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研究生:陳彥任
研究生(外文):Chen, Yen-Jen
論文名稱:救護意願與染疫風險的掙扎-新冠疫情間醫護人員雙歧態度的成因與影響
論文名稱(外文):Feeling Ambivalent between Willingness to Work and Risk of Infection-Causes and Effects of Ambivalence among Healthcare Workers during the COVID-19 Epidemic
指導教授:施琮仁施琮仁引用關係
指導教授(外文):Shih, Tsung-Jen
口試委員:韓義興黃毓超
口試委員(外文):Han, Yi-HsingHuang, Yu-Chao
口試日期:2023-12-15
學位類別:碩士
校院名稱:國立政治大學
系所名稱:傳播學院傳播碩士學位學程
學門:傳播學門
學類:一般大眾傳播學類
論文種類:學術論文
論文出版年:2023
畢業學年度:112
語文別:中文
論文頁數:82
中文關鍵詞:新冠疫情雙歧態度救護意願風險感知人際溝通
外文關鍵詞:COVID-19AmbivalenceWillingness to workPerception of riskInterpersonal communication
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本研究從雙歧態度的觀點出發探討醫護人員在新冠疫情期間持續救護意願與染疫風險的掙扎,並試圖透過不同衝突型態去梳理雙歧態度形成的原因以及探討雙歧態度如何影響醫護人員的持續救護意願。

本研究以全台灣醫護人員為研究對象,蒐集共401份的樣本進行分析,研究發現醫護人員對新冠疫情普遍抱有雙歧態度,而其通過風險感知與職業責任所形成的衝突(研究中稱為:風險-責任衝突)程度越高,雙歧態度越高、持續救護意願越低。且無論人際溝通衝突程度的高低,對於雙歧態度的程度並無太顯著的關係。此外雙歧態度作為中介變項在感知責任衝突與持續救護意願之間存在部分的中介效果。在測量雙歧態度上,主觀的方式比起客觀的無論是與衝突或是救護意願的關係上都更具顯著性。本研究不僅是少數針對醫護人員的雙歧研究,在醫護人員面對風險及人際傳播等相關領域也有所貢獻。
This study investigates the ambivalent attitudes of 401 healthcare professionals in Taiwan during the COVID-19 pandemic. Findings suggest that conflict arising from their perceptions of risk and professional responsibilities significantly correlates with heightened ambivalence and reduced willingness to provide aid. Moreover, these ambivalent attitudes partially mediate the relationship between perception-responsibility conflict and the willingness to offer assistance.

In measuring ambivalence, subjective methods were found to be more significant than objective ones, both in relation to conflict and willingness to rescue. This study not only represents one of the few focused on healthcare professionals' ambivalence but also contributes to understanding healthcare professionals' attitudes in areas such as risk and interpersonal communication.
第一章 緒論 8
第一節 研究背景與動機 8
第二章 文獻探討 12
第一節 形成雙歧態度的相關因素與研究 12
一、 雙歧態度的產生-風險感知與職業責任的衝突 12
二、雙歧態度的產生-人際溝通間的衝突 16
第二節 雙歧態度與持續救護意願間的關係與研究 19
一、 雙歧態度的定義與相關研究 19
二、影響雙歧態度的認知與情感 20
三、醫護人員的雙歧態度與持續救護意願間的關係與研究 22
第三節 影響醫護人員持續救護意願的相關因素與研究 24
一、風險-責任衝突與持續救護意願間的關係與研究 24
二、人際溝通衝突與持續救護意願間的關係與研究 27
第四節 研究架構論述 29
第三章 研究方法 32
第一節 研究流程 32
一、 資料來源 32
三、 問卷設計與研究流程 33
第二節 變數的測量與問卷構面的定義 34
一、 人口變項 34
二、 風險-責任衝突 34
三、 人際溝通衝突 36
四、 雙歧態度 37
五、 持續救護意願 38
第三節 問卷前測與相關分析 39
一、問卷前測 39
二、信度分析 39
第四章 分析結果 41
第一節 描述性統計 41
第二節 雙歧態度測量的過程與結果 43
第三節 控制變項和主要變項的關連性 44
第四節、假說檢定 45
第五節 中介效果 49
一、客觀雙歧 49
二、主觀雙歧 49
第五章 研究討論 51
第一節 研究發現與相關討論 51
第二節 研究限制 58
第六章 結論與建議 60
第一節 研究貢獻與期望 60
第二節 未來研究方向與建議 62
第七章 參考文獻 64
一、英文文獻 64
二、中文文獻 73
一、英文文獻
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二、中文文獻

王金蓮、邱淑媞、簡莉盈、黃心苑(2018)。〈探討台灣臨床護理人員工作待遇滿意度與離職及轉業意念之相關因素〉,《澄清醫護管理雜誌》,14(2):27-39。

姜恬、宛小燕(2011)。〈淺議如何定義醫學職業素養〉,《中國醫學倫理學》,6:815-817。

施琮仁(2021)。〈新冠肺炎的日常防疫行為:媒體,情緒與風險認知的作用〉,《新聞學研究》,(148):153-196。

韋苡爭(2011)。〈憂鬱症風險感知影響因素之探討〉,《危機管理學刊》,8(2):43-54。

張卿卿(2014)。〈從認知與情感雙歧檢視台灣民眾的廣告規避與趨近行為〉,《中華傳播學刊》,(25):71-98。

張卿卿(2016)。〈以網路購物為例探討媒介作為娛樂的功能〉,《中華傳播學刊》,(29):3-43。

張卿卿(2017)。〈政黨雙歧不確定的糾結:成因,決策過程,媒體接收與行為意向〉,《中華傳播學刊》,(32):167-202。

楊意菁、徐美苓(2010)。〈風險社會概念下的風險溝通與網路傳播:以全球暖化議題為例〉,《中華傳播學刊》,(18):151-191。

廖士程、李明濱、李宇宙、吳佳璇、曾美智(2005)。〈知情同意與術前矛盾之相關聯〉,《醫學教育》,9(1):80-90。
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