臺灣博碩士論文加值系統

世界脈動滄海桑田；科技人文變幻莫測，醫療體系之轉變，護理的教育與傳播形式也不同以往。「工欲善其事，必先利其器」新興科技的導入為護理教育帶來一場柔性宣言，適宜地將科技媒介應用於衛教宣導，促使護生用以創新之學習方式與互動模式宣導衛教，提高護生實習總體成效。由此，本研究藉由電子書的傳播特性，以健康傳播的觀點，經由護生實習，探討其過程結合多媒體電子書執行衛教宣導之成效，從三個面向剖析護生使用電子書傳播衛教於社區衛生護理實習的大團體、小團體以及個案之（1）自我健康傳播成效、（2）護理資訊自我學習成效，以及（3）綜合實習表現結果。研究選取台灣某國立大學，且即將從大三升大四之護理系學生，學生共32名，實驗實習週期為期三週。研究採量化與質化相互進行分析，依據資料結果顯示無論是大團體、小團體或個案訪視，多媒體電子書皆能有效輔助護生衛生教育，增進自我健康傳播成效、強化護理資訊自我學習成效，進而提升實習的表現。

The rapid development of the world's pulse, the unpredictability of science and technology, and the transformation of the medical system , which make the nursing education and form ofcommunication are different. “To do a good job, an artisan needs the best tools.” The introduction of emerging technologies brings a flexible learning situation to nursing education. Appropriately apply the technology media to the health education make nursing students use innovative learning methods and interactive modes for publicizing and improve the overall practice effectiveness. Therefore, this study used the propagation characteristics of e-books and the point of view of health communication to explore the effectiveness and process of implementing the health education combined with multimedia e-book during nursing students practice , and further analyze implementing multimedia e-book to large groups, small groups, and individual cases from three faces: (1) self-efficacy of health communication (2) self-learning effectiveness of nursing information, and(3) performance of the nursing practice. The participants in this study are selected from third-grade national university students in Taiwan. The total number is 32. The period of experiment is three weeks. The quantitative and qualitative analysis are used in this research. According to the results of the data, media e-books can effectively support the health education to promote self-efficacy of health communication, improve the self-learning effectiveness of nursing information, and enhance the performance of the nursing practice.

摘要 i
ABSTRACT ii
誌謝 iii
目錄 iv
表目錄 vi
圖目錄 vii
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的與問題 3
第三節 研究範圍 5
第四節 名詞釋義 7
第二章 文獻探討 9
第一節 健康傳播之基本論述 9
第二節 護理資訊之概念意涵 23
第三節 電子書的闡述介紹 34
第三章 研究方法 47
第一節 研究架構與流程 47
第二節 研究工具 52
第三節 實驗設計 57
第四節 資料蒐集與處理 67
第四章 結果與討論 69
第一節 自我健康傳播成效 69
第二節 護理資訊自我學習成效 76
第三節 大、小團體與個案之比較 83
第四節 綜合實習表現成果 87
第五章 結論與未來展望 91
第一節 結論 91
第二節 未來展望 93
參考文獻 96
附錄 106
附錄一　應用多媒體電子書傳播衛教之成效調查問卷 106
附錄二　應用多媒體電子書傳播衛教之成效比較調查問卷 107
附錄三　社區護理學實習自我考核表 108
附錄四　社區護理學實習考核表（實習單位評核） 110
附錄五　社區護理學實習考核表（學校評核） 112
附錄六　社區衛生護理學實習互評表 114

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