题名

國小教師照顧學童所需健康支持系統之探究:從健康識能觀點論析

并列篇名

A Study of Health Support Systems Needed by Elementary School Teachers to Care for Schoolchildren: A Discussion from the Perspective of Health Literacy

作者

關婉玲(Wan-Ling Kuan);何青蓉(Ching-Jung Ho)

关键词

國小學童健康 ; 健康識能 ; 健康促進學校 ; 健康支持系統 ; Health Support System for Elementary School Children ; Health Literacy ; Health-promoting School ; Health Support System

期刊名称

教育學誌

卷期/出版年月

44期(2020 / 11 / 01)

页次

93 - 137

内容语文

繁體中文

中文摘要

健康識能具個人及環境特質是健康促進中介因素,學校與社區為緊密互動健康動態系統。本研究以某住宿型私立國小為研究範圍,透過焦點團體訪談4組18位與學童健康照顧相關教師及行政人員,探究國小教師照顧學童所需健康支持系統之建立。研究發現教師遇三困境並提出解決之道:完整健康識能培訓課程、與行政人員建立有機連帶關係及建立系統性防疫計畫。研究結論提出教師需具的健康識能,並以包含「教師健康識能培養」、「教師社會支持」、「學校衛生政策整合健康服務及傳染病防治機制,搭配物質環境」及「良好社區醫療」四層面開展健康支持系統。建議後續研究發展操作性指標,開發問卷作量化評估,以利未來廣泛評估各健康促進學校建構健康支持系統成效之用。

英文摘要

Health literacy as a personal and environmental quality is an intermediary factor for the promotion of health, and schools and communities share a close interaction in the system formation of health dynamics. The present study takes a boarding elementary school as its subject of research. Using focus groups, interviews were conducted with four groups of eighteen administrators and instructors related to the health care of schoolchildren to probe the establishment of a health system needed by elementary school teachers in charge of caring for schoolchildren. The study discovered that teachers in this case-study school encountered three problems and proposed ways to resolve them. There are the need for a complete course for health literacy training, the need for administrators to establish an organic solidarity relationship, and the need for schools to form a systematic disease prevention program to alleviate the burden of teachers. In the conclusion, the study proposes that teachers need complete health literacy and have a system in the four areas of "teacher health literacy training," "teacher social support," "school hygiene policy integrating health services and disease prevention, combined with a material environment," and "improved community healing" to form a health support system. It also recommends that further studies should be conducted to establish indexes for operations, and to develop questionnaires for quantitative assessments to evaluate the efficacy of health systems established by various schools for the promotion of health.

主题分类 社會科學 > 教育學
参考文献
  1. 王雅玄(2007)。伯恩斯坦《邁向教育傳遞理論》評述。中等教育,58(2),152-166。
    連結:
  2. 林季緯,何青蓉,黃如薏,王維典(2016)。健康識能的概念發展與實務應用。台灣家庭醫學雜誌,26(2),65-76。
    連結:
  3. 劉潔心(2013)。台灣推動健康促進學校之現況與展望。中等教育,64(1),6-25。
    連結:
  4. 賴香如(2008)。各國健康促進學校計劃之特色與啟示。學校衛生,52,107-115。
    連結:
  5. (2005).健康促進學校輔導手冊-學校行動篇.台北:行政院衛生署國民健康局.
  6. Baker, D. W.(2006).The meaning and the measure of health literacy.Journal of General Internal Medicine,21(8),878-883.
  7. Goleman, D.,Senge, P. M.(2014).The triple focus. A new approach to education.Florence, MA. USA:Ed. More Than Sound.
  8. Haas, S. A.(2008).Trajectories of functional health: The `long arm' of childhood health and socioeconomic factors.Social Science & Medicine,66(4),849-861.
  9. House, J. S.(1981).Work stress and social support.Reading, MA:Addison-Wesley.
  10. Inchley, J.,Muldoon, J.,Currie, C.(2007).Becoming a health promoting school: Evaluating the process of effective implementation in Scotland.Health promotion international,22(1),65-71.
  11. Jary, D.,Jary, J.(1995).Collins dictionary of sociology.Glasgow:Harper Collins Publishers.
  12. Kerka, S.(2003).,未出版
  13. Lee, A.,St Leger, L.,Cheng, F. F.(2007).The status of health-promoting schools in Hong Kong and implications for further development.Health Promotion International,22(4),316-326.
  14. Marks, R.,Rowling, L.,Samdal, O.(2011).Filling the black box of implementation for health‐promoting schools.Health Education,111(5),347-362.
  15. Nutbeam, D.(2000).Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century.Health Promotion International,15(3),259-267.
  16. Nutbeam, D.(2008).The evolving concept of health literacy.Social Science & Medicine,67(12),2072-2078.
  17. Rubin, Z.(Ed.)(1974).Doing unto others.Englewood Cliffs, NJ:Prentice-Hall.
  18. Sørensen, K.,Van den Broucke, S.,Fullam, J.,Doyle, G.,Pelikan, J.,Slonska, Z.,Brand, H.(2012).Health literacy and public health: A systematic review and integration of definitions and models.BMC Public WHO Health,12,80.
  19. St. Leger., L.(2000).Reducing the barriers to the expansion of health-promoting schools by focusing on teachers.Health Education,100(2),81-87.
  20. World Health Organization(1996).World Health Organization (1996). The World Health Organizations’ global school health initiative: Promoting health through schools. Geneva: World Health Organization..
  21. World Health Organization(1986).Ottawa charter for health promotion.Geneva:World Health Organization.
  22. World Health Organization(1998).World Health Organization (1998). Health promotion glossary. Geneva, Switzerland: World Health Organization.
  23. World Health Organization Regional Office for the Western Practice(1996).World Health Organization Regional Office for the Western Practice (1996). Regional guidelines for the development of health-promoting schools- A framework for action. Manila: The Office..
  24. 王秀紅(2003)。社會支持與健康的相關性。國科會生命科學簡訊,17(4)
  25. 王秀紅,吳淑如,劉雅瑛(2003)。利用統合分析法檢視社會支持與健康結果的相關性。高雄醫誌,19,345-351。
  26. 王唯堯,曹世明,盧章智,闕宗熙(2011)。人口密集機構群突發事件處理原則-以消化道感染群聚事件為例。醫療品質雜誌,5(1),52-57。
  27. 王瑞賢(1999)。「陽關道」與「獨木橋」?-「二元分立」的國小生活實踐邏輯。通識教育季刊,6(3),103-117。
  28. 何青蓉(2016)。健康識能-成人教育新興的領域。開創終身教育新契機-社會教育六十週年紀念專輯,台北市:
  29. 李淑敏,林玫吟,林素琴,邱香蘭,吳美終,程煒庭,張秀燕,翁慧樺(2011).得意的每一天:國小導師手冊.台北市:教育部.
  30. 林雅婷,胡淑貞(2007)。創造健康的支持性環境。健康城市學刊,5,14-22。
  31. 國家教育研究院(2014)。十二年國民基本教育課程綱要總綱。臺北市:國家教育研究院。
  32. 國家衛生研究院(2016)。2013 年「國民健康訪問調查」結果報告。取自 http://nhis.nhri.org.tw/files/2013NHIS_report.pdf
  33. 教育部(2015)。系統。教育部重編國語辭典修訂本。取自http://dict.revised.moe.edu.tw/cgi-bin/cbdic/gsweb.cgi?ccd=IIyAue&o=e0&sec=sec1&op=v&view=1-1
  34. 教育部(2017)。106 年教育部品德教育特色學校觀摩及表揚大會手冊。取自https://ce.naer.edu.tw/upload/compositions/1576_1511831695.pdf
  35. 教育部(2016)。105 年度生命教育特色學校獲獎名單公告。取自https://ws.moe.edu.tw/Download.ashx?u=C099358C81D4876CA06EC6164DFBA4EC96D601173D7F538DF84A0F2449D7F46EA3C79675905979D5FD18480ADBC8694181D887052469A84470D795797D58C1737518236ABAE83A68437AC851973DE969&n=4E402A02CE6F0B6CCD07F8F53881411E95BAA8572DA09CFB94442135DA3B32AC90820E8792690A8D231844EEE218D160503F3ED2F2CFEBDA72FE963D89DF164F&icon=..pdf
  36. 鈕文英(2007).教育研究方法與論文寫作.台北市:雙葉書廊.
  37. 黃淑貞(1998)。世界健康促進學校計畫簡介。學校衛生通訊,19(4),2-6。
  38. 臺北市政府教育局(2020)。臺北市各級學校暨教育機構因應嚴重特殊傳染性肺炎(武漢肺炎) 防疫教育及工作守則【台北市政府教育局】。取自https://www.doe.gov.taipei/Content_List.aspx?n=F73F14D4828900E3
  39. 臺灣健康促進學校(2019b)。107 學年度健康促進學校成果發表會手冊。取自 http://hps.hphe.ntnu.edu.tw/plan/manual/list
  40. 臺灣健康促進學校(2019a)。臺灣概況。取自http://hps.hphe.ntnu.edu.tw/plan/taiwan
  41. 臺灣健康促進學校(2019c)。增能工作坊。取自http://hps.hphe.ntnu.edu.tw/plan/studio/list
  42. 臺灣健康促進學校(2019d)。108 學年度健康促進學校共識會議-共識會議手冊。取自 http://hps.hphe.ntnu.edu.tw/plan/meeting/list
  43. 衛生福利部疾病管制署(2016)。傳染病統計暨監視年報。取自 http:https://www.cdc.gov.tw/uploads/files/201801/d4bdec57-e24e-46b6-92d6-c103f33ba580.pdf
  44. 衛生福利部國民健康署(2017).兒童健康手冊.
  45. 衛生福利部國民健康署(2019).2018 國民健康署年報.