探討醫師專業認同的影響因素 - 社群媒體的角色

Influence Factors toward Physicians’ Professional Identity: The role of Social Media

郭宇正(Yu-Chen Kuo)

指導教授 ： 邱晏麟

國立臺灣大學/醫學院/醫學教育暨生醫倫理研究所/碩士(2021年)

https://doi.org/10.6342/NTU202103253

摘要

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。

關鍵字

社群媒體 ； 醫師專業認同 ； 醫療資訊

並列摘要

In 1910, the Flexner Report showed that one of four main problems in medical education was identity formation. In 2010, the Carnegie Foundation Report recommended the goal of teaching professionalism. In their belief, if endeavors are made to teach professionalism, students will form professional identity. Social media were constructed from two components, Web 2.0 and user generated content, and became popular in 2005. In the recent two years, during the COVID-19 pandemic more people used social media to communicate with each other. Little is known, however, about how social media contribute to physicians’ professional identity. The aims of the research were to explore the relationship between social media and physicians’ professional identity, and to identify the predictors of physicians’ professional identity.
This research was a cross-sectional study. Participating physicians with post-graduate year training were recruited from National Taiwan University Hospital. The questionnaires of this study included the demographic data, modified versions of the Problem Solving in Medicine (PSM) questionnaire, the assessment of self-group overlap, and Professional Self Identity Questionnaire (PSIQ). The influential statistics, such as independent t test, analysis of variance (ANOVA), point-biserial correlation, Pearson’s product moment correlation, exploratory factor analysis and simultaneous regression analysis were used to analyze the data.
A total of 245 valid participants, with an average age of 25.68 years (SD = 1.39), were surveyed. There were 155 males (63.3%) and 90 females (36.7%). The results showed that the participants’ average score on the professional self-identity questionnaire (PSIQ) was 12.73 (SD = 5.42). Point-biserial correlation analysis revealed that gender (r = 0.228, p < 0.001) was significantly correlated with scores of professional identity. Pearson’s product moment correlation analysis showed that scores of professional identity were significantly correlated with age (r = 0.144, p = 0.024), confidence in medical learning (r = 0.235, p < 0.001), and social media as an information source for medical problems (r = 0.18, p = 0.005). The results of the simultaneous regression analysis revealed that gender (β = 0.161, p = 0.013), confidence in medical learning (β = 0.250, p = 0.002), and problem solving in medicine from social media (β = 0.145, p = 0.023) were positively associated with scores of professional identity. The results of this study provide some suggestions for medical educators to enhance physicians’ professional identity via social media.

並列關鍵字

social media ； professional identity ； medical information

參考文獻

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