影響國軍衛勤人員緊急醫療救護訓練績效因素之研究

Influence Factors of Emergency Medical Service Training Achievements for the Army

張炫煥(Hsuan-Huan Chang)

指導教授 ： 吳忠敏副教授

國立臺北科技大學/管理學院/商業自動化與管理研究所/碩士(2010年)

摘要

政府於1995年立法頒布緊急醫療救護法，將我國緊急醫療救護工作帶入一個新的里程碑。國軍醫療救護單位面對知識經濟時代的來臨，管理層級應該體認現代經濟最重要的核心資源是知識，透過完備之知識管理理念與教育訓練而轉化單位的創新價值，以提高單位工作績效。本研究係以可能造成影響績效的各項因素，分析國軍衛勤人員緊急醫療救護教育訓練制度之良窳與改進作為。
本研究透過量化之研究方法，針對文獻探討所歸納的研究，設計適切之問卷調查，經過專家效度後的問卷內部趨於一致性；發於國軍基層單位衛生單位尉級（含尉級）衛勤人員接受緊急醫療救護訓練對象，總計寄送632份：回收562 份，扣除23份填答不完整，有效問卷為539份（包括：醫師253份、士官139份、士兵147份）。綜合回收率為88.9 %，繼續將有效回收樣本進行統計分析，逐一釐清影響緊急醫療救護人員之個人特質、知識管理、訓練規劃、專業能力等，對敎育訓練成績績效之各項因素進行研究。根據實證分析結果，植入知識管理理念而整合緊急救護人員之救護技術與職能，從聘請之專家授課、演講中獲得專業資訊並引發廣泛興趣，以達成符合工作需要之訓練成果。
救護人員應隨時養成吸取知識管理的習慣，如此將能具有學習新知的動力，更能做好緊急救護技能的取得、累積儲存、分享與應用等各項管理作為，方可使國軍衛勤人員緊急醫療救護訓練制度達到完善之境界。加強國軍官兵接受緊急醫療救護訓練的學習意願，注重訓練課程的規劃，改善現有訓練課程不足之處，增加學員對訓練制度的滿意度，進而在技能增進與學習應用方面得以加強緊急救護品質，提昇國軍救護績效之宏觀理想。

關鍵字

緊急醫療救護 ； 知識管理 ； 教育訓練

並列摘要

The government has legislated and promulgated the emergency medical service law since 1995, in order to set forth the emergency medical aid to be a new milestone in our country. The national emergency medical service units have faced an oncoming era of Knowledge Economics, that the managing level urges to realize that the most important core resources will be only Knowledge, by having completion of the concepts of knowledge management and educational training, so as to have all the units’ innovational value achieved, enhancing their working efficiency. This research will take various kinds of possible causes into consideration, influencing the army service units’ working efficiency, in a course of justifying the educational training system for the related personnel and improvements of the army emergency medical service.
This research has rendered by having modules of quantification and necessary procedures, in which, the reviewing results of literature discussion is variable that the appropriate questionnaire Form were designed, after getting through the Instructors’ guidance to integrate the interior uniformity and then delivering a total of 632 copies of the questionnaires, namely 562 copies returned (in addition to 539 valid copies submitted by 253 doctors, 139 officers and 147 soldiers, excluding 23 invalid copies due to incomplete answers). At a rate of 88.9% questionnaire forms retrieved, as a matter of statistics, analyzing all the valid Samples by clarifying each characteristic, knowledge management, training plans, professional capability, etc., for the purpose of justifying different categories of educational training records. Basing on the evidence of the empirical analysis results, we have implanted the concepts of knowledge management and first aid technique as well as functions, by inviting experts to offer class lectures and/or speeches in order to obtain most of the professional information, but also induce much more interests to do so and comply with the basic requirements of the training achievements.
The medical rescue personnel should get accustomed to learn about knowledge management, so that they can be provided with motive power to up-to-date their new learning packages, even much better emergency medical service technique for the various management behaviors to be gained、accumulated、shared and applied, then the army emergency medical service training system could be fully achieved. In short, the enhancement of the army personnel are willing to study more about emergency medical service training, to emphasize the importance of training plans, to make up the insufficient of the existing training programs, to increase the trainees’ satisfaction of the training system. Further more, the advanced technique and professional applications could make a great effort to increase the first aid service quality, in order to reach an ideal of macro achievements of the army emergency medical service efficiencies.

並列關鍵字

Emergency Medical Service ； Knowledge Management ； Educational Training

參考文獻

[41] 劉富山、高偉峰、胡勝川(1996)，中級救護技術員（EMT-Ⅱ）訓練結果及課程之評估，中華民國急救加護醫學會雜誌，7(3)，106-111頁。

[42] 劉敏、黃裕勝、劉克明(2004)，醫學生畢業時必備之基本臨床能力，醫學教育，8(2)，44-64頁。

[29] 郭健中、郭英調、曾院美、高偉峰等人(2000)， 88年度台北縣EMT-Ⅱ受訓前後對參與到院前緊急醫療救護之態度調查，中華民國急診醫學會醫誌， 2(1)，12-8頁。

[31] 黃心韻（1997），國中公民與道德教師專業能力之研究，國立台灣師範大學公民訓育研究所。

[45] 蕭雅文、陳日昌、管仁澤、許博富(2008)，EMT對於緊急醫療救護相關滿意度調查，中華民國急診醫學會醫誌， 10(2)，S1-S5。