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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/123456789/82291
完整後設資料紀錄
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dc.contributor.advisor邱晏麟(Yen-Lin Chiu)
dc.contributor.authorYu-Chen Kuoen
dc.contributor.author郭宇正zh_TW
dc.date.accessioned2022-11-25T06:35:08Z-
dc.date.copyright2021-11-11
dc.date.issued2021
dc.date.submitted2021-09-28
dc.identifier.citation[1] Chicago IL, Accreditation Council for Graduate Medical Education, Outcome Project: General competencies, 2008, http://www.acgme.org. [2] D. T. Stern, 'A framework for medical professionalism,' in Measuring Medical Professionalism. New York, NY: Oxford University Press Inc, 2006, pp. 3-13 [3] M. -J. Ho, K. -H. Yu, D. Hirsh, T. -S. Huang, and P. -C Yang, “Does One Size Fit All? Building a Framework for Medical Professionalism.” Academic Medicine, vol. 86, pp. 1407–1414, 2011. [4] Royal College of Physicians of London, 'Doctors in Society: Medical Professionalism in a Changing World.' in London, UK: Royal College of Physicians of London, 2005. [5] T. J. Wilkinson, W. B. Wade, and L. D. Knock, “A Blueprint to Assess Professionalism: Results of a Systematic Review,” Academic Medicine, vol. 84, 551–558, 2009. [6] M. Cooke, D. M. Irby, B. C. O'Brien, 'Educating Physicians: A Call for Reform of Medical School and Residency,' San Francisco, Calif: Jossey-Bass, 2010. [7] M. A. Hogg, D. J. Terry, and K. M. White, 'A Tale of Two Theories: A Critical Comparison of Identity Theory with Social Identity Theory,' Social Psychology Quarterly, vol. 58, pp. 255–269, 1995. [8] B. Burford, “Group Processes in Medical Education: Learning from Social Identity Theory.” Medical Education, vol. 46, pp. 143–152, 2012. [9] R. L. Cruess, S. R. Cruess, J. D. Boudreau, L. Snell, and Y. Steinert, “Reframing Medical Education to Support Professional Identity Formation.” Academic Medicine, vol. 89, pp. 1446–1451, 2014. [10] J. Crossley and P. Vivekananda-Schmidt, “The development and evaluation of a Professional Self Identity Questionnaire to measure evolving professional self-identity in health and social care students,” Medical Teacher, vol. 31, pp. 603-607, 2009. [11] S. Jarvis-Selinger, D. D. Pratt, and G. Regehr,“Competency Is Not Enough,” Academic Medicine, vol. 87, pp. 1185–1190, 2012. [12] W. B. Swann, Á. Gómez, D. C. Seyle, J. F. Morales, C. Huici, ' Identity fusion: The interplay of personal and social identities in extreme group behavior,' Journal of Personality and Social Psychology, vol. 96, pp. 995–1011, 2009. [13] A. M. Kaplan and M. Haenlein, 'Users of the World, Unite! The Challenges and Opportunities of Social Media,' Business Horizons, vol. 53, pp. 59-68, 2010. [14] Y. -Y. Chen, C. -M. Li, J. -C. Liang, C. -C. Tsai, 'Health Information Obtained From the Internet and Changes in Medical Decision Making: Questionnaire Development and Cross-Sectional Survey,' Journal of medical Internet research, vol. 20, February 2018. [15] Oxford English Dictionary. 2nd ed. Oxford, UK: Clarendon Press, 1989. [16] F. W. Hafferty, 'Professionalism and the socialization of medical students,' In: R. L. Cruess, S. R. Cruess, Y. Steinert, eds. Teaching Medical Professionalism. Cambridge, UK: Cambridge University Press, pp. 53–73, 2009. [17] K. Ludmerer, 'Learning to Heal: The Development of American Medical Education,' New York, NY: Basic Books, 1985. [18] A. Flexner, 'I Remember: The Autobiography of Abraham Flexner,' New York, NY: Simon and Schuster, 1940. [19] A. Flexner, 'Medical Education in the United States and Canada: A Report to the Carnegie Foundation for the Advancement of Teaching,' Bulletin No. 4. Boston, Mass: Updyke, 1910. [20] K. Ludmerer, 'Time to Heal: American Medical Education From the Turn of the Century to the Era of Managed Care,' Oxford, UK: Oxford University Press, 1999. [21] R. K. Merton, 'Some preliminaries to sociology of medical education,' In: Merton R.K. Merton, L.G. Reader, P.L. Kendall, eds. The Student Physician: Introductory Studies in the Sociology of Medical Education. Cambridge, Mass: Harvard University Press, 1957, pp. 3–79. [22] V. L. Vignoles, S. J. Schwartz, K. Luyckx, 'Toward an integrative view of identity,' In: S.J. Schwart , K. Luyckx, V.L. Vignoles, eds. Handbook of Identity Theory and Research. New York, NY:Springer, 2011. [23] J. S. House, 'The three faces of social psychology,' Sociometry, vol. 40, pp. 161–177, 1977. [24] J. E. Cote, C. G. Levine, 'Identity formation, agency and culture: A social psychological synthesis,' New Jersey: Lawrence Erlbaum Associates, 2002. [25] H. Hermans, 'The Dialogical Self: Toward a Theory of Personal and Cultural Positioning,' Culture Psychology, vol. 7, pp. 243-281, 2001. [26] J. Hong, B. Greene, J. Lowery, 'Multiple dimensions of teacher identity development from pre-service to early years of teaching: A longitudinal study,' Journal of Education for Teaching, vol 43, pp. 84-98, 2017. [27] J. Lava, E. Wenger, Situated Learning: Legitimate Peripheral Participation. Cambridge, England: Cambridge University Press, 1991. [28] R. L. Cruess, S. R. Cruess, J. D. Boudreau, L. Snell, Y. Steinert, 'A schematic representation of the professional identity formation and socialization of medical students and residents: a guide for medical educators,' Academic Medicine, vol. 90, pp.718–725, 2015. [29] A. Bandura, Social Learning Theory. Englewood Cliffs, NJ: Prentice–Hall, 1977. [30] L. Côté, and H. Leclère, “How clinical teachers perceive the doctor-patient relationship and themselves as role models,” Academic medicine: journal of the Association of American Medical Colleges, vol. 75, pp. 1117-1124, 2000. [31] D. Sambunjak, S. E. Straus, A. Marusić, 'Mentoring in academic medicine: A systematic review,' JAMA, vol. 296, pp. 1103–1115, 2006. [32] V. B. Skorikov, F. W. Vondracek, 'Occupational identity,' In: S.J. Schwartz, K. Luyckx,V.L. Vignoles, eds. Handbook of Identity Theory and Research. New York, NY: Springer, 2011. [33] M. A. Hogg, E. A. Hardie, 'Social attraction, personal attraction and self-categorization: A field study,' Personality and Social Psychology Bulletin, vol. 17, pp. 175–180, 1991. [34] C. T. Carr, R. A. Hayes, 'Social media: Defining, developing, and divining,' Atlantic Journal of Communication, vol. 23, pp. 46-65, 2015. [35] A. M. Kaplan M. Haenlein, 'The fairyland of Second Life: About virtual social worlds and how to use them. Business The challenges and opportunities of social media,' Business Horizons, vol. 52, pp. 563—572, 2009. [36] OECD, 'Participative web and user-created content: Web 2.0, wikis, and social networking,' Paris: Organisation for Economic Co-operation and Development, 2007. [37] J. Short, E. Williams B. Christie, The Social Psychology of Telecommunications. London: John Wiley Sons, 1976. [38] M. Argyle and J. Dean, 'Eye-Contact, Distance and Affiliation,' Sociometry, vol. 28, pp. 289-304, 1965. [39] C. N. Gunawardena, 'Social Presence Theory and Implications for Interaction and Collaborative Learning in Computer Conferences,' International Jl. of Educational Telecommunications, vol. 1, pp. 147-166, 1995. [40] M. Wiener; A. Mehrabian. Language Within Language: Immediacy, a Channel in Verbal Communication. New York : Appleton-Century-Crofts, 1968. [41] R. L. Daft R. H. Lengel, 'Organizational information requirements, media richness, and structural design,' Management Science, vol. 32, pp. 554-571, 1986. [42] E. Goffman, The presentation of self in everyday life. New York: Doubleday Anchor Books, 1959. [43] H. J. Schau and M. C. Gilly, 'We Are What We Post? Self‐Presentation in Personal Web Space,' Journal of Consumer Research, vol. 30, pp. 385–404, 2003. [44] S. J. Williams and G. Bendelow, The Lived Body: Sociological Themes and Embodied Issues, New York: Routledge, 1998. [45] C. C. Cheston, T. E. Flickinger, M. S. Chisolm, 'Social Media Use in Medical Education: A Systematic Review,' Academic Medicine, vol. 88, pp. 893–901, 2013. [46] M. Sterling, P. Leung, D. Wright, T. F. Bishop, 'The Use of Social Media in Graduate Medical Education: A Systematic Review,' Academic Medicine, vol. 92, pp. 1043–1056, 2017 [47] General Medical Council, 'Doctors’ Use of Social Media,' 2012, http://www.gmc-uk.org/ [48] T. Fenwick, 'Social Media and Medical Professionalism: Rethinking the Debate and the Way Forward,' Academic Medicine, vol. 89, pp. 1331–1334, 2014. [49] B. Bernstein, Pedagogy, symbolic control and identity: theory, research and critique, Lanham, Rowman and Littlefield, 2000. [50] J. Bughin and M. Chui, Evolution of the networked enterprise: McKinsey global survey results, 2013. [51] P. du Gay, Consumption and identity at work. Thousand Oaks, CA: Sage, 1996. [52] S. P. Vallas E. R. Cummins, 'Personal branding and identity norms in the popular business Press: Enterprise culture in an age of precarity,' Organization Studies, vol. 36, pp. 293–319, 2015. [53] J. Beck Michael F. D. Young, 'The assault on the professions and the restructuring of academic and professional identities: a Bernsteinian analysis,' British Journal of Sociology of Education, vol. 26, pp. 183-197, 2005. [54] J. Novakovich, S. Shaw, S. Miah, 'Designing curriculum to shape professional social media skills and identity in virtual communities of practice,' Computers Education, vol. 104, pp. 65-90, 2017. [55] M. Patsarika, 'New capitalism, educational modernisation and the new role of the professional student,' Discourse: Studies in the Cultural Politics of Education, vol. 35, pp. 527-539, 2014. [56] J. Kasperiuniene V. Zydziunaite, 'A systematic literature review on professional identity construction in social media,' SAGE Open, vol. 9, pp. 1-11, 2019. [57] J. E. Stets R. T. Serpe, New directions in identity theory and research. New York, NY: Oxford University Press, 2016. [58] A. Vasalou A. N. Joinson, 'Me, myself and I: The role of interactional context on self-presentation through avatars,' Computers in Human Behavior, vol. 25, pp. 510–520, 2009. [59] C. Greenhow B. Robelia, 'Old communication, new literacies: Social network sites as social learning resources,' Journal of Computer-Mediated Communication, vol. 14, pp. 1130–1161, 2009. [60] K. C. Chretien, S. R. Greyson, J. P. CHretien, T. Kind, 'Online posting of unprofessional content by medical students,' JAMA, vol. 302, pp. 1309–1315, 2009. [61] A. O’Regan, W. H. Smithson, E. Spain, 'Social media and professional identity: pitfalls and potential,' Medical Teacher, vol. 40, pp. 112–116, 2018. [62] E. K. Choo, M. L. Ranney, T. M. Chan, N. S. Trueger, A. E. Walsh, K. Tegtmeyer, S. O. McNamara, R. Y. Choi, C. L. Carroll, 'Twitter as a tool for communication and knowledge exchange in academic medicine: a guide for skeptics and novices,' Medical Teacher, vol. 37, pp. 411–416, 2015. [63] S. R. Cruess, R. L. Cruess and Y. Steinert, 'Supporting the development of a professional identity: General principles,' Medical Teacher, vol. 41, pp. 641–649, 2019. [64] A. H. Eagly, Sex differences in social behavior: A social-role interpretation. Hillsdale, NJ: Erlbaum, 1987. [65] R. Croson, U. Gneezy, 'Gender differences in preferences,' Journal of Economic Literature, vol. 47, pp. 448–474. 2009. [66] C. B. Cadsby, M. Servátka, F. Song, 'How competitive are female professionals? A tale of identity conflict,' Journal of Economic Behavior Organization, vol. 92, pp. 284–303, 2013. [67] M. A. Drupp, M. Khadjavi, M. C. Riekhof, R. Voss, 'Professional identity and the gender gap in risk-taking. Evidence from field experiments with scientists,' Journal of Economic Behavior and Organization, vol. 170, pp. 418-432, 2020. [68] D. Feil, M. Kristian, N. Mitchell, 'Older medical students' performances at McGill University,' Academic Medicine, vol. 73, pp. 98-100, 1998. [69] Y. Zhao, Q. Zhou, J. Li, J. Luan, B. Wang, Y. Zhao, X. Mu, H. Chen, 'Influence of psychological stress and coping styles in the professional identity of undergraduate nursing students after the outbreak of COVID-19: A cross-sectional study in China,' Nursing Open, vol. 00, pp. 1–11, 2021. [70] S. Reis, Work left undone: Choices and compromises of talented females. Mansfield Center, CT: Creative Learning Press, 1999. [71] A. Bandura, Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice–Hall, 1986. [72] A. Bandura, Self-efficacy: The exercise of control. New York: Freeman Company, 1997. [73] C. Day, G. Stobart, P. Sammons, A. Kington, Q. Gu, R. Smees, T. Mujtaba, Variations in teachers’ work, lives and effectiveness. Final report for the VITAE Project, DfES, 2006. [74] G. Kelchtermans, 'Who I am in how I teach is the message: Self-understanding, vulnerability and reflection,' Teachers and Teaching, vol. 15, pp. 257–272, 2009. [75] E. T. Canrinus, M. Helms-Lorenz, D. Beijaard, J. Buitink, A. Hofman, 'Self-efficacy, job satisfaction, motivation and commitment: exploring the relationships between indicators of teachers’ professional identity,' European Journal of Psychology of Education, vol. 27, pp. 115–132, 2012. [76] A. Comrey H. Lee, A first course in factor analysis. Hillsdale, NJ: Erlbaum, 1992. [77] J. Nunnally, Psychometric Theory (2nd Ed.). New York : McGraw-Hill, 1978. [78] B. G. Tabachnick, L. S. Fidell, S. J. Osterlind, Using multivariate statistics. New York: Pearsons, 2001. [79] A. Bryman, and D. Cramer, Quantitative Data Analysis with SPSS for Windows: a guide for Social Scientists. London: Routledge, 1997. [80] D. A. Belsley, 'A Guide to Using the Collinearity Diagnostics,' Computer Science in Economics and Management, vol. 4, pp. 33-50, 1991. [81] 各醫事院校103~107學年度畢業學生數,附錄1,https://www.tma.tw/stats/files/2019/%E9%99%84%E9%8C%841.pdf [82] 台灣各縣市醫師公會2019年底會員數,表1,https://www.tma.tw/stats/files/2019/%E8%A1%A81.pdf [83] H. Rodman, 'Marital Power and the Theory of Resource in Culture Context,' Journal of Comparative Family Studies, vol. 3, pp. 50-67, 1972. [84] 呂玉瑕,伊慶春,社會變遷中的夫妻資源與家務分工:台灣七○年代與九○年代社會文化脈絡的比較,台灣社會學,第十期,頁 41-94,2005年12月。 [85] F. T. McAndrew, H. S. Jeong, 'Who does what on Facebook? Age, sex, and relationship status as predictors of Facebook use,' Computers in Human Behavior, vol. 28, pp. 2359–2365, 2012. [86] S. Manca, M. Ranieri, '“Yes for sharing, no for teaching!”: Social Media in academic practices,' Internet and Higher Education, vol. 29, pp. 63–74, 2016. [87] T. V. Lelo, 'The precarization of work conditions of journalists in Sao Paulo segmented by age groups: a professional identity at risk?' Tempo social, vol. 32, pp. 243-261, 2019. [88] M. B. Brewer, 'The psychology of prejudice: Ingroup love or outgroup hate?' Journal of Social Issues, vol. 55, pp. 429–444, 1999. [89] J. M. Kaczmarczyk, A. Chuang, L. Dugoff, J. F. Abbott, A. J. Cullimore, J. Dalrymple, K. R. Davis, N. A. Hueppchen, N. T. Katz, F. S. Nuthalapaty, A. Pradhan, A. Wolf P. M. Casey, “e-Professionalism: A New Frontier in Medical Education,” Teaching and Learning in Medicine, vol. 25, pp. 165-170, 2013. [90] D. P. Sklar, “Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement,” Academic Medicine, vol. 92, pp. 891–894, 2017. [91] M. Rafla, N. J. Carson, and S. M. DeJong, “Adolescents and the Internet: What Mental Health Clinicians Need to Know,” Current Psychiatry Reports, vol. 16, pp. 472-482, 2014.
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/82291-
dc.description.abstract"1910年弗萊克斯納報告列出認同形成對醫學教育的重要性。2010年卡內基報告提出教導醫學專業素養的目標,有助於學生發展自己的專業認同,而致力於教導醫學專業素養的最終結果,就是達成專業認同的萌芽及發展。Web 2.0及使用者原創內容,造就了社群媒體能夠普及並受世人重視的兩大因素,近兩年來,全球深受COVID-19疫情的影響,卻造就了社群媒體的蓬勃發展,然而過去的研究鮮少探討社群媒體對於醫師專業認同的影響,本研究旨在於探討社群媒體與醫師專業認同的關係,希望能找出醫師專業認同的影響因素。 本研究為橫斷式問卷調查,於台大醫院針對符合條件之畢業後一般醫學訓練醫師進行收案。研究工具包含個人基本資料表、醫療問題解決方法量表、自我及群體交疊量表、以及專業自我認同量表。以推論統計,包括獨立樣本t檢定、變異數分析、相關分析,不同背景變項在醫師專業認同的差異,以及各主要變項的相關情形;醫療問題解決方法量表,經由探索性因素分析,萃取出社群媒體醫療問題資訊來源,共5題。之後,以同時迴歸分析檢定醫師專業認同之重要影響因子。 本研究共收集有效問卷245份,研究對象的平均年齡為25.68(SD = 1.39),而男女人數分別為155人(63.3%)和90人(36.7%)。研究結果發現醫師專業認同平均得分為12.73(SD = 5.42),經點二系列相關分析性別(r = 0.228, p < 0.001)與醫師專業認同顯著相關,皮爾森積差相關分析顯示年齡(r = 0.144, p = 0.024)、學習醫學的信心(r = 0.235, p < 0.001)、社群媒體醫療問題資訊來源(r = 0.18, p = 0.005)與醫師專業認同有顯著相關。同時回歸分析結果顯示性別(β = 0.161, p = 0.013)、學習醫學的信心(β = 0.250, p = 0.002)、社群媒體醫療問題資訊來源(β = 0.145, p = 0.023)顯著正向影響醫師專業認同。本研究結果顯示,加強醫師對社群媒體的學習及應用,有助於專業認同的提升。"zh_TW
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dc.description.tableofcontents口試委員會審定書 i 謝辭 ii 中文摘要 iii 英文摘要 iv 目錄 vi 表目錄 viii 圖目錄 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 4 第三節 研究問題 4 第四節 名詞釋義 5 第二章 文獻探討 7 第一節 專業認同之理論及相關研究 7 第二節 社群媒體之理論及相關研究 15 第三節 專業認同與社群媒體之關聯性 19 第四節 人口學特性及其他因素與專業認同之關聯性 23 第五節 總結 26 第三章 研究方法 27 第一節 研究設計 27 第二節 研究架構 27 第三節 研究對象與場所 28 第四節 倫理考量 28 第五節 研究工具 29 第六節 研究程序 31 第七節 資料分析方法 31 第四章 研究結果 33 第一節 研究對象之基本資料 33 第二節 探索式因素分析與信度估計 35 第三節 醫師專業認同之相關性分析 45 第四節 人口學變項與醫師專業認同之差異比較 48 第五節 醫師專業認同的重要預測因子 51 第五章 討論 56 第一節 人口學特性與醫師專業認同之關係 56 第二節 學習醫學的興趣、信心與醫師專業認同之關係 59 第三節 自我及群體交疊與醫師專業認同之關係 59 第四節 社群媒體與醫師專業認同之關係 61 第六章 結論、建議與研究限制 64 第一節 結論 64 第二節 研究限制 65 第三節 研究建議 66 參考文獻 68 附錄 78 附錄一 78 附錄二 80 附錄三 81
dc.language.isozh-TW
dc.subject醫療資訊zh_TW
dc.subject社群媒體zh_TW
dc.subject醫師專業認同zh_TW
dc.subjectsocial mediaen
dc.subjectprofessional identityen
dc.subjectmedical informationen
dc.title探討醫師專業認同的影響因素 - 社群媒體的角色zh_TW
dc.titleInfluence Factors toward Physicians’ Professional Identity: The role of Social Mediaen
dc.date.schoolyear109-2
dc.description.degree碩士
dc.contributor.oralexamcommittee黃天祥(Hsin-Tsai Liu),陳彥元(Chih-Yang Tseng)
dc.subject.keyword社群媒體,醫師專業認同,醫療資訊,zh_TW
dc.subject.keywordsocial media,professional identity,medical information,en
dc.relation.page82
dc.identifier.doi10.6342/NTU202103253
dc.rights.note未授權
dc.date.accepted2021-09-28
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
dc.date.embargo-lift2023-09-24-
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