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  1. NTU Theses and Dissertations Repository
  2. 醫學院
  3. 醫學教育暨生醫倫理學科所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/79385
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor陳彥元(Yen-Yuan Chen)
dc.contributor.authorYu-Ting Tsaoen
dc.contributor.author曹玉婷zh_TW
dc.date.accessioned2022-11-23T08:59:23Z-
dc.date.available2021-11-03
dc.date.available2022-11-23T08:59:23Z-
dc.date.copyright2021-11-03
dc.date.issued2021
dc.date.submitted2021-10-26
dc.identifier.citationFlexner A. Medical education in the United States and Canada. From the Carnegie Foundation for the Advancement of Teaching, Bulletin Number Four, 1910. B World Health Organ. 2002;80(7):594-602. 醫學院評鑑委員會醫學教育品質認證準則2020版. https://www.heeact.edu.tw/38105/38112/38113/40731/ Hofer BK, Pintrich PR. The Development of Epistemological Theories: Beliefs About Knowledge and Knowing and Their Relation to Learning. Rev Educ Res. 1997;67(1):88-140. doi:10.3102/00346543067001088 Hofer BK. Dimensionality and Disciplinary Differences in Personal Epistemology. Contemp Educ Psychol. 2000;25(4):378-405. doi:10.1006/ceps.1999.1026 Buehl MM, Alexander PA. Motivation and Performance Differences in Students’ Domain-Specific Epistemological Belief Profiles. Am Educ Res J. 2005;42(4):697-726. doi:10.3102/00028312042004697 Schommer M. Synthesizing epistemological belief research: Tentative understandings and provocative confusions. Educ Psychol Rev. 1994;6(4):293-319. doi:10.1007/bf02213418 Mason L, Boscolo P, Tornatora MC, Ronconi L. Besides knowledge: a cross-sectional study on the relations between epistemic beliefs, achievement goals, self-beliefs, and achievement in science. Instructional Science. 2012;41(1):49-79. doi:10.1007/s11251-012-9210-0 Cano F. Epistemological beliefs and approaches to learning: Their change through secondary school and their influence on academic performance. Brit J Educ Psychol. 2005;75(2):203-221. doi:10.1348/000709904x22683 Muis KR, Bendixen LD, Haerle FC. Domain-Generality and Domain-Specificity in Personal Epistemology Research: Philosophical and Empirical Reflections in the Development of a Theoretical Framework. Educational Psychology Review. 2006;18(1):3-54. doi:10.1007/s10648-006-9003-6 Knight LV, Mattick K. ‘When I first came here, I thought medicine was black and white’: Making sense of medical students’ ways of knowing. Soc Sci Med. 2006;63(4):1084-1096. doi:10.1016/j.socscimed.2006.01.017 Lin Y-C, Liang J-C, Tsai C-C. The Relationships Between Epistemic Beliefs in Biology and Approaches to Learning Biology Among Biology-Major University Students in Taiwan. J Sci Educ Technol. 2012;21(6):796-807. doi:10.1007/s10956-012-9367-y Schommer-Aikins M, Duell OK, Barker S. Epistemological Beliefs Across Domains Using Biglan’s Classification of Academic Disciplines. RHEJ. Published online March 31, 2003:1-20. Muis KR, Franco GM. Epistemic beliefs: Setting the standards for self-regulated learning. Contemp Educ Psychol. 2009;34(4):306-318. doi:10.1016/j.cedpsych.2009.06.005 Eastwood JL, Koppelman-White E, Mi M, Wasserman JA, III EFK, Joyce B. Epistemic cognition in medical education: a literature review. Int J Medical Educ. 2017;8:1-12. doi:10.5116/ijme.5849.bfce Schommer M. Epistemological Development and Academic Performance Among Secondary Students. J Educ Psychol. 1993;85(3):406-411. doi:10.1037/0022-0663.85.3.406 Lee WWS, Chan CKK. Relationships Among Epistemic Beliefs, Perception of Learning Environment, Study Approaches and Academic Performance: A Longitudinal Exploration with 3P Model. Asia-pacific Educ Res. 2018;27(4):267-276. doi:10.1007/s40299-018-0384-3 Greene JA, Cartiff BM, Duke RF. A Meta-Analytic Review of the Relationship Between Epistemic Cognition and Academic Achievement. J Educ Psychol. 2018;110(8):1084-1111. doi:10.1037/edu0000263 Chiu Y-L, Liang J-C, Hou C-Y, Tsai C-C. Exploring the relationships between epistemic beliefs about medicine and approaches to learning medicine: a structural equation modeling analysis. Bmc Med Educ. 2016;16(1):181. doi:10.1186/s12909-016-0707-0 Roex A, Clarebout G, Dory V, Degryse J. Can ill-structured problems reveal beliefs about medical knowledge and knowing? A focus-group approach. Bmc Med Educ. 2009;9(1):62-62. doi:10.1186/1472-6920-9-62 Marshall D, Summer M, Woolnough B. Students’ conceptions of learning in an engineering context. High Educ. 1999;38(3):291-309. doi:10.1023/a:1003866607873 Tsai C. Conceptions of learning science among high school students in Taiwan: a phenomenographic analysis. Int J Sci Educ. 2004;26(14):1733-1750. doi:10.1080/0950069042000230776 Lee M, Johanson RE, Tsai C. Exploring Taiwanese high school students’ conceptions of and approaches to learning science through a structural equation modeling analysis. Sci Educ. 2008;92(2):191-220. doi:10.1002/sce.20245 Lonka K, Joram E, Bryson M. Conceptions of Learning and Knowledge: Does Training Make a Difference? Contemp Educ Psychol. 1996;21(3):240-260. doi:10.1006/ceps.1996.0021 Eklund-Myrskog G. Students’ conceptions of learning in different educational contexts. High Educ. 1998;35(3):299-316. doi:10.1023/a:1003145613005 Tsai C-C. Biological knowledge is more tentative than physics knowledge: Taiwan high school adolescents’ views about the nature of biology and physics. Adolescence. 2006;41(164):691-703. ROSSUM EJ, SCHENK SM. The Relationship between Learning Conception, Study Strategy and Learning Outcome. Brit J Educ Psychol. 1984;54(1):73-83. doi:10.1111/j.2044-8279.1984.tb00846.x Peterson ER, Brown GTL, Irving SE. Secondary school students’ conceptions of learning and their relationship to achievement. Learn Individ Differ. 2010;20(3):167-176. doi:10.1016/j.lindif.2009.12.004 MARTON F, SÄLJÖ R. On Qualitative Differences in Learning: I—Outcome and Process. Brit J Educ Psychol. 1976;46(1):4-11. doi:10.1111/j.2044-8279.1976.tb02980.x Chin C, Brown DE. Learning in Science: A Comparison of Deep and Surface Approaches. J Res Sci Teach. 2000;37(2):109-138. doi:10.1002/(sici)1098-2736(200002)37:2<109::aid-tea3>3.0.co;2-7 Asikainen H, Gijbels D. Do Students Develop Towards More Deep Approaches to Learning During Studies? A Systematic Review on the Development of Students’ Deep and Surface Approaches to Learning in Higher Education. Educ Psychol Rev. 2017;29(2):205-234. doi:10.1007/s10648-017-9406-6 Kember D, Biggs J, Leung DYP. Examining the multidimensionality of approaches to learning through the development of a revised version of the Learning Process Questionnaire. Brit J Educ Psychol. 2004;74(2):261-279. doi:10.1348/000709904773839879 Warren L. Is the university system in Australia producing deep thinkers? Australian Universities’ review. 2015;57(2):54-59. Watkins D, Hattie J. A longitudinal study of the approaches to learning of Australian tertiary students. Human Learning: Journal of Practical Research Applications. 1985;4(2):127–141. Dolmans DHJM, Loyens SMM, Marcq H, Gijbels D. Deep and surface learning in problem-based learning: a review of the literature. Adv Health Sci Educ. 2016;21(5):1087-1112. doi:10.1007/s10459-015-9645-6 Ward PJ. First year medical students’ approaches to study and their outcomes in a gross anatomy course. Clin Anat. 2011;24(1):120-127. doi:10.1002/ca.21071 Snelgrove S, Slater J. Approaches to learning: psychometric testing of a study process questionnaire. J Adv Nurs. 2003;43(5):496-505. doi:10.1046/j.1365-2648.2003.02747.x Hassall T, Joyce J. Approaches to learning of management accounting students. Educ Train. 2001;43(3):145-153. doi:10.1108/00400910110394071 Chiu Y-C, Liang J-C, Hsu H-Y, et al. To examine the associations between medical students’ conceptions of learning, strategies to learning, and learning outcome in a medical humanities course. Bmc Med Educ. 2019;19(1):410. doi:10.1186/s12909-019-1856-8 Mattick K, Dennis I, Bligh J. Approaches to learning and studying in medical students: validation of a revised inventory and its relation to student characteristics and performance. Med Educ. 2004;38(5):535-543. doi:10.1111/j.1365-2929.2004.01836.x Chiou G-L, Liang J-C, Tsai C-C. Undergraduate Students’ Conceptions of and Approaches to Learning in Biology: A study of their structural models and gender differences. Int J Sci Educ. 2012;34(2):167-195. doi:10.1080/09500693.2011.558131 McManus IC, Richards P, Winder BC, Sproston KA. Clinical experience, performance in final examinations, and learning style in medical students: prospective study. Bmj. 1998;316(7128):345. doi:10.1136/bmj.316.7128.345 Reid WA, Duvall E, Evans P. Relationship between assessment results and approaches to learning and studying in Year Two medical students. Med Educ. 2007;41(8):754-762. doi:10.1111/j.1365-2923.2007.02801.x Liang J-C, Chen Y-Y, Hsu H-Y, Chu T-S, Tsai C-C. The relationships between the medical learners’ motivations and strategies to learning medicine and learning outcomes. Med Educ Online. 2018;23(1):1497373. doi:10.1080/10872981.2018.1497373 Hofer BK. Epistemological Beliefs and First-Year College Students: Motivation and Cognition in Different Instructional Contexts. Annual Meeting of the American Psychological Association. Published online 1994. DeBacker TK, Crowson HM. Influences on cognitive engagement: Epistemological beliefs and need for closure. Brit J Educ Psychol. 2006;76(3):535-551. doi:10.1348/000709905x53138 Pajares F. Self-Efficacy Beliefs in Academic Settings. Rev Educ Res. 1996;66(4):543-578. doi:10.3102/00346543066004543 Kizilgunes B, Tekkaya C, Sungur S. Modeling the Relations Among Students’ Epistemological Beliefs, Motivation, Learning Approach, and Achievement. J Educ Res. 2009;102(4):243-256. doi:10.3200/joer.102.4.243-256 Dart BC, Burnett PC, Purdie N, Boulton-Lewis G, Campbell J, Smith D. Students’ Conceptions of Learning, the Classroom Environment, and Approaches to Learning. J Educ Res. 2010;93(4):262-270. doi:10.1080/00220670009598715 Liang J-C, Su Y-C, Tsai C-C. The Assessment of Taiwanese College Students’ Conceptions of and Approaches to Learning Computer Science and Their Relationships. Asia-pacific Educ Res. 2015;24(4):557-567. doi:10.1007/s40299-014-0201-6 Ho H-NJ, Liang J-C. The Relationships Among Scientific Epistemic Beliefs, Conceptions of Learning Science, and Motivation of Learning Science: A study of Taiwan high school students. Int J Sci Educ. 2015;37(16):2688-2707. doi:10.1080/09500693.2015.1100346 Evans M. Reflections on the humanities in medical education. Med Educ. 2002;36(6):508-513. doi:10.1046/j.1365-2923.2002.01225.x Wald HS, McFarland J, Markovina I. Medical humanities in medical education and practice. Med Teach. 2018;41(5):1-5. doi:10.1080/0142159x.2018.1497151 Shapiro J, Coulehan J, Wear D, Montello M. Medical Humanities and Their Discontents: Definitions, Critiques, and Implications. Acad Med. 2009;84(2):192-198. doi:10.1097/acm.0b013e3181938bca Mangione S, Chakraborti C, Staltari G, et al. Medical Students’ Exposure to the Humanities Correlates with Positive Personal Qualities and Reduced Burnout: A Multi-Institutional U.S. Survey. J Gen Intern Med. 2018;33(5):628-634. doi:10.1007/s11606-017-4275-8 Wachtler C, Lundin S, Troein M. Humanities for medical students? A qualitative study of a medical humanities curriculum in a medical school program. Bmc Med Educ. 2006;6(1):16. doi:10.1186/1472-6920-6-16 Graham J, Benson LM, Swanson J, Potyk D, Daratha K, Roberts K. Medical Humanities Coursework Is Associated with Greater Measured Empathy in Medical Students. Am J Medicine. 2016;129(12):1334-1337. doi:10.1016/j.amjmed.2016.08.005 Ousager J, Johannessen H. Humanities in Undergraduate Medical Education colon; A Literature Review. Acad Med. 2010;85(6):988-998. doi:10.1097/acm.0b013e3181dd226b Hundleby JD, Nunnally J. Psychometric Theory. Am Educ Res J. 1968;5(3):431. doi:10.2307/1161962 Comrey AL, Lee HB. A First Course in Factor Analysis. Published online 1992. doi:10.4324/9781315827506 Winter∗ JCF de, Dodou∗ D, Wieringa PA. Exploratory Factor Analysis With Small Sample Sizes. Multivar Behav Res. 2009;44(2):147-181. doi:10.1080/00273170902794206 Kienhues D, Bromme R. Exploring laypeople’s epistemic beliefs about medicine - a factor-analytic survey study. Bmc Public Health. 2012;12(1):759. doi:10.1186/1471-2458-12-759 Scharrer L, Stadtler M, Bromme R. You’d Better Ask an Expert: Mitigating the Comprehensibility Effect on Laypeople’s Decisions About Science‐Based Knowledge Claims. Appl Cognitive Psych. 2014;28(4):465-471. doi:10.1002/acp.3018 Conley AM, Pintrich PR, Vekiri I, Harrison D. Changes in epistemological beliefs in elementary science students. Contemp Educ Psychol. 2004;29(2):186-204. doi:10.1016/j.cedpsych.2004.01.004 Liang J-C, Lee M-H, Tsai C-C. The Relations Between Scientific Epistemological Beliefs and Approaches to Learning Science Among Science-Major Undergraduates in Taiwan. The Asia-Pacific Education Researcher. Published online 2010. doi:10.3860/taper.v19i1.1508 Paul P, Pennell ML, Lemeshow S. Standardizing the power of the Hosmer–Lemeshow goodness of fit test in large data sets. Stat Med. 2013;32(1):67-80. doi:10.1002/sim.5525 Zweig MH, Campbell G. Receiver-operating characteristic (ROC) plots: a fundamental evaluation tool in clinical medicine. Clin Chem. 1993;39(4):561-577. Buehl MM, Alexander PA. Beliefs About Academic Knowledge. Educ Psychol Rev. 2001;13(4):385-418. doi:10.1023/a:1011917914756 MUIS KR. The Role of Epistemic Beliefs in Self-Regulated Learning. Educ Psychol. 2007;42(3):173-190. doi:10.1080/00461520701416306 Yardley S, Teunissen PW, Dornan T. Experiential learning: Transforming theory into practice. Med Teach. 2012;34(2):161-164. doi:10.3109/0142159x.2012.643264 Zeyer A, Çetin‐Dindar A, Zain ANM, Juriševič M, Devetak I, Odermatt F. Systemizing: A cross‐cultural constant for motivation to learn science. J Res Sci Teach. 2013;50(9):1047-1067. doi:10.1002/tea.21101 Osborne J, Simon S, Collins S. Attitudes towards science: A review of the literature and its implications. Int J Sci Educ. 2003;25(9):1049-1079. doi:10.1080/0950069032000032199 Baron-Cohen S, Knickmeyer RC, Belmonte MK. Sex Differences in the Brain: Implications for Explaining Autism. Science. 2005;310(5749):819-823. doi:10.1126/science.1115455 Billington J, Baron-Cohen S, Wheelwright S. Cognitive style predicts entry into physical sciences and humanities: Questionnaire and performance tests of empathy and systemizing. Learn Individ Differ. 2007;17(3):260-268. doi:10.1016/j.lindif.2007.02.004 Kidron R, Kaganovskiy L, Baron-Cohen S. Empathizing-systemizing cognitive styles: Effects of sex and academic degree. Plos One. 2018;13(3):e0194515. doi:10.1371/journal.pone.0194515
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/79385-
dc.description.abstract"「醫學人文」是在醫學教育範疇內一個重要領域,研究顯示,接觸醫學人文可幫助醫師、醫學生來應對壓力、減少倦怠,培養韌性和促進幸福感。學生的「知識信念」,也就是學生如何看待知識、獲取知識、建構自己的知識體系,會影響學生的學習成效、學習方法,包含他們的學習動機。本研究以問卷調查為基礎,使用修改後的醫學知識信念量表,研究對象為台大醫學院醫學人文課程的一年級學生。以學生參與醫學人文課程的體驗式學習活動次數多寡來表示其具有深度學習動機(參與次數多,致力於學習)或淺層學習動機(參與次數少,以合格為目標)。以探索性因素分析驗證本研究問卷的建構效度,並計算Cronbach’s α值以檢驗每個構面的內部一致性信度。以獨立樣本t檢定、卡方檢定,及多變數邏輯回歸分析等統計方法,探討學生的知識信念、科系、性別,與學習動機之關聯。本研究共收集172份有效問卷,其中130位參與者是醫學系學生(75.58%),42位參與者是非醫學系學生(24.42%),有110位是男性(63.95%),62位是女性。研究結果發現,與非醫學系學生相比,醫學系學生更不可能具有深度學習動機(調整勝算比= 0.29, p = 0.02),對醫學知識的確定性抱持簡單信念者,更不可能具有深度學習動機(調整勝算比= 0.43, p = 0.04),對醫學專家的可性度抱持簡單信念者,更可能具有深度學習動機(調整勝算比= 2.30, p = 0.01)。男醫學生比女醫學生更不可能具有深度學習動機(調整勝算比= 0.26, p = 0.01)。本研究的貢獻在於驗證醫學知識信念問卷之信效度,可提供日後相關研究使用,並發現在醫學人文課程,學生的知識信念、科系,與性別,都是學習動機的影響因子,建議第一線教師及課程制定者,能留意這些因素在醫學人文教育中的角色,營造合適的教學環境,深化學生對醫學人文的學習動機。"zh_TW
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dc.description.tableofcontents口試委員審定書 ...................................................... i 謝辭 ............................................................... ii 中文摘要 .......................................................... iii 英文摘要 ........................................................... iv 表目錄 ............................................................. ix 第一章 緒論 ......................................................... 1 第一節 研究背景與重要性............................................ 1 第二節 研究動機.................................................... 1 第三節 研究目的與問題.............................................. 3 第二章 文獻探討 ..................................................... 4 第一節 知識論與知識信念............................................ 4 第二節 知識信念的理論演進與構面.................................... 4 第三節 知識信念與學門領域的關聯性.................................. 5 第四節 知識信念與學習成效之關聯性.................................. 6 第五節 學習概念的理論演進.......................................... 7 第六節 學習方法的理論演進.......................................... 9 第七節 知識信念、學習概念、學習方法之間的關聯..................... 12 第八節 醫學人文的涵蓋面向與重要性................................. 14 第九節 醫學人文教育的相關研究..................................... 15 第三章 研究方法 .................................................... 17 第一節 研究設計................................................... 17 第二節 研究工具................................................... 18 第三節 結果測量................................................... 21 第四節 統計分析方法............................................... 22 第五節 研究倫理................................................... 23 第四章 研究結果與分析 .............................................. 24 第一節 參與者基本背景描述......................................... 24 第二節 研究問卷之建構效度與內部一致性信度檢驗..................... 24 第三節 醫學系學生與非醫學系學生在醫學知識信念之差異比較........... 29 第四節 學生就讀科系與學習動機之關聯性............................. 30 第五節 學生性別與學習動機之關聯性................................. 31 第六節 醫學知識信念與學習動機之關係............................... 31 第七節 科系、性別與醫學知識信念對學習動機之預測模型............... 34 第八節 醫學系學生之性別與醫學知識信念對學習動機之預測模型......... 35 第五章 討論 ........................................................ 37 第一節 量測學生對醫學的知識信念................................... 37 第二節 醫學生與非醫學生的知識信念................................. 37 第三節 知識信念與醫學人文學習動機之關聯........................... 38 第四節 科系與醫學人文學習動機之關聯............................... 39 第五節 性別與醫學人文學習動機的關係............................... 40 第六節 研究限制................................................... 41 第六章 結論與建議 .................................................. 42 第一節 學生的知識信念與學習動機有部份相關......................... 42 第二節 性別與醫學人文學習動機有顯著相關........................... 42 第三節 本研究對醫學教育的貢獻..................................... 42 參考文獻 ........................................................... 44 附錄 ............................................................... 55 附錄一 醫學知識信念問卷 .......................................... 55
dc.language.isozh-TW
dc.title醫學人文學習動機之影響因素:科系、性別與知識信念zh_TW
dc.title"The Factors Associated with the Motivation to Learning Medical Humanities: Major, Gender, and Epistemic Beliefs"en
dc.date.schoolyear109-2
dc.description.degree碩士
dc.contributor.advisor-orcid陳彥元(0000-0003-4924-9053)
dc.contributor.oralexamcommittee黃天祥(Hsin-Tsai Liu),陳慧玲(Chih-Yang Tseng),邱晏麟
dc.subject.keyword知識信念,學習動機,醫學人文,性別,zh_TW
dc.subject.keywordEpistemic beliefs,Motivation to learning,Medical humanities,Gender,en
dc.relation.page56
dc.identifier.doi10.6342/NTU202104090
dc.rights.note同意授權(全球公開)
dc.date.accepted2021-10-26
dc.contributor.author-college醫學院zh_TW
dc.contributor.author-dept醫學教育暨生醫倫理研究所zh_TW
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