科技前導教師教案實作之課程意識探究──以七位國小教師的觀點為例

Pilot Teachers' Curricular Consciousness through the Lesson Plan of Technology-The Perceptions of 7 Elementary School Teachers

我國於2018年正式邁入高齡化社會，造成2000年至2017年接受全人工膝關節置換手術增加26％，健保署則透過定額支付制度來減少財政支出壓力，個案醫院因此藉由實證醫學修正臨床路徑而改善全人工膝關節置換手術後血液血漿點數高之現況。首先運用個案醫院2016年接受全人工膝關節置換手術共320筆資料，運用資料探勘──決策樹分析之CART演算法發現4個年齡層會影響手術時間。透過變異數分析結果得知，特殊材料點平均數差異最大，故再考量是否使用自費特殊材料後，可依此8群透過個別值──移動全距（I-MR）管制圖觀察總醫療點數後，發現17筆異常個案中有13筆是血液血漿點數偏高。最後，驗證實證醫學證據於關節內使用Tranexamic acid（TXA）可減輕此問題，血液血漿點數平均下降962點（83％）、總醫療點數平均下降1,341點（1％）。本研究運用決策樹分組、透過管制圖監控醫療點數並找出變異之過程可有效管控醫療耗用，更重要的是驗證臨床路徑改善血液血漿點數之成效，挑戰更高醫療品質。

The purpose of this study is to explore whether the pilot teachers' curricular consciousness of technology can go through both critical and dynamic process. Using qualitative research design of an interactive approach for data collection. Based on the use of three research methods, including: interviews, observation, and documentary analysis, which were collected by 7 pilot teachers from one elementary school. The main findings are as follows: pilot teachers' curricular consciousness has been impacted by the implementation and transformation of the lesson plans. Under the atmosphere of the myth, pilot teachers still try to change and realize the transformation of teacherstudent relationship. According to the results mentioned above, this study suggest that the lesson plans of technology can improve pilot teachers' curricular consciousness and encourage pilot teachers' driving forces to shape a more appropriate teacher-student relationship. Study has also proposed several suggestions for raising pilot teachers' curricular consciousness and supplied further suggestions for follow-up research.