問題導向學習法在醫護相關教育領域中已漸受重視,實施此教學的教育工作者與臨床教學者雖然了解基本的教學原理,但對於促進學習動機的教學方式,多數仍處於摸索階段本研究以MacKinnon (1999)的CORE要素(社群;Community,所有權:Ownership,攸關性:Relevance,增能:Empowerment)與Ryan and Deci (2000)所提出之自我決定理論爲理論基礎,建構並實證問題導向學習法之內在動機促進因素理論模式本研究係針對台海兩所實施問題導向學習法之大學醫學系與護理系進行問卷調查,並以敘述性統計、因素分析、相關分析、迴歸分析及獨立樣木t檢定等統計方法進行因果關係之驗誼與差異比較。研究結果發現:(1)本研究所發展的問卷量表其有相當良好之收斂及區別效度。(2)(CORE)要素與學生學習之內在動僟有顯著正相關。(3)所有權與增能對學生學習的內作動機有顯著正向影響。(4)兩所學校的學生在所有權及內在動僟兩個構面有顯著差異,其餘則無顯著差異。 本研究提示問題導向學習法之醫護類科教學工作者,在規劃與施行課程時,應留意提升學生在課程中之自主性、關係感與能力感,方能有效促進學習之動機。
Problem-Based Learning has been widely implemented in health care education worldwide. Although most tutors understand the basic principals of PBL curriculum design, the teaching methods which promote student motivation have not been clearly identified. Based on the MacKinnon (1999) CORE elements (Community, Ownership, Relevance, and Empowerment) and the Ryan & Deci (2000) Self Determination Theory (SDT), this study constructed and tested a research model to answer this question. The visit questionnaires were completed by eighty-three undergraduate students in two Taiwan universities known to be eligible, and data were analyzed by descriptive statistics, correlation analysis, explorer factor analysis, regression analysis and t test. Data analysis revealed the following: (1) The proposed scales possess superior discriminative and convergent validity. (2) The four CORE elements significantly correlate with intrinsic student motivation. (3) Ownership and empowerment are significantly related to intrinsic student motivation. (4) The two universities significantly differed in ownership and intrinsic student motivation. The study provides insight for PBL tutors in medical and nursing education. That is in order to promote student motivation, tutors must understand the importance of promoting the perceptions of autonomy, relationship and competence.