地方衛生機關傳染病防治工作人員教育訓練成效之研究-以臺中市為例

本研究探討「地方衛生機關傳染病防治工作人員教育訓練之成效」，以現任臺中市衛生機關包含衛生局疾病管制科及30區衛生所，且曾於2016至2019年期間辦理傳染病防治之工作人員為研究對象；經文獻分析以採橫斷式、封閉式網路問卷調查法探討學習態度、社會支持對於Kirkpatrick四層次模式中反應、學習及行為層次等三層次之影響。設計Google表單經由Line群組發送，發送前估算樣本數為130人，實際回收有效樣本114份，回收率88%；經SPSS 22.0及Smart PLS 3偏最小平方法結構方程模式進行本研究之項目分析、因素分析、Cronbach α值信度分析、測量模型分析及結構模型分析。測量模型分析顯示Cronbach α值及CR值皆大於0.8，因素負荷量及AVE值皆大於0.5，本研究具良好信度及效度。結構模型分析顯示各變項間的路徑係數β值及R2 值皆達統計顯著，顯示模型解釋力良好，研究結論為:一、 社會支持對於學習態度及學習滿意度(反應層次)有正向顯著的影響。二、 學習態度對於學習滿意度(反應層次)及個人能力提升度(學習層次)有正向顯著的影響。三、 個人能力提升度(學習層次)對於工作效能提升度(行為層次)有正向顯著的影響。四、 Kirkpatrick模式適合作為本研究對象之教育訓練成效評估工具，且其學習滿意度(反應層次)、個人能力提升度(學習層次)及工作效能提升度(行為層次)會互相影響。本研究依據研究結果提出機關辦理教育訓練規畫及業務發展之參考。

This study discusses the "Education and Training Effectiveness of Infectious Disease Prevention and Control in Local Health Institutions". The current Taichung City Health Institution includes the Disease Control Section of the Health Bureau and 30 District Health Centers, has handled the prevention of infectious diseases from 2016 to 2019. Personnel are the research objects; the literature analysis uses cross-sectional and closed network questionnaires to explore the effects of learning attitude and social support on three levels of Kirkpatrick's response, learning, and behavior levels. Google forms are designed to be sent through Line groups. The estimated number of samples before sending was 130, with effective samples 114, with 88% of recovery rate. The data is analyzed by SPSS 22.0 and Smart PLS 3.Measurement model shows that the Cronbach α and CR value are both greater than 0.8, and the factor load and AVE value are both greater than 0.5. This shows the study is reliable and has good validity. Structural model analysis shows that β and R2 are statistically significant, therefore that the model provide good explanatory power.According to the results, we conclude that:1. Social support has a positive effect on learning attitude and learning satisfaction.2. There is a positive correlation between learning attitude and satisfaction to personal improvement.3. There is a positive correlation between personal improvement and work efficiency.4. The Kirkpatrick model is suitable as a tool for evaluating the effectiveness of education and training in this study, and its learning satisfaction (reaction level), personal capacity (learning level) and work performance (behavior level) does affect each other.Based on the results of this study, we propose it as a reference for institutions to develop education and job training plans.