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public health nurse
本研究採「實驗組控制組前後測設計」，以台北市10所健康服務中心之公共衛生護理人員為研究對象，實驗組接受三週自學式「社區健康計畫DIY手冊」以及兩次e-mail提醒，對照組則未接受任何教育介入。研究工具包括前後測成效評價問卷與過程評量問卷，所取得的資料以t檢定、卡方檢定、配對t檢定、共變數分析(ANCOVA test)、詹森內曼(Johnson-Neyman test)等方法進行分析。
The purpose of this research is to develop a self-instructional material for public health nurses upon their work and to discuss the educational efficiency after the intervention, including users’ evaluation regarding to the handbook. This research uses pretest-posttest control group design method, targeting public health nurses within ten health care centers in Taipei city. The experimental group received three weeks of self-instructional “DIY Handbook in redacting community healthcare plan” as well as two-times e-mail reminders as the intervention. The control group didn’t receive any other types of education methods as the intervention. The research tools include the efficiency and the process evaluation questionnaire of the pretest-posttest. After data were collected, statistic methods such as t-test, Chi-square test, paired-t test, ANCOVA test, and Johnson-Neyman test were applied to make the analysis. According to the outcome of the data analysis, this research intervened public health nurses’ knowledge, skills, and self-efficacy in redacting community healthcare plans by using this DIY handbook. By controlling scores in the pretest and marital status, the posttest score on redacting community healthcare plan of experimental group has not significantly higher than that of control group. The experimental group has only one subscale called “evaluation” that appeared higher score then the control group (F=6.325, P<0.05). The experimental group’s skills of redacting community healthcare plans in a whole has showed non-significant higher than that of the control group and only couple of questions achieved statistical significance. The posttest score of self-efficay experimental group was significantly higher than that of control group (F=5.134, P<0.05), which has the effect on escalating outcome as a whole. The subscales in “diagnosis and analysis” (F=5.196, P<0.05) and “planning” (F=5.209, P<0.05) have also reached statistical significance. During the part of process evaluation, over half of the users expressed that the handbook had indeed helped them promote knowledge and skills of redacting community healthcare plans and elevate confidence when execute the plan. It is, however, due to the high volume of work load and the shrinkage of working time, the users often found that they lacked sufficient time to read the handbook thoroughly and faced difficulties when it comes to execute the plan as well. The interventional research plan of this DIY handbook, in a whole, has unsatisfied outcome in elevating public health nurses’ knowledge, skills, and related contents of subscales to redact community healthcare plans. It has, on the other hand, increased the users’ self-efficacy in redacting the plan. Combining findings from literature reviews and research outcomes, the outcome of the intervention is estimated to be interfered by the control of scene during experiment intervened, motivations of targets, and level of support from the working environment; restrictions on indicators of evaluation and the sample size intervened were also some facts that impeded accurate outcome measurement. The research follows the principle of learner-centered; using the adaptation of literature reviews and demand assessment as the prototype, transforming educational strategies into theories in behavior sciences, and converting those theories into practical uses during the developmental process of the handbook, it provides reference materials for the oncoming relevant researches of DIY-learning handbooks. This Handbook was defined as an easy-read and practical teaching material by its users. Although it did not lead to a full-scale outcome in the knowledge and skills aspects of redacting community healthcare plans, it promoted the users' self-efficacy after the intervention. Consequently, it surly serves as the self-instructional material of public health nurses' occupational educations and enhances their comprehension and manipulation while redacting community healthcare plans. In order to bring this handbook into more effective in the manipulation of public health nurses' occupational educations, we suggest to overcome and eliminate limitation when using it and to arouse motivations, enlarge sample size, and evaluate the outcomes in more diversified and long-term tracing ways.
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