, no well-established timing of technical audits, lack of relevant health education guidance, reminder slogans and various health education aids. By revising the technical standards for PD fluid exchange, improving the accuracy of exchange technique, strengthening the awareness of peritonitis, increasing the timing of technical audits, making relevant health education leaflets and reminder slogans, using various health education aids and other improvement measures, the occurrence of peritonitis events dropped from 3.62 times/100 person-months to 1.55 times/100 person-months. In conclusion, this project used multiple strategies to reduce the occurrence of peritonitis, enhance self-care awareness and skills in PD treatment, and thereby improve the quality of PD care.
{"title":"運用多元策略降低腹膜透析腹膜炎發生率","authors":"吳麗惠 吳麗惠, 林淑卿 林淑卿, 吳麗敏 吳麗敏, 王佳慧 Li-Min Wu","doi":"10.53106/172674042022112101002","DOIUrl":"https://doi.org/10.53106/172674042022112101002","url":null,"abstract":"\u0000 腹膜透析發生腹膜炎不僅會影響透析效果，嚴重時需終止腹膜透析治療，佔腹膜透析病人致死因素的15%。專案期間為2019年4月1日至9月30日，目標在改善腹膜炎發生率。經現況分析發現腹膜炎發生率高的原因有:病人及主要照顧者未正確執行換液技術、認知不足；未明確增加技術稽核時機、缺乏相關衛教指導、提醒標語以及多元衛教輔助工具。藉由修訂腹膜透析換液技術標準，提升換液技術正確率、加強腹膜炎相關認知、增加技術稽核時機、製作相關衛教單張及提醒標語、使用多元衛教輔助工具等改善對策後，腹膜炎發生率由3.62次/100人月降至1.55次/100人月。本專案運用多元策略降低腹膜炎發生，提高腹膜透析治療的自我照顧認知與技巧，進而提升腹膜透析醫療照護品質。\u0000 Peritonitis will not only influence the efficacy of peritoneal dialysis (PD), but it is necessary to terminate PD treatment in severe cases. It has been reported that peritonitis-related deaths account for 15% of the mortality of PD patients. The project period is from April 1st to September 30th, 2019. The goal of this project is to implement multiple strategies to reduce the incidence of peritonitis. According to our present analysis, we found that the high incidence of peritonitis is due to incorrect execution and under-cognition of fluid exchange technique by the patient and main caregiver, no well-established timing of technical audits, lack of relevant health education guidance, reminder slogans and various health education aids. By revising the technical standards for PD fluid exchange, improving the accuracy of exchange technique, strengthening the awareness of peritonitis, increasing the timing of technical audits, making relevant health education leaflets and reminder slogans, using various health education aids and other improvement measures, the occurrence of peritonitis events dropped from 3.62 times/100 person-months to 1.55 times/100 person-months. In conclusion, this project used multiple strategies to reduce the occurrence of peritonitis, enhance self-care awareness and skills in PD treatment, and thereby improve the quality of PD care.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86162310","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}
醫療廢棄物若處理不當，不僅讓人員暴露在高風險環境中，亦會造成環境的危害，並提高處理成本。本單位醫療廢棄物分類稽核異常率高達20.7%，引發專案小組改善動機，目的在提升生物醫療廢棄物之分類正確率。本專案執行期間自2019年1月1日至12月31日，根據現況分析發現問題：醫護人員、病人與陪病者對廢棄物分類認知不足、護理指導工具不足、廢棄物桶標示不清、工作車的分類設備不完善、缺乏考核獎懲制度。經由：安排在職教育訓練、製作標準分類提醒圖表、製作衛教手冊及海報、拍攝宣導短片、製作分類清楚標示圖卡、增加行動護理車分類設備和設計可分類完善收針車、訂定完整稽核制度及獎懲辦法。結果分類行為正確率由57.9%提高至93.3%；分類稽核異常率由26.4%降為5.1%；醫護人員認知由70分提高至100分；民眾認知由52分提高至85分，達到專案目標，有效提高醫療環境的安全及照護品質。 Background & Problems: The most significant cause for peritoneal dialysis (PD) patients to drop out is peritonitis. Our PD center is located in a medical center in Northern Taiwan. The peritonitis rate of our center increased from 1.51 episodes per 100 patient-months in 2014 to 2.37 episodes per 100 patient-months in 2015. Purposes: To (1) understand the causes of peritonitis among peritoneal dialysis patients, and (2) further implemented an effective retraining program to reduce peritonitis rate. Resolution: We developed a checklist including peritonitis prevention cognition and exchange technique. Retraining program was refined with continuous adjustment. Holding group education, setting up educational posters and delivering leaflets to convey information about peritonitis prevention were also applied. Results: After initiating the refined retraining program, infectious episodes decrease to 4 times/month form 8 times/month on average in the last 3 months. Peritonitis rate significantly went down to 0.94 episodes per 100 patient-months from 2.37 in 2015. Conclusion: The refined retraining program showed that a coherent procedure assessing system and a comprehensive cognition/ technique evaluation could lower the peritonitis rate.
医疗废弃物若处理不当，不仅让人员暴露在高风险环境中，亦会造成环境的危害，并提高处理成本。本单位医疗废弃物分类稽核异常率高达20.7%，引发专案小组改善动机，目的在提升生物医疗废弃物之分类正确率。本专案执行期间自2019年1月1日至12月31日，根据现况分析发现问题：医护人员、病人与陪病者对废弃物分类认知不足、护理指导工具不足、废弃物桶标示不清、工作车的分类设备不完善、缺乏考核奖惩制度。经由：安排在职教育训练、制作标准分类提醒图表、制作卫教手册及海报、拍摄宣导短片、制作分类清楚标示图卡、增加行动护理车分类设备和设计可分类完善收针车、订定完整稽核制度及奖惩办法。结果分类行为正确率由57.9%提高至93.3%；分类稽核异常率由26.4%降为5.1%；医护人员认知由70分提高至100分；民众认知由52分提高至85分，达到专案目标，有效提高医疗环境的安全及照护品质。 Background & Problems: The most significant cause for peritoneal dialysis (PD) patients to drop out is peritonitis. Our PD center is located in a medical center in Northern Taiwan. The peritonitis rate of our center increased from 1.51 episodes per 100 patient-months in 2014 to 2.37 episodes per 100 patient-months in 2015.Purposes: To (1) understand the causes of peritonitis among peritoneal dialysis patients, and (2) further implemented an effective retraining program to reduce peritonitis rate.Resolution: We developed a checklist including peritonitis prevention cognition and exchange technique. Retraining program was refined with continuous adjustment. Holding group education, setting up educational posters and delivering leaflets to convey information about peritonitis prevention were also applied.Results: After initiating the refined retraining program, infectious episodes decrease to 4 times/month form 8 times/month on average in the last 3 months. Peritonitis rate significantly went down to 0.94 episodes per 100 patient-months from 2.37 in 2015.Conclusion: The refined retraining program showed that a coherent procedure assessing system and a comprehensive cognition/ technique evaluation could lower the peritonitis rate.
{"title":"提升血液透析室生物醫療廢棄物之分類正確率方案","authors":"蕭玉芬 蕭玉芬, 高玉貞 高玉貞, 陳妍廷 Yu-Chen Kao, 陳榆婷 陳榆婷, 楊明明 楊明明","doi":"10.53106/172674042022112101003","DOIUrl":"https://doi.org/10.53106/172674042022112101003","url":null,"abstract":"\u0000 醫療廢棄物若處理不當，不僅讓人員暴露在高風險環境中，亦會造成環境的危害，並提高處理成本。本單位醫療廢棄物分類稽核異常率高達20.7%，引發專案小組改善動機，目的在提升生物醫療廢棄物之分類正確率。本專案執行期間自2019年1月1日至12月31日，根據現況分析發現問題：醫護人員、病人與陪病者對廢棄物分類認知不足、護理指導工具不足、廢棄物桶標示不清、工作車的分類設備不完善、缺乏考核獎懲制度。經由：安排在職教育訓練、製作標準分類提醒圖表、製作衛教手冊及海報、拍攝宣導短片、製作分類清楚標示圖卡、增加行動護理車分類設備和設計可分類完善收針車、訂定完整稽核制度及獎懲辦法。結果分類行為正確率由57.9%提高至93.3%；分類稽核異常率由26.4%降為5.1%；醫護人員認知由70分提高至100分；民眾認知由52分提高至85分，達到專案目標，有效提高醫療環境的安全及照護品質。\u0000 Background & Problems: The most significant cause for peritoneal dialysis (PD) patients to drop out is peritonitis. Our PD center is located in a medical center in Northern Taiwan. The peritonitis rate of our center increased from 1.51 episodes per 100 patient-months in 2014 to 2.37 episodes per 100 patient-months in 2015.\u0000Purposes: To (1) understand the causes of peritonitis among peritoneal dialysis patients, and (2) further implemented an effective retraining program to reduce peritonitis rate.\u0000Resolution: We developed a checklist including peritonitis prevention cognition and exchange technique. Retraining program was refined with continuous adjustment. Holding group education, setting up educational posters and delivering leaflets to convey information about peritonitis prevention were also applied.\u0000Results: After initiating the refined retraining program, infectious episodes decrease to 4 times/month form 8 times/month on average in the last 3 months. Peritonitis rate significantly went down to 0.94 episodes per 100 patient-months from 2.37 in 2015.\u0000Conclusion: The refined retraining program showed that a coherent procedure assessing system and a comprehensive cognition/ technique evaluation could lower the peritonitis rate.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86349000","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: 10.53106/172674042022112101006
孫婉娜 孫婉娜, 林怡君 林怡君, 顏妙芬 I-Chun Lin
本文描述一位因腎功能損傷伴隨致命性高血鉀風險，使其面臨初次血液透析之護理經驗，經團隊評估後，需長期血液透析的個案，其日常生活受限、家中角色改變進而產生無力感，照護期間為2020/1/16~2/2。護理過程中藉由直接照護、身體評估、主動關懷及開放性會談等方式收集資料，發現主要健康問題有：一、呼吸喘，二、透析飲食執行度不佳，三、無力感。照護期間透過圖表（卡）教導個案測量水腫情況，並透過水壺、磅秤讓個案學習飲食及水份控制技巧，與其搭配營養師衛教及食品營養成分資料庫，增加個案對飲食資訊管道，並考量個案生活習慣下建立提醒機制，如：製作小吊飾或手機鬧鈴等個別性護理措施，加上家人支持、宗教信仰成為心靈上慰藉及腎友的經驗分享，引導個案接受目前扮演的角色，與疾病共存生活。建議往後照顧類似案例能融入家屬的參與，並思考如何強化醫療成員自我主動學習心理諮商輔導課程意願，讓往後面對此案例時能有更好的因應之道。 This paper describes the case of a patient with worsening renal function accompanied by electrolyte disturbance who required long-term hemodialysis after assessment by a medical team. The patient felt helpless due to restrictions in daily life and changes in their family role. The care period was from January 16 to February 2, 2020. In this period, observations, direct care, physical evaluation, medical record inspection, active concern, and open interviews were used for collecting information. Major health problems found included the following: 1. shortness of breath; 2. poor execution of dialysis diet; and 3. a sense of powerlessness. During the care period, picture teach the case to measure edema, and let the case study dietary water control skills through the use of water bottles and scales, nutrition-related information websites and several types of reminder mechanisms were employed, such as using cell phone charms or mobile alarms, to help the patient understand correct information on various dietary components and accept their current family role. This was done to make living with the disease easier for the patient. We recommend the inclusion of family participation for future studies on care of patients with similar conditions. Also, we should think of devising ways for increasing medical staff’s willingness to proactively take psychological counseling courses so that they can respond better to such cases in the future.
本文描述一位因肾功能损伤伴随致命性高血钾风险，使其面临初次血液透析之护理经验，经团队评估后，需长期血液透析的个案，其日常生活受限、家中角色改变进而产生无力感，照护期间为2020/1/16~2/2。护理过程中借由直接照护、身体评估、主动关怀及开放性会谈等方式收集资料，发现主要健康问题有：一、呼吸喘，二、透析饮食执行度不佳，三、无力感。照护期间透过图表（卡）教导个案测量水肿情况，并透过水壶、磅秤让个案学习饮食及水份控制技巧，与其搭配营养师卫教及食品营养成分资料库，增加个案对饮食资讯管道，并考量个案生活习惯下建立提醒机制，如：制作小吊饰或手机闹铃等个别性护理措施，加上家人支持、宗教信仰成为心灵上慰藉及肾友的经验分享，引导个案接受目前扮演的角色，与疾病共存生活。建议往后照顾类似案例能融入家属的参与，并思考如何强化医疗成员自我主动学习心理咨商辅导课程意愿，让往后面对此案例时能有更好的因应之道。 This paper describes the case of a patient with worsening renal function accompanied by electrolyte disturbance who required long-term hemodialysis after assessment by a medical team. The patient felt helpless due to restrictions in daily life and changes in their family role. The care period was from January 16 to February 2, 2020. In this period, observations, direct care, physical evaluation, medical record inspection, active concern, and open interviews were used for collecting information. Major health problems found included the following: 1. shortness of breath; 2. poor execution of dialysis diet; and 3. a sense of powerlessness. During the care period, picture teach the case to measure edema, and let the case study dietary water control skills through the use of water bottles and scales, nutrition-related information websites and several types of reminder mechanisms were employed, such as using cell phone charms or mobile alarms, to help the patient understand correct information on various dietary components and accept their current family role. This was done to make living with the disease easier for the patient. We recommend the inclusion of family participation for future studies on care of patients with similar conditions. Also, we should think of devising ways for increasing medical staff’s willingness to proactively take psychological counseling courses so that they can respond better to such cases in the future.
{"title":"照護一位首次接受透析治療的腎功能損傷病人之護理經驗","authors":"孫婉娜 孫婉娜, 林怡君 林怡君, 顏妙芬 I-Chun Lin","doi":"10.53106/172674042022112101006","DOIUrl":"https://doi.org/10.53106/172674042022112101006","url":null,"abstract":"\u0000 本文描述一位因腎功能損傷伴隨致命性高血鉀風險，使其面臨初次血液透析之護理經驗，經團隊評估後，需長期血液透析的個案，其日常生活受限、家中角色改變進而產生無力感，照護期間為2020/1/16~2/2。護理過程中藉由直接照護、身體評估、主動關懷及開放性會談等方式收集資料，發現主要健康問題有：一、呼吸喘，二、透析飲食執行度不佳，三、無力感。照護期間透過圖表（卡）教導個案測量水腫情況，並透過水壺、磅秤讓個案學習飲食及水份控制技巧，與其搭配營養師衛教及食品營養成分資料庫，增加個案對飲食資訊管道，並考量個案生活習慣下建立提醒機制，如：製作小吊飾或手機鬧鈴等個別性護理措施，加上家人支持、宗教信仰成為心靈上慰藉及腎友的經驗分享，引導個案接受目前扮演的角色，與疾病共存生活。建議往後照顧類似案例能融入家屬的參與，並思考如何強化醫療成員自我主動學習心理諮商輔導課程意願，讓往後面對此案例時能有更好的因應之道。\u0000 This paper describes the case of a patient with worsening renal function accompanied by electrolyte disturbance who required long-term hemodialysis after assessment by a medical team. The patient felt helpless due to restrictions in daily life and changes in their family role. The care period was from January 16 to February 2, 2020. In this period, observations, direct care, physical evaluation, medical record inspection, active concern, and open interviews were used for collecting information. Major health problems found included the following: 1. shortness of breath; 2. poor execution of dialysis diet; and 3. a sense of powerlessness. During the care period, picture teach the case to measure edema, and let the case study dietary water control skills through the use of water bottles and scales, nutrition-related information websites and several types of reminder mechanisms were employed, such as using cell phone charms or mobile alarms, to help the patient understand correct information on various dietary components and accept their current family role. This was done to make living with the disease easier for the patient. We recommend the inclusion of family participation for future studies on care of patients with similar conditions. Also, we should think of devising ways for increasing medical staff’s willingness to proactively take psychological counseling courses so that they can respond better to such cases in the future.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78508467","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 : 2022-10-01DOI: 10.53106/222372402022101203002
張育誠 張育誠
本研究討論影響地方工作者動機與持續實踐行動的主客觀因素。本研究所稱的地方工作者，指的是其實踐行動有助提升在地地方感的行動者。基於20位受訪者的訪談、參與觀察以及相關次級資料，本研究做出以下結論：從鉅觀到微觀，各種社會因素觸發行動者投入地方工作，不論是讓行動者產生關懷在地的動機、行動，或是讓已有動機的行動者能付諸實踐。除了對議題的關心，這些實踐的行動更與行動者的自我實現互相關聯。隨行動者持續展開行動，其地方工作的身分逐漸明確，同時也在過程中獲得所需的各種資本，這些資本具有一定的在地專屬性，產生的鎖入效果也讓行動者持續投入地方工作。 This study investigated why individuals want to be community workers and how they maintain their practices. The conclusions presented herein are based on 20 interviews, participant observation, and secondary data. Social factors at different levels inspire individuals to value some aspects of the community and to better their community. Community workers often see their community service as part of their self-actualization. As they continue to engage in community service, community workers develop their identities as community workers, and the capital required for their service accumulates. Some types of capital are location-specific, which produces a lock-in effect that inspires community workers to continue engaging in community service.
本研究讨论影响地方工作者动机与持续实践行动的主客观因素。本研究所称的地方工作者，指的是其实践行动有助提升在地地方感的行动者。基于20位受访者的访谈、参与观察以及相关次级资料，本研究做出以下结论：从巨观到微观，各种社会因素触发行动者投入地方工作，不论是让行动者产生关怀在地的动机、行动，或是让已有动机的行动者能付诸实践。除了对议题的关心，这些实践的行动更与行动者的自我实现互相关联。随行动者持续展开行动，其地方工作的身分逐渐明确，同时也在过程中获得所需的各种资本，这些资本具有一定的在地专属性，产生的锁入效果也让行动者持续投入地方工作。 This study investigated why individuals want to be community workers and how they maintain their practices. The conclusions presented herein are based on 20 interviews, participant observation, and secondary data. Social factors at different levels inspire individuals to value some aspects of the community and to better their community. Community workers often see their community service as part of their self-actualization. As they continue to engage in community service, community workers develop their identities as community workers, and the capital required for their service accumulates. Some types of capital are location-specific, which produces a lock-in effect that inspires community workers to continue engaging in community service.
{"title":"打造地方工作者：投入與維持因素初探","authors":"張育誠 張育誠","doi":"10.53106/222372402022101203002","DOIUrl":"https://doi.org/10.53106/222372402022101203002","url":null,"abstract":"\u0000 本研究討論影響地方工作者動機與持續實踐行動的主客觀因素。本研究所稱的地方工作者，指的是其實踐行動有助提升在地地方感的行動者。基於20位受訪者的訪談、參與觀察以及相關次級資料，本研究做出以下結論：從鉅觀到微觀，各種社會因素觸發行動者投入地方工作，不論是讓行動者產生關懷在地的動機、行動，或是讓已有動機的行動者能付諸實踐。除了對議題的關心，這些實踐的行動更與行動者的自我實現互相關聯。隨行動者持續展開行動，其地方工作的身分逐漸明確，同時也在過程中獲得所需的各種資本，這些資本具有一定的在地專屬性，產生的鎖入效果也讓行動者持續投入地方工作。\u0000 This study investigated why individuals want to be community workers and how they maintain their practices. The conclusions presented herein are based on 20 interviews, participant observation, and secondary data. Social factors at different levels inspire individuals to value some aspects of the community and to better their community. Community workers often see their community service as part of their self-actualization. As they continue to engage in community service, community workers develop their identities as community workers, and the capital required for their service accumulates. Some types of capital are location-specific, which produces a lock-in effect that inspires community workers to continue engaging in community service.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81865479","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 : 2022-10-01DOI: 10.53106/222372402022101203001
侯建州 侯建州
醫務社工在管理主義興盛的醫院工作，臨床上與醫療團隊合作密切，因此臨床醫務社工受影響處境與醫療團隊對於醫務社工的認知與期待有關。本文係探討醫務社工與醫療團隊互動下對管理主義的回應策略。本文採取質性研究法，深度訪談醫院主管、社工主管、臨床醫務社工、醫務社工組織代表共18位。研究發現提出管理主義對臨床醫務社工所產生的效應，高度與醫療團隊對臨床醫務社工認知與期待有關。本研究彙整臨床醫務社工的回應策略包含（1）溝通與說服－發揮論述與溝通能力以彰顯專業功能、（2）支持及內控－穩固社工內部以展現自我照顧及成長、（3）教育與傳播－種下改變種子以建立未來友善環境。最後，提出討論與建議，以醫務社工的回應策略做總結。 Medical social workers show suppression of hospital managerialism and expectations of medical teams. This study aimed to investigate the responsive strategies of clinical medical social workers toward managerialism based on the interaction between its and medical teams. This study conducted 18 in-depth interviews. The effects of managerialism on clinical medical social workers were derived from cognition and the expectation gap between medical teams and clinical medical social workers. This study generalized the professional responsive strategies of clinical medical social workers as follows: (1) communication and persuade: demonstration of discussions and communication competency to reveal professional functions, (2) support and internal control: stability of internal aspect of social workers to facilitate self-care and growth, and (3) education and spread: making changes to construct a friendly environment. Finally, this study proposes discussions and suggestions and concludes the responsive strategies of medical social work.
医务社工在管理主义兴盛的医院工作，临床上与医疗团队合作密切，因此临床医务社工受影响处境与医疗团队对于医务社工的认知与期待有关。本文系探讨医务社工与医疗团队互动下对管理主义的回应策略。本文采取质性研究法，深度访谈医院主管、社工主管、临床医务社工、医务社工组织代表共18位。研究发现提出管理主义对临床医务社工所产生的效应，高度与医疗团队对临床医务社工认知与期待有关。本研究汇整临床医务社工的回应策略包含（1）沟通与说服-发挥论述与沟通能力以彰显专业功能、（2）支持及内控-稳固社工内部以展现自我照顾及成长、（3）教育与传播-种下改变种子以建立未来友善环境。最后，提出讨论与建议，以医务社工的回应策略做总结。 Medical social workers show suppression of hospital managerialism and expectations of medical teams. This study aimed to investigate the responsive strategies of clinical medical social workers toward managerialism based on the interaction between its and medical teams. This study conducted 18 in-depth interviews. The effects of managerialism on clinical medical social workers were derived from cognition and the expectation gap between medical teams and clinical medical social workers. This study generalized the professional responsive strategies of clinical medical social workers as follows: (1) communication and persuade: demonstration of discussions and communication competency to reveal professional functions, (2) support and internal control: stability of internal aspect of social workers to facilitate self-care and growth, and (3) education and spread: making changes to construct a friendly environment. Finally, this study proposes discussions and suggestions and concludes the responsive strategies of medical social work.
{"title":"管理主義效應下的醫務社會工作：醫療臨床的觀察","authors":"侯建州 侯建州","doi":"10.53106/222372402022101203001","DOIUrl":"https://doi.org/10.53106/222372402022101203001","url":null,"abstract":"\u0000 醫務社工在管理主義興盛的醫院工作，臨床上與醫療團隊合作密切，因此臨床醫務社工受影響處境與醫療團隊對於醫務社工的認知與期待有關。本文係探討醫務社工與醫療團隊互動下對管理主義的回應策略。本文採取質性研究法，深度訪談醫院主管、社工主管、臨床醫務社工、醫務社工組織代表共18位。研究發現提出管理主義對臨床醫務社工所產生的效應，高度與醫療團隊對臨床醫務社工認知與期待有關。本研究彙整臨床醫務社工的回應策略包含（1）溝通與說服－發揮論述與溝通能力以彰顯專業功能、（2）支持及內控－穩固社工內部以展現自我照顧及成長、（3）教育與傳播－種下改變種子以建立未來友善環境。最後，提出討論與建議，以醫務社工的回應策略做總結。\u0000 Medical social workers show suppression of hospital managerialism and expectations of medical teams. This study aimed to investigate the responsive strategies of clinical medical social workers toward managerialism based on the interaction between its and medical teams. This study conducted 18 in-depth interviews. The effects of managerialism on clinical medical social workers were derived from cognition and the expectation gap between medical teams and clinical medical social workers. This study generalized the professional responsive strategies of clinical medical social workers as follows: (1) communication and persuade: demonstration of discussions and communication competency to reveal professional functions, (2) support and internal control: stability of internal aspect of social workers to facilitate self-care and growth, and (3) education and spread: making changes to construct a friendly environment. Finally, this study proposes discussions and suggestions and concludes the responsive strategies of medical social work.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91184969","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 : 2022-10-01DOI: 10.53106/222372402022101203004
黃志隆 黃志隆
隨著臺灣人口結構老化進程的持續，臺灣在人口政策的回應，已從對人口數量的控制，逐漸轉向照顧等社會再生產相關政策，以回應因人口結構老化而產生的各類照顧問題。然而從既有的研究文獻和社會改革理論來看，從老人照顧、兒童照顧，再到青年就業問題的回應，一方面呈現了人口再生產議題的主要訴求面向，另方面則呈現了其在整合上的困難。特別是在照顧倫理行動的實踐上，現有的政策回應，難以落實個人在生命歷程中與他人的相互依賴和情感需要。而透過對社會投資國家理論與社會不平等的反思，以及社區共同資源理論的對話，我們試著提出藉由在地社區對照顧價值的肯認與倫理行動，以及國家角色的重構等構想，以作為回應台灣社會再生產挑戰的可能途徑。 With the continuation of aging on the demography in Taiwan, the response of population policy has gradually shifted from population control to social reproduction, such as care provision and the promotion of local youth employment. However, viewing from the existing literature and the related policy reform theories, the current responses to the issues of old-aged care, child care, and adult employment have shown on the one hand a predominant appeal on reproduction, and on the other demonstrated difficulties in integration. Specifically on the practice of ethical action, existing policy responses have made it difficult to cater to an individual’s interdependence and emotional needs with others during individual’s life course. Through the reconsidering of social investment state theory and social inequality, as well as the dialogue with the commons’ theory of community economy, we try to propose a possible strategy that recognizes care value and ethical action from the autonomy of local communities, as well as the reconfiguration of the role of the state. We think it can be the possible approach to respond to the challenges of social reproduction in Taiwan.
随著台湾人口结构老化进程的持续，台湾在人口政策的回应，已从对人口数量的控制，逐渐转向照顾等社会再生产相关政策，以回应因人口结构老化而产生的各类照顾问题。然而从既有的研究文献和社会改革理论来看，从老人照顾、儿童照顾，再到青年就业问题的回应，一方面呈现了人口再生产议题的主要诉求面向，另方面则呈现了其在整合上的困难。特别是在照顾伦理行动的实践上，现有的政策回应，难以落实个人在生命历程中与他人的相互依赖和情感需要。而透过对社会投资国家理论与社会不平等的反思，以及社区共同资源理论的对话，我们试著提出借由在地社区对照顾价值的肯认与伦理行动，以及国家角色的重构等构想，以作为回应台湾社会再生产挑战的可能途径。 With the continuation of aging on the demography in Taiwan, the response of population policy has gradually shifted from population control to social reproduction, such as care provision and the promotion of local youth employment. However, viewing from the existing literature and the related policy reform theories, the current responses to the issues of old-aged care, child care, and adult employment have shown on the one hand a predominant appeal on reproduction, and on the other demonstrated difficulties in integration. Specifically on the practice of ethical action, existing policy responses have made it difficult to cater to an individual’s interdependence and emotional needs with others during individual’s life course. Through the reconsidering of social investment state theory and social inequality, as well as the dialogue with the commons’ theory of community economy, we try to propose a possible strategy that recognizes care value and ethical action from the autonomy of local communities, as well as the reconfiguration of the role of the state. We think it can be the possible approach to respond to the challenges of social reproduction in Taiwan.
{"title":"臺灣人口結構老化進程中的人口政策、照顧關係，與社區照顧共同資源途徑的反思","authors":"黃志隆 黃志隆","doi":"10.53106/222372402022101203004","DOIUrl":"https://doi.org/10.53106/222372402022101203004","url":null,"abstract":"\u0000 隨著臺灣人口結構老化進程的持續，臺灣在人口政策的回應，已從對人口數量的控制，逐漸轉向照顧等社會再生產相關政策，以回應因人口結構老化而產生的各類照顧問題。然而從既有的研究文獻和社會改革理論來看，從老人照顧、兒童照顧，再到青年就業問題的回應，一方面呈現了人口再生產議題的主要訴求面向，另方面則呈現了其在整合上的困難。特別是在照顧倫理行動的實踐上，現有的政策回應，難以落實個人在生命歷程中與他人的相互依賴和情感需要。而透過對社會投資國家理論與社會不平等的反思，以及社區共同資源理論的對話，我們試著提出藉由在地社區對照顧價值的肯認與倫理行動，以及國家角色的重構等構想，以作為回應台灣社會再生產挑戰的可能途徑。\u0000 With the continuation of aging on the demography in Taiwan, the response of population policy has gradually shifted from population control to social reproduction, such as care provision and the promotion of local youth employment. However, viewing from the existing literature and the related policy reform theories, the current responses to the issues of old-aged care, child care, and adult employment have shown on the one hand a predominant appeal on reproduction, and on the other demonstrated difficulties in integration. Specifically on the practice of ethical action, existing policy responses have made it difficult to cater to an individual’s interdependence and emotional needs with others during individual’s life course. Through the reconsidering of social investment state theory and social inequality, as well as the dialogue with the commons’ theory of community economy, we try to propose a possible strategy that recognizes care value and ethical action from the autonomy of local communities, as well as the reconfiguration of the role of the state. We think it can be the possible approach to respond to the challenges of social reproduction in Taiwan.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74678869","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 : 2022-10-01DOI: 10.53106/222372402022101203005
吳鄭善明 吳鄭善明
本文以原住民族文化為主體，探討「原住民族部落文化健康站」發展、內涵、本質、專管中心培力。並建構出照顧服務模式、照顧服務推動難題（1.行政績效面向共三項、2.專業服務面向共五項）。 最後，在未來推動方向提供建議（專業教育訓練形式改變等四項）。再次揭露「原風優先」、「部落自顧」之「原住民族部落文化健康站」照顧服務對原住民族長者在地老化重要性。 This study focuses on the indigenous culture and explores the development, content, nature, and project management training of the ’’center for indigenous tribal culture and health.’’ This study constructs a care-service model and reveals the difficulties of promoting a care service, including three administrative issues and four issues related to professional services. Finally, it provides suggestions for future development, including suggestions for resolving the issues related to changes in the professional educational training. The study highlights how the care services provided by the ’’center for indigenous tribal culture and health,’’ with an emphasis on ’’indigenous culture first’’ and ’’tribal self-care,’’ are important for aging indigenous seniors in the community.
本文以原住民族文化为主体，探讨「原住民族部落文化健康站」发展、内涵、本质、专管中心培力。并建构出照顾服务模式、照顾服务推动难题（1.行政绩效面向共三项、2.专业服务面向共五项）。 最后，在未来推动方向提供建议（专业教育训练形式改变等四项）。再次揭露「原风优先」、「部落自顾」之「原住民族部落文化健康站」照顾服务对原住民族长者在地老化重要性。 This study focuses on the indigenous culture and explores the development, content, nature, and project management training of the ’’center for indigenous tribal culture and health.’’ This study constructs a care-service model and reveals the difficulties of promoting a care service, including three administrative issues and four issues related to professional services. Finally, it provides suggestions for future development, including suggestions for resolving the issues related to changes in the professional educational training. The study highlights how the care services provided by the ’’center for indigenous tribal culture and health,’’ with an emphasis on ’’indigenous culture first’’ and ’’tribal self-care,’’ are important for aging indigenous seniors in the community.
{"title":"原風優先！部落自顧！原住民族部落文化健康站","authors":"吳鄭善明 吳鄭善明","doi":"10.53106/222372402022101203005","DOIUrl":"https://doi.org/10.53106/222372402022101203005","url":null,"abstract":"\u0000 本文以原住民族文化為主體，探討「原住民族部落文化健康站」發展、內涵、本質、專管中心培力。並建構出照顧服務模式、照顧服務推動難題（1.行政績效面向共三項、2.專業服務面向共五項）。 最後，在未來推動方向提供建議（專業教育訓練形式改變等四項）。再次揭露「原風優先」、「部落自顧」之「原住民族部落文化健康站」照顧服務對原住民族長者在地老化重要性。\u0000 This study focuses on the indigenous culture and explores the development, content, nature, and project management training of the ’’center for indigenous tribal culture and health.’’ This study constructs a care-service model and reveals the difficulties of promoting a care service, including three administrative issues and four issues related to professional services. Finally, it provides suggestions for future development, including suggestions for resolving the issues related to changes in the professional educational training. The study highlights how the care services provided by the ’’center for indigenous tribal culture and health,’’ with an emphasis on ’’indigenous culture first’’ and ’’tribal self-care,’’ are important for aging indigenous seniors in the community.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87054819","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 : 2022-10-01DOI: 10.53106/222372402022101203003
李德純 李德純, 徐明仿 Lee, Te-Chun, 王怡分 Hsu, Ming-Fang
本研究針對我國照顧服務證照體系，採深度訪談及文件分析探討照顧服務員專業證照發展之可行性。研究發現照顧服務員證照考試有其必要，但全面取證的要求難以應付照顧現場對人力需求的急迫；且單一級照顧服務員技能檢定與實務工作所需要的職能存在落差，需調整升級並發展不同級別與類科；其次，照顧服務專業發展需要正規教育，專業職能基準需要產官學界共同合作，然而產官學界對專業發展之途徑各有主張；第三，發展照顧服務專業制度與職涯藍圖有助年輕人力投入長照服務。本研究建議我國照顧服務員證照制度之政策規劃，可訂定短、中、長期目標，並提出政府部門可採行的專業證照發展方案，期透過適當專業分級提升照顧服務品質，吸引及留用優秀人才。 The study utilizes in-depth interviews and document research to explore the feasibility developing a professional care worker certification system in Taiwan. Presently, care workers require a comprehensive certification examination, which is unfeasible due to labor shortage. This study demonstrates the necessity for a certification and licensing examination that bridges these gaps, both in the workforce and in certification. Secondly, there is also a significant gap between the single-level certification exam and competency requirements for practical work, thus qualification exams need to be reworked throughout. Third, developing a care worker certification system requires formal education and the cooperation of the government, academia, and long-term care industry. Fourthly, such a system and career blueprint will encourage and aid youngsters to pursue careers in long-term care services. The findings provide recommendations for policy planning that the government can implement to develop such a system and manifestly improve care service quality in Taiwan.
本研究针对我国照顾服务证照体系，采深度访谈及文件分析探讨照顾服务员专业证照发展之可行性。研究发现照顾服务员证照考试有其必要，但全面取证的要求难以应付照顾现场对人力需求的急迫；且单一级照顾服务员技能检定与实务工作所需要的职能存在落差，需调整升级并发展不同级别与类科；其次，照顾服务专业发展需要正规教育，专业职能基准需要产官学界共同合作，然而产官学界对专业发展之途径各有主张；第三，发展照顾服务专业制度与职涯蓝图有助年轻人力投入长照服务。本研究建议我国照顾服务员证照制度之政策规划，可订定短、中、长期目标，并提出政府部门可采行的专业证照发展方案，期透过适当专业分级提升照顾服务品质，吸引及留用优秀人才。 The study utilizes in-depth interviews and document research to explore the feasibility developing a professional care worker certification system in Taiwan. Presently, care workers require a comprehensive certification examination, which is unfeasible due to labor shortage. This study demonstrates the necessity for a certification and licensing examination that bridges these gaps, both in the workforce and in certification. Secondly, there is also a significant gap between the single-level certification exam and competency requirements for practical work, thus qualification exams need to be reworked throughout. Third, developing a care worker certification system requires formal education and the cooperation of the government, academia, and long-term care industry. Fourthly, such a system and career blueprint will encourage and aid youngsters to pursue careers in long-term care services. The findings provide recommendations for policy planning that the government can implement to develop such a system and manifestly improve care service quality in Taiwan.
{"title":"我國照顧服務員專業證照發展之可行性研究","authors":"李德純 李德純, 徐明仿 Lee, Te-Chun, 王怡分 Hsu, Ming-Fang","doi":"10.53106/222372402022101203003","DOIUrl":"https://doi.org/10.53106/222372402022101203003","url":null,"abstract":"\u0000 本研究針對我國照顧服務證照體系，採深度訪談及文件分析探討照顧服務員專業證照發展之可行性。研究發現照顧服務員證照考試有其必要，但全面取證的要求難以應付照顧現場對人力需求的急迫；且單一級照顧服務員技能檢定與實務工作所需要的職能存在落差，需調整升級並發展不同級別與類科；其次，照顧服務專業發展需要正規教育，專業職能基準需要產官學界共同合作，然而產官學界對專業發展之途徑各有主張；第三，發展照顧服務專業制度與職涯藍圖有助年輕人力投入長照服務。本研究建議我國照顧服務員證照制度之政策規劃，可訂定短、中、長期目標，並提出政府部門可採行的專業證照發展方案，期透過適當專業分級提升照顧服務品質，吸引及留用優秀人才。\u0000 The study utilizes in-depth interviews and document research to explore the feasibility developing a professional care worker certification system in Taiwan. Presently, care workers require a comprehensive certification examination, which is unfeasible due to labor shortage. This study demonstrates the necessity for a certification and licensing examination that bridges these gaps, both in the workforce and in certification. Secondly, there is also a significant gap between the single-level certification exam and competency requirements for practical work, thus qualification exams need to be reworked throughout. Third, developing a care worker certification system requires formal education and the cooperation of the government, academia, and long-term care industry. Fourthly, such a system and career blueprint will encourage and aid youngsters to pursue careers in long-term care services. The findings provide recommendations for policy planning that the government can implement to develop such a system and manifestly improve care service quality in Taiwan.\u0000 \u0000","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86825606","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}
近年来，在美国高等教育界逐渐受到重视的跨学科的文化与语言课程（Cultures and Languages Across the Curriculum，简称CLAC）反映了美国社会对多元文化、多种语言和国际化的需求。那么如何将CLAC运用到美国高校汉语课程建设中呢？本文将以美国东南部的一所私立大学的中文项目为例，对这一问题进行探讨。文章首先介绍了CLAC的教学理念及课程结构，然后分析了该校的CLAC汉语课程实践对其中文项目的生源、学生的语言学习以及教师职业能力发展等三个方面的影响，以期对未来美国高校汉语课程建设提供一些初步借鉴。
近年来，在美国高等教育界逐渐受到重视的跨学科的文化与语言课程（Cultures and Languages Across the Curriculum，简称CLAC）反映了美国社会对多元文化、多种语言和国际化的需求。那么如何将CLAC运用到美国高校汉语课程建设中呢？本文将以美国东南部的一所私立大学的中文项目为例，对这一问题进行探讨。文章首先介绍了CLAC的教学理念及课程结构，然后分析了该校的CLAC汉语课程实践对其中文项目的生源、学生的语言学习以及教师职业能力发展等三个方面的影响，以期对未来美国高校汉语课程建设提供一些初步借鉴。
{"title":"CLAC对美国高校汉语课程建设的启示","authors":"Kun-Shan Carolyn Lee, Yan Liu, Tianshu He","doi":"10.1075/csl.22003.lee","DOIUrl":"https://doi.org/10.1075/csl.22003.lee","url":null,"abstract":"\u0000近年来，在美国高等教育界逐渐受到重视的跨学科的文化与语言课程（Cultures and Languages Across the Curriculum，简称CLAC）反映了美国社会对多元文化、多种语言和国际化的需求。那么如何将CLAC运用到美国高校汉语课程建设中呢？本文将以美国东南部的一所私立大学的中文项目为例，对这一问题进行探讨。文章首先介绍了CLAC的教学理念及课程结构，然后分析了该校的CLAC汉语课程实践对其中文项目的生源、学生的语言学习以及教师职业能力发展等三个方面的影响，以期对未来美国高校汉语课程建设提供一些初步借鉴。","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84462410","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}
This paper discusses how to use the Performed Culture Approach (PCA) to design collegiate Chinese beginning and intermediate level courses. As a pedagogical framework to improve learners’ intercultural communication skills, PCA has gained increasing recognition by scholars in the field. However, many instructors still face the challenge of deciding how to apply PCA in different Chinese language programs and with non-PCA informed pedagogical materials. Through a three-year implementation at an American university which adopts Integrated Chinese (IC), one of the most popular pedagogical materials in American college beginning- and intermediate-level Chinese courses, the article analyzes IC’s instructional challenges, PCA-based curriculum design, learning outcomes, and student feedback. The article finally discusses general principles of applying PCA in different programs with various pedagogical materials.
{"title":"Applying the performed culture approach in collegiate beginning and intermediate level Chinese courses","authors":"D. Chai","doi":"10.1075/csl.22002.cha","DOIUrl":"https://doi.org/10.1075/csl.22002.cha","url":null,"abstract":"\u0000This paper discusses how to use the Performed Culture Approach (PCA) to design collegiate Chinese beginning and intermediate level courses. As a pedagogical framework to improve learners’ intercultural communication skills, PCA has gained increasing recognition by scholars in the field. However, many instructors still face the challenge of deciding how to apply PCA in different Chinese language programs and with non-PCA informed pedagogical materials. Through a three-year implementation at an American university which adopts Integrated Chinese (IC), one of the most popular pedagogical materials in American college beginning- and intermediate-level Chinese courses, the article analyzes IC’s instructional challenges, PCA-based curriculum design, learning outcomes, and student feedback. The article finally discusses general principles of applying PCA in different programs with various pedagogical materials.","PeriodicalId":31271,"journal":{"name":"Tai Wan Jiao Yu She Hui Xue Yan Jiu","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77308587","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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