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研究生: 余坤煌
論文名稱: 台北地區學校衛生人員對健康教育專業證照制度意見之研究
指導教授: 黃松元
Huang, Song-Yuan
學位類別: 博士
Doctor
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2002
畢業學年度: 89
語文別: 中文
論文頁數: 143頁
中文關鍵詞: 學校衛生人員健康教育健康教育專業健康教育專業證照制度
論文種類: 學術論文
相關次數: 點閱:306下載:51
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  • 摘 要本研究旨在探討學校衛生人員對健康教育專業人員的專業角色、專業標準、專業能力、專業教育與在職教育,以及對建立健康教育專業證照制度的看法。本研究以八十九學年度服務於台北縣、台北市國民中學健康教育教師及國民中、小學衛生組長、校護為研究對象,採郵寄問卷調查方式,調查695位樣本。由516份可用問卷(回收率為74.2%)的統計分析,獲得下列結論。一、學校衛生人員普遍認為健康教育人員專業證照制度的建立有其重要性與必需性,且認為專業證照制度的建立有助於學校衛生工作的推展。為了達成健康教育人員的七大任務,健康教育專業人員應普遍培養推動專業工作的能力,而在專業教育上應著重工作實務相關課程及應用性的課程,以便在職場中運用。二、不同背景的學校衛生人員對健康教育專業角色、專業標準、專業能力與專業教育的看法也有所不同,尤其不同學歷、不同主修課程和不同職務間的差異性更大;不同背景的學校衛生人員對建立健康教育人員專業證照制度的看法和實施在職教育的看法都有所不同。三、學校衛生人員對健康教育專業角色、專業標準與專業教育的看法間有顯著正相關;個人背景變項與對專業的看法能顯著預測學校衛生人員對建立健康教育人員專業證照制度的看法;而影響學校衛生人員對建立健康教育人員專業證照制度看法的重要變項有參加在職教育意願、對專業標準重要性的看法、對專業教育重要性的看法、主修課程、性別、年齡等。根據上述結論,本研究提出下列建議:一、健康教育專業人員證照制度應儘快建立,並鼓勵從事學校衛生工作者,透過專業證照的取得與定期的換證,維持其專業能力、素養與服務的品質;健康教育專業人員證照制度的建立,應考慮學校衛生人員的看法與需求,並以提升學校衛生人員專業能力為宗旨,以符合學校衛生人員的真正需要。二、發展健康教育專業人員證照制度,應先澄清健康教育專業人員的角色、任務與能力,讓健康教育工作者能充分瞭解其專業角色與功能,認清其任務,肯定其專業,並發揮專業能力,以提供民眾適切的健康教育服務;而實施在職教育是建立專業證照制度的一部分,推動健康教育人員專業證照制度時,應妥善規畫在職教育方案,提供健康教育人員充分且適切的課程、研習和活動。三、我國健康教育專業證照制度的發展,應由成立專業組織、建立專業標準著手,其次是透過加強專業教育以提升從事健康教育工作人員的專業能力,最後則是推動專業認證工作及辦理在職教育與換證工作。學校衛生法已於民國九十一年二月六日由總統明令公佈施行,顯示學校衛生工作的重要性已受到大家的重視,對推動學校衛生工作更有了法律上的保障。未來政府應進一步推動「健康教育師法」的立法,確立健康教育專業人員的法律地位與權利和義務,做為建立健康教育人員專業證照制度之法源依據,以提供民眾更有保障的健康教育服務。四、因應世界潮流,我國應先建立本土化綜合性健康教育專業證照制度,將來再建立分類健康教育專業證照制度,以提升我國健康教育工作之水準,促進全民健康。 ABSTRACT The main purpose of this study was to investigate the opinions of school health personnel in Taipei Area regarding the health education certification system. The professional role, professional standard,、professional competency, professional education and in-service training as well as their perspectives on establishing the Certification System of Health Education were included in the study. The study was based on 695 questionnaires which were mailed to health education teachers, school health coordinators and school nurses of the primary and junior high schools in 2000 academic year in Taipei Area. With 516 effective questionnaires (74.2%) collected and analyzed. The conclusions of the study were as follows: (1) Most of the school health personnel agreed that it is both significant and necessary to establish the health education certification system, and that it is helpful for promoting school health education. To achieve the 7 major responsibilities of health educator, the school health personnel should foster the competency for job promoting. And job related training program and practical course must be emphasized. (2)There were differences on the opinions regarding the issues of professional role, professional standard,、professional competency and professional education among the school health personnel. There were differences on the opinions regarding health education certification system and in-service training among the school health personnel. (3)There were significant positive correlations on the opinions regarding professional role,、professional standard, professional competency and professional education among the school health personnel. And the opinions of the school health personnel regarding health education certification system were obviously predictable by the variables of individual’s background and his/her opinions toward professionalism. Based on the conclusions, the following recommendations were drawn: (1) The health education certification system should be established as soon as possible. The opinions and demands of the school health personnel need to be considered while establishing the health education certification system. (2)It is necessary to clarify the professional roles, responsibilities and competencies of health educator before establishing the health education certification system. And the implementation of in-service training is a part of the health education certification system. (3) In order to establish the health education certification system, it is necessary to organize a professional organization, to regulate a professional standard, to enhance professional education, and to implement in-service training and certification renewal program. (4) To adapt with the worldwide trend, first of all, the comprehensive health education certification system should be established in the Republic of China. Further on, the certification system is to be classified by perspective field so as to upgrade the quality of health education profession and to promote the public’s health.

    The main purpose of this study was to investigate the opinions of school
    health personnel in Taipei Area regarding the health education certification
    system. The professional role, professional standard,、professional competency,
    professional education and in-service training as well as their perspectives
    on establishing the Certification System of Health Education were included in
    the study.
    The study was based on 695 questionnaires which were mailed to health
    education teachers, school health coordinators and school nurses of the
    primary and junior high schools in 2000 academic year in Taipei Area. With 516
    effective questionnaires (74.2%) collected and analyzed.
    The conclusions of the study were as follows: (1) Most of the school health
    personnel agreed that it is both significant and necessary to establish the
    health education certification system, and that it is helpful for promoting
    school health education. To achieve the 7 major responsibilities of health
    educator, the school health personnel should foster the competency for job
    promoting. And job related training program and practical course must be
    emphasized. (2)There were differences on the opinions regarding the issues of 
    professional role, professional standard,、professional competency and
    professional education among the school health personnel. There were
    differences on the opinions regarding health education certification system
    and in-service training among the school health personnel. (3)There were
    significant positive correlations on the opinions regarding professional role,
    、professional standard, professional competency and professional education
    among the school health personnel. And the opinions of the school health
    personnel regarding health education certification system were obviously
    predictable by the variables of individual’s background and his/her opinions
    toward professionalism.
    Based on the conclusions, the following recommendations
    were drawn: (1) The health education certification system should be established
    as soon as possible. The opinions and demands of the school health personnel
    need to be considered while establishing the health education certification
    system. (2)It is necessary to clarify the professional roles, responsibilities
    and competencies of health educator before establishing the health education
    certification system. And the implementation of in-service training is a part
    of the health education certification system. (3) In order to establish the
    health education certification system, it is necessary to organize a
    professional organization, to regulate a professional standard, to enhance
    professional education, and to implement in-service training and certification
    renewal program. (4) To adapt with the worldwide trend, first of all, the
    comprehensive health education certification system should be established in
    the Republic of China. Further on, the certification system is to be
    classified by perspective field so as to upgrade the quality of health
    education profession and to promote the public’s health.

    第一章 緒論 第一節 研究動機………………………………………………… 1 第二節 研究目的………………………………………………… 5 第三節 研究問題………………………………………………… 6 第四節 研究假設………………………………………………… 6 第五節 名詞定義………………………………………………… 7 第六節 研究限制…………………………………………………10 第二章 文獻探討 第一節 專業、專業制度與專業證照制度………………………11 第二節 美國健康教育相關領域專業證照制度…………………17 第三節 美國健康教育專業人員證照制度………………………28 第四節 健康教育專業人員的七大任務與專業能力……………36 第五節 健康教育專業人員的任務與專業教育…………………44 第三章 研究方法 第一節 研究對象…………………………………………………53 第二節 研究架構…………………………………………………56 第三節 研究工具…………………………………………………57 第四節 資料處理…………………………………………………60 第四章 研究結果、發現與討論 第一節 描述性資料分析…………………………………………61 第二節 對健康教育專業看法之考驗……………………………73 第三節 對證照制度、在職教育看法之考驗……………………89 第四節 對健康教育專業看法相關性考驗 ……………………100 第五節 影響對建立專業證照制度看法之因素 ………………106 第六節 研究發現與討論 ………………………………………115 第五章 結論與建議 第一節 結論 ……………………………………………………121 第二節 建議 ……………………………………………………123 參考文獻 ……………………………………………………………127 附錄一 效度考驗專家名單 ………………………………………134 附錄二 研究問卷 …………………………………………………135

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