[[alternative]]護理從業人員的英語需求分析探討 : 護理師與護理實習生之比較

碩士[[abstract]]外國觀光客及外國勞動者入境台灣人數持續增長同時也帶起了台灣醫療產業在英語能力上的需求。本研究旨在比較護理師與護理實習生在護理職場上工作任務所需之英文的使用頻率，以及英文能力重要性，並進一步探討學習護理英文的動機強弱，以了解何種護理英文課程較可滿足他們實際就業市場的需求。研究方法採問卷調查和深度訪談。問卷調查的對象分兩組，一組是157位具護理學實習經驗的專科護理實習生，另一組則是60位具護理執照的現職護理師。深度訪談則訪問6位護理實習生、9位現職護理師及6位護理英文授課教師。問卷調查結果以統計套裝軟體SPSS for Windows 19.0進行統計分析，並運用描述性統計及One-way ANOVA進行分析探討。 研究結果顯示: 1.在護理職場上，英文閱讀能力的需求最高，其次是聽講能力，而英文寫作能力幾乎不常使用。不過仍以醫學相關詞彙使用居多。 2.護理實習生多希望增進醫學詞彙閱讀能力，然而現職護理師多意於增進能與病患或照護者以英文溝通之口語溝通能力。 3.護理實習生或現職護理師皆提出英文文獻閱讀技巧之學習需求性。 4.現職護理師及護理實習生皆表達出他們對學習護理英文的積極學習動機。 最後，本研究配合半結構式訪談結果提供若干實務意涵與未來相關領域研究上的建議。[[abstract]]The increasing number of international visitors coming to Taiwan for travel and work demonstrates an increasing need of English language in the Taiwanese medical industry to meet the needs of the growing population of international visitors. This study investigates the perceptions of certified nurses and student nurses in Taiwan. Specifically, for these two groups, we compared perceptions of (1) how frequently English is used during the completion of various nursing tasks, (2) the importance of English language skills in nursing, and (3) motivations for learning nursing English. For this, we recruited 157 student nurses and 60 certified nurses to complete needs-analysis questionnaires. Among them, we also interviewed nine certified nurses, six student nurses, and six tertiary instructors who teach English for nursing purposes (ENP). Quantitative data analysis was conducted in the SPSS (Statistical Package for the Social Sciences) 19.0 computer program. Specifically, one–way ANOVA was performed to determine whether there were any significant differences between the groups. The major findings of this study are summarized as follows: 1.For nursing professionals, English reading ability was deemed as profoundly important as well as the most frequently used skill. Listening and speaking ability ranked the second important and writing was the least used skill in clinical settings. 2.Most of the student nurses felt that learning English medical terminology is essential for their practice, and that it is especially helpful during their nursing practicum. In contrast, for certified nurses, oral communicative skills seemed to be more important than learning medical terminology. 3.Both student nurses and certified nurses expressed their needs to improve reading skills to be able to read English professional journal articles. 4.Both the student nurses and the certified nurses expressed their willingness to learn nursing English. According to the semi-structured interviews and the research findings, practical implications and suggestions for future studies are also addressed in this paper.[[tableofcontents]]TABLE OF CONTENTS ACKNOWLEDGEMNETS i CHINESE ABSTRACT ii ENGLISH ABSTRACT iii TABLE OF CONTENTS iv LIST OF TABLES vi LIST OF FIGURES vii CHAPTER ONE: INTRODUCTION 1 1.1 Background and Motivation of the Study 1 1.2 Statement of the Problems 4 1.3 Purposes of the Study 5 1.4 Research Questions 7 1.5 Significance of the Study 8 1.6 Definitions of Terms 8 CHAPTER TWO: LITERATURE REVIEW 10 2.1 Overview of Nursing Education in Taiwan 10 2.2 Overview of English Education at Nursing Schools in Northern Taiwan 12 2.2.1 English Curriculum in Junior Colleges 13 2.2.2 English Curriculum in Universities 15 2.3 English as a Communicative Language between Health Professionals 18 2.4 Challenge Facing in Nursing Community in Taiwan 19 2.5 English for Specific Purposes (ESP) 20 2.5.1 Characteristics of ESP 21 2.5.2 Classification of ESP 23 2.5.3 Rationale behind ESP 25 2.6. Needs Analysis 26 2.6.1 Methodologies of Needs Analysis for English for Nursing Purposes 30 2.6.2 Criteria of Task 36 2.6.3 Related Studies in Needs Analysis 39 2.7. Summary of Literature Review 43 CHAPTER THREE: METHODOLOGY 45 3.1 Participants 45 3.1.1 Student Nurses with Clinical Nursing Practice Experience 45 3.1.2 Nursing Professionals Who Provide Inpatient Care 46 3.1.3 ENP Instructors from Universities of Technology and Junior Colleges 48 3.2 Research Procedures 49 3.3 Instruments 50 3.3.1 The Questionnaire 51 3.3.2 Semi-structured Interviews 55 3.4 Data Analysis Procedures 59 3.4.1 Quantitative Data Analysis 59 3.4.2 Qualitative Data Analysis 60 3.5 Summary of Research Methodology 61 CHAPTER FOUR: RESEARCH FINDINGS 63 4.1 Findings of Research Question One 64 4.2 Findings of Research Question Two 71 4.3 Findings of Research Question Three 75 4.4 Findings of Research Question Four 77 4.5 Findings of Research Question Five 78 4.6 Findings of Research Question Six 90 CHAPTER FIVE: DISCUSSION 96 5.1 Discussion of the Study 96 5.2 Analysis of Research Question One 97 5.3 Analysis of Research Question Two 99 5.4 Analysis of Research Question Three 101 5.5 Analysis of Research Question Four 102 5.6 Analysis of Research Question Five 103 5.7 Analysis of Research Question Six 104 CHAPTER SIX: CONCLUSION 106 6.1 Pedagogical Implications 107 6.2 Limitations of the Study 107 REFERENCES 109 APPENDICES A: Questionnaire for Certificated Nurses (Chinese Version) 120 APPENDICES B: Questionnaire for Student Nurses (Chinese Version) 127 APPENDICES C: Questionnaire for Certificated Nurses (English Version) 134 APPENDICES D: Questionnaire for Student Nurses (English Version) 140 APPENDICES E: Semi-structured Interviews Questions (Certificated Nurses) 146 APPENDICES F: Semi-structured Interviews Questions (Student Nurses) 147 APPENDICES G: Semi-structured Interviews Questions (ENP Instructors) 148[[note]]學號: 601110066, 學年度: 10