:::

詳目顯示

回上一頁
題名:實證醫學教育之文獻搜尋焦慮:中部某醫學大學醫學研究所學生之實證研究
書刊名:教育資料與圖書館學
作者:張慧瑾吳志隆趙佩君林隆堯余祐慈林珊如 引用關係
作者(外文):Chang, Hui-chinWu, Chih-lungChao, Pei-chunLin, Long-yauYu, You-tszChang L., Shan-ju
出版日期:2013
卷期:51:2
頁次:頁225-266
主題關鍵詞:實證醫學文獻搜尋焦慮Evidence-based medicineLiterature searching anxiety
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:5
  • 點閱點閱:116
目的:探討學生面對實證醫學所要求之文獻搜尋技能時是否會產生焦慮,進而探究其焦慮程度是否會影響其學習成效。方法:研究對象為中部某醫學大學醫學研究所學生,合計48人,以「文獻搜尋焦慮量表」施測,進行描述性統計、獨立樣本t檢定、相關及迴歸分析,並選得分高於平均值加一個標準差以上之學生進行訪談。結果:1.學生在接受實證醫學教育時,確實會有焦慮的情況。2.文獻搜尋焦慮在不同人口學變項上皆無顯著性之差異。3.迴歸分析結果發現,焦慮程度經校正後與作業總成績之關係不大。4. 學生在文獻搜尋上的焦慮問題可歸納為:搜尋策略、資料庫選擇、文獻篩選、尋求協助、電腦使用、全文取得、外文能力、資料庫使用頻率及教育訓練課程等問題。結論:學生在接受實證醫學教育時會有焦慮之狀況產生,教學者應正視學生之學習狀態,幫助學生克服障礙、降低焦慮,以提升學生之學習成效。
Introduction. Evidence-Based Medicine (EBM) is hurtling towards a cornerstone in lifelong learning for healthcare personnel worldwide. This study aims to evaluate the literature searching anxiety in graduate students in practicing EBM. Method The study participants were 48 graduate students who enrolled the EBM course at aMedical Universityin central Taiwan. Student’s t-test, Pearson correlation and multivariate regression, interviewing are used to evaluate the students’ literature searching anxiety of EBM course. The questionnaire is Literature Searching Anxiety Rating Scale -LSARS. Results The sources of anxiety are uncertainty of database selection, literatures evaluation and selection, technical assistance request, computer programs use, English and EBM education programs were disclosed. The class performance is negatively related to LSARS score, however, the correlation is statistically insignificant with the adjustment of gender, degree program, age category and experience of publication. Conclusion This study helps in understanding the causes and the extent of anxiety in order to work on a better teaching program planning to improve user’s searching skills and the capability of utilization the information; At the same time, provide friendly-user facilities of evidence searching. In short, we need to upgrade the learner’s searching 45 skills and reduce theanxiety. We also need to stress on the auxiliary teaching program for those with the prevalent and profoundanxiety during literature searching.
期刊論文
1.林慶雄(20001100)。證據醫學的兩面觀。臺灣兒科醫學會雜誌,41(增刊),78-79。  延伸查詢new window
2.李雅惠、黃國哲、侯勝茂、許怡欣(20040100)。醫院推行實證醫學現況及推行模式之探討--以臺北市區域級以上醫院為例。醫護科技學刊,6(1),43-58。new window  延伸查詢new window
3.石富元(20030700)。實證醫學常用的資源及檢索策略。臺灣醫學,7(4),560-567。  延伸查詢new window
4.郭斐然、李宇芬、梁繼權、陳慶餘(20010900)。實證醫學於實習醫師臨床訓練之應用。醫學教育,5(3),24-29。new window  延伸查詢new window
5.邱建勳、黃柏青、李友專(20010700)。證據醫學簡介。當代醫學,28(7)=333,60-63。  延伸查詢new window
6.Al-Almaie, S. M.、Al-Baghli, N.(2004)。Barriers facing physicians practicing evidence-based medicine in Saudi Arabia。Journal of Continuing Education in the Health Professions,24(3),163-170。  new window
7.Dalrymple, P. W.(2003)。Improving health care through information: Research challenges for health sciences librarians。Library Trends,51(4),525-540。  new window
8.Crowley, S. D.、Owens, T. A.、Schardt, C. M.、Wardell, S. L.、Peterson, J.、Garrison, S.、Keitz, S. A.(2003)。A Web-based compendium of clinical questions and medical evidence to educate internal medicine residents。Academic Medicine,78(3),270-274。  new window
9.Coomarasamy, A.、Taylor, R.、Khan, K. S.(2003)。A systematic review of postgraduate teaching in evidence-based medicine and critical appraisal。Medical Teacher,25(1),77-81。  new window
10.Claridge, J. A.、Fabian, T. C.(2005)。History and development of Evidence-Based Medicine。World Journal of Surgery,29(5),547-553。  new window
11.Dunst, C. J.、Trivette, C. M.、Cutspec, P. A.(2002)。Toward an operational definition of evidence-based practices。Centerscope: Evidence-based Approaches to Early Childhood Development,1(1),1-10。  new window
12.Dorsch, J. L.、Aiyer, M. K.、Meyer, L. E.(2004)。Impact of an evidence-based medicine curriculum on medical students' attitudes and skills。Journal of Medical Library Association,92(4),397-406。  new window
13.Davidson, R. A.、Duerson, M.、Romrell, L.、Watson, R. T.(2004)。Evaluating evidence-based medicine skills during a performance-based examination。Academic Medicine,79(3),272-275。  new window
14.Grandage, K. K.、Slawson, D. C.、Shaughnessy, A. F.(2002)。When less is more: A practical approach to searching for evidence-based answers。Journal of the Medical Library Association,90(3),298-304。  new window
15.Ghali, W. A.、Saitz, R.、Eskew, A. H.、Gupta, M.、Quan, H.、Hershman, W. Y.(2000)。Successful teaching in evidence-based medicine。Medical Education,34(1),18-22。  new window
16.Forjuoh, S. N.、Rascoe, T. G.、Symm, B.、Edwards, J. C.(2003)。Teaching medical students complementary and alternative medicine using evidence-based principles。Journal of Alternative and Complementary Medici,9(3),429-439。  new window
17.Fliegel, J. E.、Frohna, J. G.、Mangrulkar, R. S.(2002)。A computer-based OSCE station to measure competence in evidence-based medicine skills in medical students。Academic Medicine,77(11),1157-1158。  new window
18.Ely, J. W.、Osheroff, J. A.、Ebell, M. H.、Chambliss, M. L.、Vinson, D. C.、Stevermer, J. J.、Pifer, E. A.(2002)。Obstacles to answering doctors' questions about patient care with evidence: Qualitative study。British Medical Journal,324(7339),710-716。  new window
19.Hunt, D. P.、Haidet, P.、Coverdale, J. H.、Richards, B.(2003)。The effect of using team learning in an evidence-based medicine course for medical students。Teaching and Learning in Medicine,15(2),131-139。  new window
20.Holloway, R.、Nesbit, K.、Bordley, D.、Noyes, K.(2004)。Teaching and evaluating first and second year medical students'€ practice of evidence-based medicine。Medical Education,38(8),868-878。  new window
21.Hersh, W. R.、Hickam, D. H.(1998)。How well do physicians use electronic information retrieval systems? A framework for investigation and systematic review。Journal of the American Medical Association,280(15),1347-1352。  new window
22.Guyatt, G. H.(1991)。Evidence-based medicine。ACP Journal Club,114(2),A16。  new window
23.Green, M. L.、Ruff, T. R.(2005)。Why do residents fail to answer their clinical questions? A qualitative study of barriers to practicing evidence-based medicine。Academic Medicine,80(2),176-182。  new window
24.Kuhlthau, Carol C.(1988)。Developing a model of the library search process: Cognitive and affective aspects。Reference Quarterly,28(2),232-242。  new window
25.Kaska, S. C.、Weinstein, J. N.(1998)。Historical perspective. Ernest amory codman, 1869-1940. A pioneer of evidence-based medicine: The end result idea。Spine,23(5),629-633。  new window
26.Jiao, Q. G.、Onwuegbuzie, A. J.、Lichtenstein, A. A.(1996)。Library anxiety: Characteristics of "at- risk" college students。Library and Information Science Research,18(2),161-163。  new window
27.Mellon, Constance A.(1986)。Library anxiety: A ground theory and its development。College and Research Libraries,47(2),160-165。  new window
28.McColl, A.、Smith, H.、White, P.、Field, J.(1998)。General practitioners' perceptions of the route to evidence based medicine: A questionnaire survey。British Medical Journal,316(7128),361-365。  new window
29.McCarthy, L. H.(1996)。Evidence-based medicine: An opportunity for health sciences librarians。Medical Reference Services Quarterly,15(4),63-71。  new window
30.McAlister, F. A.、Graham, I.、Karr, G. W.、Laupacis, A.(1999)。Evidence-based medicine and the practicing clinician。Journal of General Internal Medicine,14(4),236-242。  new window
31.Paltiel, O.、Brezis, M.、Lahad, A.(2002)。Principles for planning the teaching of evidencebased medicine/clinical epidemiology for MPH and medical students。Public Health Reviews,30(1-4),261-270。  new window
32.Oranta, O.、Routasalo, P.、Hupli, M.(2002)。Barriers to and facilitators of research utilization among Finnish registered nurses。Journal of Clinical Nursing,11(2),205-213。  new window
33.Onwuegbuzie, Anthony J.、Da Ros, Denise、Ryan, Joseph M.(1997)。The Components of Statistics Anxiety: A Phenomenological Study。Focus on Learning Problems in Mathematics,19(4),11-35。  new window
34.Nicholson, L. J.、Shieh, L. Y.(2005)。Teaching evidence-based medicine on a busy hospitalist service: Residents rate a pilot curriculum。Academic Medicine,80(6),607-609。  new window
35.Melnyk, B. M.(2002)。Strategies for overcoming barriers in implementing evidence-based practice。Pediatric Nursing,28(2),159-161。  new window
36.Schwing, L. J.、Coldsmith, E. E.(2005)。Librarians as hidden gems in a clinical team。Medical Reference Services Quarterly,24(1),29-39。  new window
37.Sánchez-Mendiola, M.(2004)。Evidence-based medicine teaching in the Mexican Army Medical School。Medical Teacher,26(7),661-663。  new window
38.Walker, C. J.、McKibbon, K. A.、Haynes, R. B.、Ramsden, M. F.(1991)。Problems encountered by clinical end users of MEDLINE and GRATEFUL MED。Bulletin of the Medical Library Association,79(1),67-69。  new window
39.Thom, D. H.、Haugen, J.、Sommers, P. S.、Lovett, P.(2004)。Description and evaluation of an EBM curriculun using a block rotation。BioMed Center Medical Education,11(4),19。  new window
40.Srinivasan, M.、Weiner, M.、Breitfeld, P. P.、Brahmi, F.、Dickerson, K. L.、Weiner, G.(2002)。Early introduction of an evidence-based medicine course to preclinical medical students。Journal of General Internal Medicine,17(1),58-65。  new window
41.Smith, C. A.、Ganschow, P. S.、Reilly, B. M.、Evans, A. T.、McNutt, R. A.、Osei, A.、Yadav, S.(2000)。Teaching residents evidence-based medicine skills: A controlled trial of effectiveness and assessment of durability。Journal of General Internal Medicine,15(10),710-715。  new window
42.Slingluff, Deborah、Lev, Yvonne、Eisan, Andrew(1985)。An end user search service in an academic health sciences library。Medical Reference Services Quarterly,4(1),11-21。  new window
43.Weberschock, T. B.、Ginn, T. C.、Reinnhold, J.、Strametz, R.、Krug, D.、Bergold, M.、Schulze, J.(2005)。Change in knowledge and skills of year 3 undergraduates in evidence-based medicine seminars。Medical Education,39(7),665-671。  new window
44.Andrews, J. E.、Pearce, K. A.、Ireson, C.、Love, M. M.(2005)。Information-seeking behaviors of practitioners in a primary care practice-based research network (PBRN)。Journal of Medical Library Association,93(2),206-212。  new window
45.Mellon, Constance A.(1988)。Attitudes: The forgotten dimension in library instruction。Library Journal,113(14),137-139。  new window
46.Sackett, D. L.、Straus, S. E.(1998)。Finding and applying evidence during clinical rounds: The "evidence cart"。Journal of the American Medical Association,280(15),1336-1338。  new window
47.Young, J. M.、Ward, J. E.(2001)。Evidence-based medicine in general practice: Beliefs and barriers among Australian GPs。Journal of Evaluation in Clinical Practice,7(2),201-210。  new window
48.Bennett, N. L.、Casebeer, L. L.、Kristofco, R. E.、Strasser, S. M.(2004)。Physicians' Internet information-seeking behaviors。Journal of Continuing Education in the Health Professions,24(1),31-38。  new window
49.Siwek, J.、Gourlay, M. L.、Slawson, D. C.、Shaughnessy, A. F.(2002)。How to write an evidence-based clinical review article。American Family Physician,65(2),251-258。  new window
50.Evidence-Based Medicine Working Group(1992)。Evidence-based medicine: A new approach to teaching the practice of medicine。The Journal of the American Medical Association,268(17),2420-2425。  new window
51.蘇諼(20040600)。從實證醫學的發展談醫學圖書館的角色。圖書資訊學刊,2(1),63-72。new window  延伸查詢new window
52.李崇維、侯勝茂(20000300)。實證醫學。當代醫學,27(3)=317,45-51。  延伸查詢new window
53.Jodad, A. R.、Moore, R. A.、Carroll, D.、Jenkinson, C.、Reynolds, D. J. M.、Gavaghan, D. J.、McQuay, H. J.(1996)。Assessing the quality of reports of randomized clinical trails: Is blinding necessary?。Controlled Clinical Trials,17(1),1-12。  new window
54.盧美秀(20010200)。實證醫學、實證護理與實證管理。新臺北護理期刊,3(1),1-6。  延伸查詢new window
55.DiCenso, A.、Bayley, L.、Haynes, R. B.(2009)。ACP Journal Club. Editorial: Accessing preappraised evidence: fine-tuning the 5S model into a 6S model。Annals of Internal Medicine,151(6),JC3-2-JC3-3。  new window
56.Kuhlthau, Carol Collier(1991)。Inside the Search Process: Information Seeking from the User's Perspective。Journal of the American Society for Information Science,42(5),361-371。  new window
會議論文
1.Pina, A. A.、Harris, B. R.(1993)。Increasing teachers'€™ confidence in using computers for education。Annual Meeting of the Arizona Educational Research Organization。Tucson, AZ。  new window
學位論文
1.李淑敏(2002)。證據醫學之應用性研究(碩士論文)。國立成功大學。  延伸查詢new window
2.崔斐韻(2004)。大學生資訊焦慮與因應方式之研究--以南部地區為例(碩士論文)。國立高雄師範大學。  延伸查詢new window
圖書
1.邱文達、陳杰峰(2004)。實證醫學:臨床流行病學方法之應用。台北市:臺北市萬芳醫院。  延伸查詢new window
2.Cattell, R. B.、Scheier, I. H.(1961)。The meaning and measurement of neuroticism and anxiety。Ronald Press。  new window
3.張春興(1991)。張氏心理學辭典。台北:東華書局。  延伸查詢new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
:::
無相關博士論文
 
無相關書籍
 
無相關著作
 
QR Code
QRCODE