衛生教育的新策略－學習檔案

Learning Portfolio: A New Strategy in Health Education

10.6224/JN.62.6.105

鄭怡娟(Yi-Chuan Cheng)；陳慶如(Ching-Ju Chen)；張瑜珊(Yu-Shan Chang)；黃立琪(Li-Chi Huang)

衛生教育 ； 學習檔案 ； health education ； learning portfolio

護理雜誌

62卷6期（2015 / 12 / 01）

105 - 111

繁體中文

衛生教育是專業人員經由教學，提供人們健康照護的相關知識與技能，進而達到自我疾病管理及健康維護的能力。本文將介紹一種衛生教育的新策略：學習檔案，其理論依據及功用，發揮於學校教育和衛生教育的現況。學習檔案是以學習者個人為中心，有系統及有組織的收集學習者學習過程的證據。教學者可藉由學習檔案察知學習者的學習需要和情境，學習者也藉由自己的學習歷程，產生自我反思，使學習者在學習過程中不斷的檢視及修正學習行為，並增強對新知的學習動機與提升照護信心，達成學習任務。

Health education is the teaching by healthcare professionals of healthcare-related knowledge and skills to students in order that these students learn to help patients self-manage their disease and maintain health. This article introduces a new strategy in health education known as the learning portfolio and presents the theoretical basis and function of the learning portfolio and the current application of this approach in academic and health education. The learning portfolio is a learner-centric approach that collects evidence related to an individual's learning process systematically. This approach helps educators understand learner needs and conditions, while allowing the learner to observe his/her learning process in a manner that promotes self-reflection, continual inspection, and behavioral modification throughout the learning process. The results enhance the motivation of learners and strengthen their care confidence in accomplishing learning tasks.

1. 黃金蓮, C. L.,車慧蓮, H. L.,葉美玉, M. Y.(2010)。賦能病人教育與護理指導：文獻回顧。醫護科技期刊，12(2)，149-159。
   連結：
2. 蔡淳娟, T. C.,邱文達, W. T.,王先震, H. J.,連吉時, G. S.,粟發滿, F. M.,郭雲鼎, Y. T.,徐明義, M. I.(2008)。學習歷程檔案於醫學生臨床教育之初期使用經驗。醫學教育，12(1)，8-19。
   連結：
3. Alotaibi, F. S.(2012).Implementing portfolio in postgraduate general practice training. Benefits and recommendations.Saudi Medical Journal,33(10),1053-1058.
4. Buckley, S.,Coleman, J.,Davison, I.,Khan, K. S.,Zamora, J.,Malick, S.,Sayers, J.(2009).The educational effects of portfolios on undergraduate student learning: A best evidence medical education (BEME) systematic review. BEME Guide No. 11.Medical Teacher,31(4),282-298.
5. Buckley, S.,Coleman, J.,Khan, K.(2010).Best evidence on the educational effects of undergraduate portfolios.The Clinical Teacher,7(3),187-191.
6. Cangelosi, P. R.(2008).Learning portfolios: Giving meaning to practice.Nurse Educator,33(3),125-127.
7. Cockcroft, S.(2012).How can family centered care be improved to meet the needs of parents with a premature baby in neonatal intensive care?.Journal of Neonatal Nursing,18(3),105-110.
8. Coffey, A.(2005).The clinical learning portfolio: A practice development experience in gerontological nursing.Journal of Clinical Nursing,14(2, Suppl.),75-83.
9. Finlay, I. G.,Maughan, T. S.,Webster, D. J. T.(1998).A randomized controlled study of portfolio learning in undergraduate cancer education.Medical Education,32(2),172-176.
10. Gathercole, S. E.,Baddeley, A. D.(2014).Working memory and language processing.New York, NY:Psychology Press.
11. Hayes, B.,Engelke, H.,Stielstra, S.,Kachani, M.(2014).Assessment of knowledge, attitudes, and beliefs of health professional students on one health after completion of an interprofessional education course.Medical Science Educator,24(4),369-378.
12. Jenkins, L. S.(2014).Stellenbosch University.
13. Keegan, D.(Ed.)(1993).Theoretical principles of distance education.New York, NY:Routledge.
14. Knowles, M. S.,Holton, E. F., III.,Swanson, R. A.(2012).The adult learner.New York, NY:Routledge.
15. Mann, K. V.(2011).Theoretical perspectives in medical education: Past experience and future possibilities.Medical Education,45(1),60-68.
16. Marghan, T. S.,Finlay, I. G.,Webster, D. J.(2001).Portfolio learning with cancer patients: An integrated module in undergraduate medical education.Clinical Oncology,13(1),44-49.
17. Peterson, J. C.,Link, A. R.,Jobe, J. B.,Winston, G. J.,Klimasiewfski, E. M.,Allegrante, J. P.(2014).Developing self-management education in coronary artery disease.Heart & Lung: The Journal of Acute and Critical Care,43(2),133-139.
18. Smith, F.,Carlsson, E.,Kokkinakis, D.,Forsberg, M.,Kodeda, K.,Sawatzky, R.,Öhlén, J.(2014).Readability, suitability and comprehensibility in patient education materials for Swedish patients with colorectal cancer undergoing elective surgery: A mixed method design.Patient Education and Counseling,94(2),202-209.
19. Tahriri, A.,Sabet, M. K.,Aeineh, A.(2014).The effect of portfolio assessment on learning idioms in writing.International Journal of Education and Literacy Studies,2(2),53-57.
20. Tillema, H. H.(1998).Design and validity of a portfolio instrument for professional training.Studies in Educational Evaluation,24(3),263-278.
21. Volders, E.,Tweedie, J.,Anderson, A.(2010).Advancements in nutrition and dietetics teaching and learning: Evaluation of the student portfolio.Nutrition & Dietetics,67(2),112-116.
22. Washington, O. G.,Moxley, D. P.(2004).Using scrapbooks & portfolios in group work with women who are chemically dependent.Journal of Psychosocial Nursing and Mental Health Services,42(6),42-53.
23. Williams, S. C.,Davis, M. L.,Metcalf, D.,Covington, V. M.(2003).The evolution of a process portfolio as an assessment system in a teacher education program.Current Issues in Education,6(1),1-16.
24. 吳若己, R. J.(2005)。Taiwan, ROC，國立高雄師範大學成人教育研究所=National Kaohsiung Normal University。
25. 宋佩宜, P. Y.,王桂芸, K. Y.(2009)。病人教育成效之影響因素及其改善策略。源遠護理，3(2)，23-29。
26. 周新富, H. F.(2009).學習檔案.臺北市=Taipei City, Taiwan, ROC:五南=Wunan Books.
27. 賴瑞玉, R. Y.(2011)。Taiwan, ROC.，國立臺北教育大學幼兒與家庭教育研究所=National Taipei University of Education。
28. 饒秀玲, S. L.,林麗鳳, L. F.(2009)。社區民眾的高血壓自我保健衛生教育之方案設計—成人教育理論之應用。澄清醫護管理雜誌，5(4)，39-52。

1. 吳瀚德(2021)。中醫藥介入失智症預防保健之課程方案設計－成人教育理論的應用。中醫內科醫學雜誌，19(1)，24-36。
2. (2024)。以數據科學改善偏鄉醫療醫病溝通－臺東醫院的創意試驗場域。醫學與健康期刊，13(2)，113-123。