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題名：某科大護理學生生命教育介入情境導向學習之研究
作者：蔡馥如
作者(外文)：Tsai, Fu-Ju
校院名稱：國立臺灣師範大學
系所名稱：健康促進與衛生教育學系
指導教授：胡益進
曾治乾
學位類別：博士
出版日期：2019
主題關鍵詞：衛生教育；健康促進；生命教育介入；生命意義；護理學生；正向信念；情境導向學習；幸福感；health education；health promotion；life education intervention；meaning of life；nursing students；positive beliefs；simulated directed-learning；well-being
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某科大護理學生生命教育介入情境導向學習之研究
研究背景:
護理教育者有一個責任，灌輸生命意義，正向信念及幸福感於衛生教育課程，以及增進護理學生身體，心理，靈性及社會之衛生教育及健康促進。研究目的是包括探討衛生教育課程的教學設計在於生命教育介入情境導向學習對於研究對象之生命意義，正向信念及幸福感的立即及延宕效果。
研究方法:
研究方法是採用實驗組及對照組之準實驗設計於前測，後測，及後後測。研究樣本是採取立意取樣。研究對象是55個五專三年級的護理學生分派為實驗組參與衛生教育課程接受生命教育介入情境導向學習，以及59個五專三年級的護理學生分派為對照組參與關懷照護課程沒有接受生命教育介入情境導向學習。研究問卷是一份56題的問卷，被使用於探討護理學生於生命意義，正向信念及幸福感。研究問卷的專家內容效度是七位專家學者建立於0.95。研究問卷信度在生命意義Cronbach’s α 0.96，正向信念Cronbach’s α 0.95，以及幸福感Cronbach’s α 0.96。研究統計是使用23.0 SPSS社會科學統計套裝軟體。研究分析是使用頻率次數，百分比，前測平均數及標準差，後測平均數及標準差，後後測平均數及標準差，卡方檢定，t檢定及廣義估計方程式。
研究結果:
研究結果是呈現如下: (1)護理學生之實驗組及對照組的分佈比較是沒有顯著性差異。(2)在前測t檢定分析，護理學生在實驗組及對照組對於生命意義是有顯著性差異，正向信念是沒有顯著性差異及幸福感是有顯著性差異。(3)護理學生之實驗組及對照組差異比較，實驗組是顯示於生命意義之前測平均數-11.84，後測平均數4.56及後後測平均數14.09；正向信念之前測平均數-3.11，後測平均數2.53及後後測平均數6.10；幸福感之前測平均數-10.73，後測平均數3.60及後後測平均數12.94。(4)在廣義估計方程式分析，護理學生之實驗組及對照組比較，實驗組對於生命意義在於前-後測及前-後後測；正向信念在於前-後測及前-後後測；幸福感在於前-後測及前-後後測，全部都顯示有顯著性差異。(5)生命教育介入情境導向學習的教學設計於生命意義，正向信念及幸福感，是包括：課程描述，操作定義，教學總目標，教學目標，生命教育介入情境導向學習，教學內容及教學活動。
研究結論:
護理學生在實驗組於衛生教育課程在生命教育介入情境導向學習，顯示顯著性進步在於生命意義，正向信念及幸福感之立即及延宕效果。相反方面，護理學生在對照組於關懷照護課程沒有生命教育介入情境導向學習，顯示沒有顯著性進步在於生命意義，正向信念及幸福感之立即及延宕效果。研究結論是護理學生在實驗組顯示生命教育介入情境導向學習於生命意義，正向信念及幸福感之學習成效對於身體，心理，靈性及社會之衛生教育及健康促進。
Background:
A nursing educator has the responsibility to instill meaning of life, positive beliefs, and well-being in the health education curriculum, as well as to enhance nursing students’ physical, psychological, spiritual, and social health education and promotion. The research purpose included exploring the teaching design of the health education curriculum with simulated directed-learning in the life education intervention among research participants on their meaning of life, positive beliefs, and well-being in relation to the immediate and delayed effects.
Methods:
This research adopted a quasi-experimental design with experimental and control groups for the pre-test, posttest, and post-posttest. A purposive sample was used in this research. The 55 research participants were 3rd-year nursing students in a five-year program with a health education curriculum, receiving simulated directed-learning in the life education intervention and assigned to the experimental group. Another 59 research participants were 3rd-year nursing students in the five-year program in a caring care curriculum without receiving simulated directed-learning in the life education intervention and assigned to the control group. A 56-item questionnaire was used to explore nursing students’ views on the meaning of life, positive beliefs, and well-being. The content validity index (CVI) of the research questionnaires was established at 0.95 by seven expert scholars. The reliability of Cronbach’s α on the meaning of life was 0.96, positive beliefs 0.95, and well-being 0.96. The 23.0 statistical product and service solutions (SPSS) was used to analyze all the research data. Frequencies, percentages, pre-test mean and SD, posttest mean and SD, post-posttest mean and SD, Chi-squared test, t-test, and Generalized Estimating Equation (GEE) were used for data analysis in the research.
Results:
The research results were as follows: (1) the experimental and control groups had no significant differences on the distribution of nursing students. (2) On the t-test with pre-test analysis, nursing students in both groups had significant differences on their meaning of life, no significant differences on their positive beliefs, and significant differences on their well-being. (3) On their meaning of life, nursing students with significant differences in the experimental and control groups presented a compared mean score on the pre-test of -11.84, posttest of 4.56, and post-posttest of 14.09; their positive beliefs had a compared mean score on the pre-test of -3.11, posttest of 2.53, and post-posttest of 6.10; their well-being had a compared mean score on the pre-test of -10.73, posttest of 3.60, and post-posttest of 12.94. (4) On the GEE analysis, nursing students in the experimental group indicated significant differences to the control group on their meaning of life on the pre-posttest and pre-post posttest, positive beliefs on the pre-posttest and pre-post posttest, and well-being on the pre-posttest and pre-post posttest. (5) The teaching design of simulated directed-learning in the life education intervention on the meaning of life, positive beliefs, and well-being included course description, operational definitions, teaching goal, teaching objectives, simulated directed-learning in the life education intervention, teaching contents, and teaching activities.
Conclusions:
Nursing students in the experimental group following the health education curriculum and in the simulated directed-learning with life education intervention indicated significant improvement on their meaning of life, positive beliefs, and well-being, in their immediate and delayed effects. On the other hand, nursing students in the control group following the caring care curriculum and non-simulated directed-learning with life education intervention indicated no significant differences on their meaning of life, positive beliefs, and well-being, in their immediate and delayed effects. In the conclusions of the research, nursing students in the experimental group indicated positive learning effects with simulated directed-learning in the life education intervention on the meaning of life, positive beliefs, and well-being for physical, psychological, spiritual, and social health education and promotion.
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