. 腸病毒事件回顧 : 某托兒所教保員之傳染病危機處理經驗與省思. 頁 (2011) 99 3, ( 2011) SARS H1N1 ( 2005a) 90 ( 2005a 2005b)

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1 兒童照顧與教育第一期,2012 年 3 月, 頁 * ** 關鍵詞 * 李淑如, 弘光科技大學幼兒保育系講師電子郵件 :surulee@sunrise.hk.edu.tw ** 王資惠, 弘光科技大學幼兒保育系講師 ( 通訊作者 ) 電子郵件 :wth521@sunrise.hk.edu.tw

2 . 腸病毒事件回顧 : 某托兒所教保員之傳染病危機處理經驗與省思. 頁 (2011) 99 3, ( 2011) SARS H1N1 ( 2005a) 90 ( 2005a 2005b) 0-6 ( National Resource Center for Health and Safety in Child Care (NRC) 2002) MacNeil Topping(2007)

3 兒童照顧與教育第一期,2012 年 3 月, 頁 ( ) 一危機與危機處理的意涵 (crisis) crimein ( to decide) 2004 Hermann ( 1963) Pearson Clair( 1998) ( Mishra 1996) Pearson Clair 1998

4 . 腸病毒事件回顧 : 某托兒所教保員之傳染病危機處理經驗與省思. 頁 ( ) Flannery Everly (2000) Flannery Everly ( 2004 Pearson Clair( 1998) Fink(1986) (prodromal crisis) (acute crisis) (chronic crisis) (resolution crisis) ( 2004 ( 2000 Cornell Sheras 1998) (2000) ) (1). (2). (3). (4). (5). (7) (8) ) 二托育機構的傳染病危機風險 ( 2000) SARS H1N1 2 4 Nesti Goldbaum,2007 Thacker Addiss,1992

5 兒童照顧與教育第一期,2012 年 3 月, 頁 Aronson& Shope, 2008; Nesti Goldbaum, Nesti Goldbaum,2007 Matson, Matson 1994 Aronson Shope( 2008) (epidemic) Aronson & Shope, 2008 (outbreak) ( ) ( 2005a Aronson & Shope, 2008) ( 2005b) (2008 5) % 25% 71 (2007) 42.8% 三托育機構危機處理 (2006) 2004 ( ). ( ). ( ). 一研究對象 5 4 9

6 . 腸病毒事件回顧 : 某托兒所教保員之傳染病危機處理經驗與省思. 頁二研究工具 5 三資料收集四資料的信效度 2-6 五資料處理與分析 (content analysis) Ritchie Lewis ( 2008) 一事件簡介 (A ) A 10 (B ) B B 4

7 兒童照顧與教育第一期,2012 年 3 月, 頁 C C D D A 1 二腸病毒群聚感染事件的危機特質 ( ) ( )? ( ) ( ) 71 ( ) 1. ( ) 2. ( ) 3.

8 . 腸病毒事件回顧 : 某托兒所教保員之傳染病危機處理經驗與省思. 頁 48-58? ( ) ( ) ( ) ( ) ( ) ( ) 三教保員經歷腸病毒群聚感染危機事件的經驗 ( ) 1. (1). (2). ( ) ( )

9 兒童照顧與教育第一期,2012 年 3 月, 頁 (3). A.? B. OK OK (1). (2). ( ) ( ) 1. (1).? ( ) (2). (3). 2.

10 . 腸病毒事件回顧 : 某托兒所教保員之傳染病危機處理經驗與省思. 頁 ( ) 四教保員所採取之危機處置 ( ) 1. OK 2. ( ) ( ) 3. ( ) 1. (1).

11 兒童照顧與教育第一期,2012 年 3 月, 頁 XX (2). (3). (4). 2. (1). (2). (3). 3. (1). (2) (1). ( )

12 . 腸病毒事件回顧 : 某托兒所教保員之傳染病危機處理經驗與省思. 頁 (2). 6. (1). ( ) (2). 五研究者參與處理腸病毒危機之護理專業介入策略與省思 ( ) ( ) ( ) 1.? 2. SARS ( ) Lerbinger( )

13 兒童照顧與教育第一期,2012 年 3 月, 頁 ( 2011) ( ) ( ) ( ) ( ) ( ) ( 2008) ( )

14 . 腸病毒事件回顧 : 某托兒所教保員之傳染病危機處理經驗與省思. 頁 ( ) ( ) ( ) ( ) ( ) 3.

15 兒童照顧與教育第一期,2012 年 3 月, 頁一對提升幼兒托育機構相關人員傳染病危機處理效能之建議 ( ) ( ) ( ) ( )

16 . 腸病毒事件回顧 : 某托兒所教保員之傳染病危機處理經驗與省思. 頁 ( ) 二對未來相關研究之建議 2001 危機管理 O. Lerbinger 托育服務統計 :84-99 年度托育機構概況台南縣市幼稚園教師幼兒家長對於腸病毒的認知與防治研究新聞學研究, 北縣教育, 公共衛生護理概論 2008 學校行政雙月刊, a 疫情報導,21(3) b p u b l i c D a t a/ p d f

17 兒童照顧與教育第一期,2012 年 3 月, 頁腸病毒防治工作指引 pdf 2011 托兒所幼稚園及小學教 ( 托 ) 育人員腸病毒防治手冊校園安全與危機處理 2005 教育研究與發展期刊,1(2) 危機管理 - 理論架構 2011 死因統計幼稚園主管在職進修之現況需求與困難 lib.cyut.edu.tw/etd-db/etd-search-c/view_etd?urn=etd 質性研究方法 ( 原主編 :J. Ritchie & J. Lewis) 2001 學校行政雙月刊, Aron son, S. S. & Shope, T. R. (2008). Managing infectious diseases in child care and schools: A quick reference guide (2nd Ed). American Academy of Pediatrics. Corn ell, D. G. & Sheras, P. L. (1998). Common errors in school crisis response: Learning from our mistakes. Psychology in the Schools, 35 (3), Flan nery, R. B. Jr. & Everly, G. S. Jr. (2000). Crisis intervention: A review. International Journal of Emergency Mental Health, 2 (2), Herm ann, C. (1963). Some consequences of crisis which limit the viability of organizations. Administrative Science Quarterly, 8, Mac Neil, W. & Topping, K. (2007). Crisis management in schools: Evidence based prevention. Journal of Educational Enquiry, 7 (1), Mats on, D.O. (1994).Viral gastroenteritis in day care settings: Epidemiology and new developments. Pediatrics, 94 (6 Pt 2): Mish ra, A. K. (1996). Organizational responses to crisis: The centrality of trust. In R. M. Kramer & T. Thomas (Eds.) Trust in organizations (pp ). Newbury Park, CA: Sage. Natio nal Resource Center for Health and Safety in Child Care (2002).Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care (2nd Ed). Retrieved from: Nesti, M. M, & Goldbaum, M. (2007).Infectious diseases and daycare and preschool education. Jornal de Pediatria, 83 (4), Pears on, C. M., & Clair, J. A. (1998). Reframing crisis management. Academy of Management Review, 23, Thack er, S.B., Addiss, D., Goodman, R.A., Holloway, B. & Spencer, H.C. (1992). Infectious diseases and injuries in child day care: opportunities for healthier children. Journal of the American Medical Association. 268, Webb, E. (1994). Trust and Crisis. In R. M. Kramer & T. Thomas (Eds.), Trust in organizations (pp ). Newbury Park, CA: Sage

18 . 腸病毒事件回顧 : 某托兒所教保員之傳染病危機處理經驗與省思. 頁 An Enterovirus Event Review: Reflections of Research on Crisis Management Experiences Through a Small Outbreak in a Preschool Shu-Ju Lee * Tzu-Hui Wang ** Abstract This study examined and reflected from the management experiences of 9 preschool teachers when the daycare center had an enterovirus outbreak incident. The research findings based on qualitative interview data analysis from the preschool teachers were: (1) This enterovirus outbreak crisis event was conformed to characteristics of crisis; (2) The preschool teachers experienced some emotional reactions such as anxiety, worry, helplessness, and guilty from the outbreak; (3) The preschool teachers used different management strategies and gained management improvement from their experiences in different stages; (4) From the perspective of professional health care personnel, the preschool teachers had insufficient knowledge and awareness of infectious outbreak, resources of infection control, and experiences and training on handling outbreak crisis. The recommendations based on this study include: (1) Knowledge and ability of infectious disease outbreak crisis management of childcare agency staff need to be strengthened; (2) Honest attitude and active handling of the crisis need to be emphasized; (3) Stress behaviors of preschool teachers need to be assessed and continuous support need to be provided during the crisis; (4) Active use of the external resources is important in handling the crisis; (5) Crisis management protocols for infectious disease outbreak need to be established and implemented. The implications for effective applications of outbreak crisis management in child care practice and administration are discussed. Key word preschool teachers, enterovirus, crisis of infectious disease, crisis management. * Shu-Ju Lee Lecturer, Department of Child Care and Education, HungKuang University surulee@sunrise.hk.edu.tw ** Tzu-Hui Wang (Corresponding author) Lecturer, Department of Child Care and Education, HungKuang University wth521@sunrise.hk.edu.tw

作主动追求知识获取技能, 在心理和生理上都非常积极的个体 (Zimmerman & Pons, 1986) 在此期间, 自我效能感 (self-efficacy) 自我控制 (self-control) 自我管理 (self-

作主动追求知识获取技能, 在心理和生理上都非常积极的个体 (Zimmerman & Pons, 1986) 在此期间, 自我效能感 (self-efficacy) 自我控制 (self-control) 自我管理 (self- 网络环境中英语学习者自我调控的个体特征研究 A Qualitative Study of Chinese EFL Learners Online Self-regulation * 1,2 郑春萍, 穆婕 2, 章僖格 2, 苑仁庆 2, 李芒 1 北京师范大学教育学部 2 北京邮电大学人文学院 * zhengchunping@bupt.edu.cn

. 腸 病 毒 事 件 回 顧 : 某 托 兒 所 教 保 員 之 傳 染 病 危 機 處 理 經 驗 與 省 思. 頁 (2011) 99 3, ( 2011) SARS H1N1 ( 2005a) 90 ( 2005a 2005b)

. 腸病毒事件回顧 : 某托兒所教保員之傳染病危機處理經驗與省思. 頁 (2011) 99 3, ( 2011) SARS H1N1 ( 2005a) 90 ( 2005a 2005b)