宜蘭縣先驅性健康促進學校執行成效評估之研究

Qualitative Evaluation on the Status of Pioneer Health-Promotion School Project in Yi-Lan County

陳玉霞(Chen Yu-Hsia)

指導教授 ： 郭鐘隆

國立臺灣師範大學/教育學院/衛生教育學系在職進修碩士班/碩士(2007年)

摘要

本論文的研究目的為了解健康促進學校計畫之執行狀況、健康促進學校計畫執行工作者對健康促進學校計畫的看法與評價及健康促進學校計畫執行之困難。本研究採質性研究，以宜蘭縣九十四年度參與教育部健康促進學校之七所國民中小學為研究對象，研究群體包含行政人員（含校長、主任、組長、護理人員）及教師共計35人、學生共計21人，進行引導式訪談，再將訪談結果做成逐字稿進行分析。
本研究發現健康促進學校計畫推動的主要困難為：取得共識不易；員工教育訓練不足；健康議題融入課程有困難；國中以升學為重，健康議題難以推動；跨處室協調與合作不易；承辦人員層級太低；經費核銷限制嚴苛；健康促進成效不易評估；教育處承辦人員更換頻繁，影響業務推展；相關部門對健康促進學校之認知不同，影響跨部門合作；專家意見不一致，訪視輔導人員理念不同；強制規定健康議題；教育部主管部門政策經常改變，無所適從。研究結果也發現健康促進學校計畫會為學校組織、教師、學生、家長、相關部門之間帶來正向改變。
最後，依據本研究發現提供建議，以作為推動健康促進學校計畫之參考。

關鍵字

健康促進 ； 健康促進學校 ； 健康促進學校六大範疇

並列摘要

The purpose of this study is to realize the status of health-promotion school project on campus,the executors’ point of views and the difficulties in the Health-Promoting School project. The study adopts qualitative research, and selects seven Yi-Lan elementary and junior high schools executing MOE (Ministry of Education) health promotion project as the populations in 2005. The populations were selected from administrative staff consisting of president, director, section chief, nursing staff, teachers(total 35 persons) and students (total 21 persons). The study has been made the in-depth interviews on the populations and makes an arrangement from interviews for analyzing.
It reveals that the major difficulties of Health-Promoting School project are as follows: hard to get consensus , the lack of faculty training , hard to integrate health topics into the course , hard to push the health issue because of junior high school admission policy , hard to cooperate with the different sections ,lower-level implementers for the duty , strict limitation of the budget , hard to estimate the efficiency of health promoting project , unstable implementers of DOE (Department of Education) frustrate the project to launch , the conflicting comprehensions of Health-Promoting School project between the relative departments , the conflicting senses between the professionals ; and the conflicting comprehensions between the counselors , enforce the health topics , uncertainly policies of the executive departments of MOE. In this study, it is found from result that the Health-Promoting School project brings positive changes between school organization, teachers, students, parents and relative departments.
In conclusion, it provides insightful suggestions for future Health-Promoting School project.

並列關鍵字

health promotion ； Health-Promoting School ； six dimension of the Health-Promoting School

參考文獻

張彩秀、黃松元、葉明珍、樓美玲(2003)。大專校院衛生保健組長推行健康促進學校計劃自我效能評估及其相關因素之探討。弘光學報，42，1-11。

郭鐘隆(2005)。推動學校本位的健康促進學校。臺灣教育，634，14-19。

劉潔心、晏涵文(2005)：推動學校本位的健康促進學校。臺灣教育，634，2-13。

行政院衛生署(2003)。健康促進學校工作指引。台北市：中華民國學校衛生學會。

曾如敏(2005)。台灣地區國民小學護理人員對健康促進學校的看法與其相關因素之研究。國立台灣師範大學衛生教育學系研究所碩士論文，未出版，台北市。