臺灣博碩士論文加值系統

背景：臺灣長期面臨護理人力不足與新進人員離職率偏高的挑戰。職涯規劃能協助學生釐清發展方向並提升職場準備度，對護理專業養成具有重要意義。然而，現行教育多著重於專業訓練，職涯規劃尚未被普遍納入必修課程且成效不彰，相關教學推動與實證研究亦相對不足。因此，本研究設計「職涯規劃桌上遊戲」教學方案，以探討其對護理學生職涯學習成效之影響。

目的：探討「職涯規劃桌上遊戲」對護理學生之職涯學習成效，包括職業決策自我效能、結果預期與職業目標選擇，並瞭解其學習滿意度。

方法：採類實驗研究、雙組前後測設計，以方便取樣取得76名護理學生。實驗組（n=41）接受「桌上遊戲」教學，對照組（n=35）接受「小組討論」教學，於課程前後測量職涯學習成效與滿意度，並輔以學習單及開放式問答之質性分析。

結果：兩種教學策略皆能顯著提升護理學生的職業決策自我效能、結果預期與職業目標選擇，組間差異未達顯著。然而，實驗組在學習滿意度顯著優於對照組（p<.001），並於質性資料中展現更廣泛的職涯目標探索與更深度的自我覺察。此外，研究結果顯示「職業決策自我效能」、「結果預期」以及「職業目標選擇」之職涯學習成效之間呈正相關。

結論與建議：職涯教育介入能有效提升護理學生於職涯規劃之職涯學習成效。以桌上遊戲教學更能促進學習滿意度，並於職涯探索深度方面表現更佳，展現應用與推廣的潛力。建議未來擴大樣本並採長期、系統化課程設計，以持續強化護理學生之職涯規劃教育與專業發展。

關鍵字：護理學生、職涯規劃、桌上遊戲

Background: Taiwan has long faced challenges of nursing workforce shortages and high turnover among novice nurses. Career planning can help students clarify their developmental direction and enhance workplace readiness, which is essential for professional nursing education. However, current curricula primarily emphasize professional training, and career planning has not yet been widely integrated as a required course, with limited effectiveness. Furthermore, the promotion of relevant teaching strategies and empirical research remains insufficient. To address this gap, this study designed a board game–based career planning program to examine its effects on nursing students’ learning outcomes.

Purpose: This study aimed to explore the effects of the “Career Planning Board Game” on nursing students’ learning outcomes, including career decision-making self-efficacy, outcome expectations, and career goal selection, as well as to assess their learning satisfaction.

Method: A quasi-experimental, two-group pretest–posttest design was employed with a convenience sample of 76 nursing students. The experimental group (n=41) received instruction through the board game, while the control group (n=35) participated in group discussion. Learning outcomes and satisfaction were measured before and after the intervention, supplemented by worksheets and open-ended qualitative responses.

Results: Both teaching strategies significantly improved nursing students’ career decision-making self-efficacy, outcome expectations, and career goal selection, with no statistically significant differences observed between groups. However, the experimental group demonstrated significantly higher learning satisfaction than the control group (p<.001) and, according to qualitative data, exhibited broader exploration of career goals and deeper self-awareness. Furthermore, the study results showed a positive correlation between career learning outcomes in terms of "career decision-making self-efficacy," "outcome expectation," and "career goal selection."

Conclusion and suggestion: Career education interventions can effectively enhance nursing students’ learning outcomes in career planning. The use of board game–based teaching further promotes learning satisfaction and fosters deeper career exploration, demonstrating potential for application and dissemination. Future studies are recommended to expand sample sizes and adopt long-term, systematic course designs to continuously strengthen career planning education and professional development among nursing students.

Keywords: Nursing students, Career planning, Board game

摘　　要 i
ABSTRACT ii
目　　次 iv
表　　次 vii
圖　　次 ix
第一章　緒論 1
第一節　研究背景與動機 1
第二節　研究目的 5
第三節　研究問題 6
第四節　名詞解釋 6
第二章　文獻探討 9
第一節　職業生涯規劃理論與相關研究 9
第二節　社會認知生涯理論與相關研究 20
第三節　遊戲學習理論、桌上遊戲與相關研究 33
第三章　研究方法 49
第一節　研究設計 49
第二節　研究架構 50
第三節　研究對象 51
第四節　研究工具 52
第五節　研究介入 55
第六節　資料分析 66
第七節　研究倫理考量 68
第四章　研究結果 70
第一節　護理學生基本資料之分布情形 70
第二節　兩組教學介入前後「職業決策自我效能」得分之差異 74
第三節　兩組教學介入前後「結果預期」之差異 76
第四節　兩組教學介入前後「職業目標選擇」之差異 79
第五節　兩組教學介入後「學習滿意度」之差異 83
第六節　護理學生職涯學習成效之相關性與影響因素 85
第七節　質性資料分析 90
第五章　討論 104
第一節　護理學生背景資料分析 104
第二節　「職涯規劃桌上遊戲」之教學設計 106
第三節　「職涯規劃桌上遊戲」對護理學生之職涯學習成效分析 109
第四節　「職涯規劃桌上遊戲」學習滿意度與反思回饋 114
第六章　結論與建議 116
第一節　結論 116
第二節　研究限制 117
第三節　建議 118
參考文獻 119
中文部分 119
外文部分 124
附錄 133
附錄一、職涯探索與決策自我效能量表 133
附錄二、結果預期量表 134
附錄三、護理職業目標選擇量表 135
附錄四、學習滿意度量表 136
附錄五、個人學習單 137
附錄六、HOLLAND六大類型特質 140
附錄七、輔仁大學人體研究倫理委員會通過證明 141
附錄八、職業決策自我效能量表（CEDSE）授權同意 142
附錄九、結果預期量表授權使用同意書 143
附錄十、國立臺北護理健康大學研究生學位論文原創性比對檢核表 144

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