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題名 救護意願與染疫風險的掙扎-新冠疫情間醫護人員雙歧態度的成因與影響
Feeling Ambivalent between Willingness to Work and Risk of Infection-Causes and Effects of Ambivalence among Healthcare Workers during the COVID-19 Epidemic作者 陳彥任
Chen, Yen-Jen貢獻者 施琮仁
Shih, Tsung-Jen
陳彥任
Chen, Yen-Jen關鍵詞 新冠疫情
雙歧態度
救護意願
風險感知
人際溝通
COVID-19
Ambivalence
Willingness to work
Perception of risk
Interpersonal communication日期 2023 上傳時間 2-Jan-2024 15:35:09 (UTC+8) 摘要 本研究從雙歧態度的觀點出發探討醫護人員在新冠疫情期間持續救護意願與染疫風險的掙扎，並試圖透過不同衝突型態去梳理雙歧態度形成的原因以及探討雙歧態度如何影響醫護人員的持續救護意願。 本研究以全台灣醫護人員為研究對象，蒐集共401份的樣本進行分析，研究發現醫護人員對新冠疫情普遍抱有雙歧態度，而其通過風險感知與職業責任所形成的衝突(研究中稱為:風險-責任衝突)程度越高，雙歧態度越高、持續救護意願越低。且無論人際溝通衝突程度的高低，對於雙歧態度的程度並無太顯著的關係。此外雙歧態度作為中介變項在感知責任衝突與持續救護意願之間存在部分的中介效果。在測量雙歧態度上，主觀的方式比起客觀的無論是與衝突或是救護意願的關係上都更具顯著性。本研究不僅是少數針對醫護人員的雙歧研究，在醫護人員面對風險及人際傳播等相關領域也有所貢獻。
This study investigates the ambivalent attitudes of 401 healthcare professionals in Taiwan during the COVID-19 pandemic. Findings suggest that conflict arising from their perceptions of risk and professional responsibilities significantly correlates with heightened ambivalence and reduced willingness to provide aid. Moreover, these ambivalent attitudes partially mediate the relationship between perception-responsibility conflict and the willingness to offer assistance. In measuring ambivalence, subjective methods were found to be more significant than objective ones, both in relation to conflict and willingness to rescue. This study not only represents one of the few focused on healthcare professionals' ambivalence but also contributes to understanding healthcare professionals' attitudes in areas such as risk and interpersonal communication.參考文獻 一、英文文獻 Ainslie, G. (1986). Beyond microeconomics: Conflict among interests in a multiple self as a determinant of value. The Multiple Self, 133-175. Armitage, C. J., & Conner, M. (2000). Attitudinal ambivalence: A test of three key hypotheses. Personality and Social Psychology Bulletin, 26(11), 1421-1432. Bargh, J. A., Chaiken, S., Govender, R., & Pratto, F. (1992). The generality of the automatic attitude activation effect. Journal of Personality and Social Psychology, 62(6), 893. Barnett, D. J., Balicer, R. D., Thompson, C. B., Storey, J. D., Omer, S. B., Semon, N. L., Bayer, S., Cheek, L. V., Gateley, K. W., & Lanza, K. M. (2009). Assessment of local public health workers' willingness to respond to pandemic influenza through application of the extended parallel process model. Plos One, 4(7), e6365. Bauer, R. A. (1967). Consumer behavior as risk taking. Marketing: Critical Perspectives on Business and Management, 13-21. Benedek, D. M., Fullerton, C., & Ursano, R. J. (2007). First responders: mental health consequences of natural and human-made disasters for public health and public safety workers. Annu. Rev. Public Health, 28, 55-68. Breckler, S. J., & Wiggins, E. C. (1989). Affect versus evaluation in the structure of attitudes. Journal of Experimental Social Psychology, 25(3), 253-271. Brückner, H., Martin, A., & Bearman, P. S. (2004). Ambivalence and pregnancy: adolescents' attitudes, contraceptive use and pregnancy. Perspectives on Sexual and Reproductive Health, 36(6), 248-257. Bui, M., Droms, C. M., & Craciun, G. (2014). The impact of attitudinal ambivalence on weight loss decisions: Consequences and mitigating factors. Journal of Consumer Behaviour, 13(4), 303-315. Chan, A. K., Nickson, C. P., Rudolph, J. W., Lee, A., & Joynt, G. M. (2020). Social media for rapid knowledge dissemination: early experience from the COVID‐19 pandemic. Anaesthesia, 75(12), 1579. Chang, C. (2011). Feeling ambivalent about going green. Journal of Advertising, 40(4), 19-32. Chang, C. (2014). The influence of ambivalence toward a communication source: Media context priming and persuasion polarization. Communication Research, 41(6), 783-808. Chang, C. (2020). How branded videos can inspire consumers and benefit brands: Implications for consumers’ subjective well-being. Journal of Advertising, 49(5), 613-632. Clark, J. K., Wegener, D. T., & Fabrigar, L. R. (2008). Attitudinal ambivalence and message-based persuasion: Motivated processing of proattitudinal information and avoidance of counterattitudinal information. Personality and Social Psychology Bulletin, 34(4), 565-577. Conner, M., & Sparks, P. (2002). Ambivalence and attitudes. European Review of Social Psychology, 12(1), 37-70. Cox, C. L. (2020). ‘Healthcare Heroes’: problems with media focus on heroism from healthcare workers during the COVID-19 pandemic. Journal of Medical Ethics, 46(8), 510-513. Davies, H., & Cheung, M. (2022). COVID-19 and first responder social workers: An unexpected mental health storm. Social Work, 67(2), 114-122. Dryhurst, S., Schneider, C. R., Kerr, J., Freeman, A. L., Recchia, G., Van Der Bles, A. M., Spiegelhalter, D., & Van Der Linden, S. (2022). Risk perceptions of COVID-19 around the world. In COVID-19 (pp. 162-174). Routledge. Eagly, A. H., & Chaiken, S. (1993). The psychology of attitudes. Harcourt brace Jovanovich college publishers. Fingerman, K. L., Pitzer, L., Lefkowitz, E. S., Birditt, K. S., & Mroczek, D. (2008). Ambivalent relationship qualities between adults and their parents: Implications for the well-being of both parties. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(6), P362-P371. Gardner, P. (1987). Measuring ambivalence to science. Journal of Research in Science Teaching, 24(3), 241-247. Gardner, R. C. (1988). Attitudes and motivation. Annual Review of Applied Linguistics, 9, 135-148. Gee, S., & Skovdal, M. (2017). The role of risk perception in willingness to respond to the 2014–2016 West African Ebola outbreak: a qualitative study of international health care workers. Global Health Research and Policy, 2(1), 1-10. Gupta, S., & Sahoo, S. (2020). Pandemic and mental health of the front-line healthcare workers: a review and implications in the Indian context amidst COVID-19. General Psychiatry, 33(5). Hartley, P. (2002). Interpersonal communication. Routledge. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press. Hendrickson, R. C., Slevin, R. A., Hoerster, K. D., Chang, B. P., Sano, E., McCall, C. A., Monty, G. R., Thomas, R. G., & Raskind, M. A. (2022). The impact of the COVID-19 pandemic on mental health, occupational functioning, and professional retention among health care workers and first responders. Journal of General Internal Medicine, 37(2), 397-408. Holt-Lunstad, J., & Uchino, B. N. (2019). Social ambivalence and disease (SAD): A theoretical model aimed at understanding the health implications of ambivalent relationships. Perspectives on Psychological Science, 14(6), 941-966. Horan, K. A., Marks, M., Ruiz, J., Bowers, C., & Cunningham, A. (2021). Here for my peer: The future of first responder mental health. International Journal of Environmental Research and Public Health, 18(21), 11097. Jonas, K., Broemer, P., & Diehl, M. (2000). Attitudinal ambivalence. European Review of Social Psychology, 11(1), 35-74. Jonas, K., Diehl, M., & Brömer, P. (1997). Effects of attitudinal ambivalence on information processing and attitude-intention consistency. Journal of Experimental Social Psychology, 33(2), 190-210. Kasperson, R. E., & Kasperson, J. X. (1996). The social amplification and attenuation of risk. The Annals of the American Academy of Political and Social Science, 545(1), 95-105. Kotera, Y., Ozaki, A., Miyatake, H., Tsunetoshi, C., Nishikawa, Y., Kosaka, M., & Tanimoto, T. (2022). Qualitative investigation into the mental health of healthcare workers in Japan during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(1), 568. Kronenberg, M., Osofsky, H. J., Osofsky, J. D., Many, M., Hardy, M., & Arey, J. (2008). First responder culture: Implications for mental health professionals providing services following a natural disaster. Psychiatric Annals, 38(2). Lavine, H., Thomsen, C. J., Zanna, M. P., & Borgida, E. (1998). On the primacy of affect in the determination of attitudes and behavior: The moderating role of affective-cognitive ambivalence. Journal of Experimental Social Psychology, 34(4), 398-421. Littlejohn, S. W., & Foss, K. A. (2010). Theories of human communication. Waveland press. MacDonald, T. K., & Zanna, M. P. (1998). Cross-dimension ambivalence toward social groups: Can ambivalence affect intentions to hire feminists? Personality and Social Psychology Bulletin, 24(4), 427-441. Maio, G. R., Esses, V. M., & Bell, D. W. (2000). Examining conflict between components of attitudes: Ambivalence and inconsistency are distinct constructs. Canadian Journal of Behavioural Science/Revue Canadienne des Sciences du Comportement, 32(1), 58. Masterson, L., Steffen, C., Brin, M., Kordick, M. F., & Christos, S. (2009). Willingness to respond: of emergency department personnel and their predicted participation in mass casualty terrorist events. The Journal of Emergency Medicine, 36(1), 43-49. McGregor, B. A., Bowen, D. J., Ankerst, D. P., Andersen, M. R., Yasui, Y., & McTiernan, A. (2004). Optimism, perceived risk of breast cancer, and cancer worry among a community-based sample of women. Health Psychology, 23(4), 339. Morton, T. A., & Duck, J. M. (2001). Communication and health beliefs: Mass and interpersonal influences on perceptions of risk to self and others. Communication Research, 28(5), 602-626. Murray, E. J., Mason, M., Sparke, V., & Zimmerman, P.-A. P. (2021). Factors influencing health care workers’ willingness to respond to duty during infectious disease outbreaks and bioterrorist events: an integrative review. Prehospital and Disaster Medicine, 36(3), 321-337. Ogedegbe, C., Nyirenda, T., DelMoro, G., Yamin, E., & Feldman, J. (2012). Health care workers and disaster preparedness: barriers to and facilitators of willingness to respond. International Journal of Emergency Medicine, 5(1), 1-9. Passi, V., Doug, M., Peile, E., Thistlethwaite, J., & Johnson, N. (2010). Developing medical professionalism in future doctors: a systematic review. International Journal of Medical Education, 1, 19. Priester, J. R., & Petty, R. E. (1996). The gradual threshold model of ambivalence: relating the positive and negative bases of attitudes to subjective ambivalence. Journal of Personality and Social Psychology, 71(3), 431. Priester, J. R., & Petty, R. E. (2001). Extending the bases of subjective attitudinal ambivalence: Interpersonal and intrapersonal antecedents of evaluative tension. Journal of Personality and Social Psychology, 80(1), 19. Rubinelli, S., Myers, K., Rosenbaum, M., & Davis, D. (2020). Implications of the current COVID-19 pandemic for communication in healthcare. Patient Education and Counseling, 103(6), 1067. Salehi, G., Soto, C. D., & Amani, R. (2020). HOW HIGHLY EDUCATED CANADIAN WOMEN (HCW) PERCEIVE FOLLOWING VEGAN DIET (FVD): A QUALITATIVE QUESTIONNAIRE. Shaffer, H. J., & Simoneau, G. (2001). Reducing resistance and denial by exercising ambivalence during the treatment of addiction. Journal of Substance Abuse Treatment, 20(1), 99-105. Shreffler, J., Petrey, J., & Huecker, M. (2020). The impact of COVID-19 on healthcare worker wellness: a scoping review. Western Journal of Emergency Medicine, 21(5), 1059. Sparks, P., Hedderley, D., & Shepherd, R. (1992). An investigation into the relationship between perceived control, attitude variability and the consumption of two common foods. European Journal of Social Psychology, 22(1), 55-71. Swick, H. M. (2000). Toward a normative definition of medical professionalism. Academic Medicine, 75(6), 612-616. Thompson, M. M., Zanna, M. P., & Griffin, D. W. (1995). Let’s not be indifferent about (attitudinal) ambivalence. Attitude Strength: Antecedents and Consequences, 4, 361-386. Tortella-Feliu, M., Fullana, M. A., Pérez-Vigil, A., Torres, X., Chamorro, J., Littarelli, S. A., Solanes, A., Ramella-Cravaro, V., Vilar, A., & González-Parra, J. A. (2019). Risk factors for posttraumatic stress disorder: An umbrella review of systematic reviews and meta-analyses. Neuroscience & Biobehavioral Reviews, 107, 154-165. Toth-Manikowski, S. M., Swirsky, E. S., Gandhi, R., & Piscitello, G. (2022). COVID-19 vaccination hesitancy among health care workers, communication, and policy-making. American Journal of Infection Control, 50(1), 20-25. Tourangeau, R., Rasinski, K. A., Bradburn, N., & D'ANDRADE, R. (1989). Carryover effects in attitude surveys. Public Opinion Quarterly, 53(4), 495-524. Turner, J. A., Rebmann, T., Loux, T. M., & Charney, R. L. (2020). Willingness to respond to radiological disasters among first responders in St. Louis, Missouri. Health Security, 18(4), 318-328. Veenema, T. G., Walden, B., Feinstein, N., & Williams, J. P. (2008). Factors affecting hospital-based nurses' willingness to respond to a radiation emergency. Disaster Medicine and Public Health Preparedness, 2(4), 224-229. Vigil, N. H., Grant, A. R., Perez, O., Blust, R. N., Chikani, V., Vadeboncoeur, T. F., Spaite, D. W., & Bobrow, B. J. (2018). Death by suicide—The EMS profession compared to the general public. Prehospital Emergency Care, 61, 185–196. 二、中文文獻 王金蓮、邱淑媞、簡莉盈、黃心苑(2018)。〈探討台灣臨床護理人員工作待遇滿意度與離職及轉業意念之相關因素〉，《澄清醫護管理雜誌》，14(2)：27-39。 姜恬、宛小燕(2011)。〈淺議如何定義醫學職業素養〉，《中國醫學倫理學》，6：815-817。 施琮仁(2021)。〈新冠肺炎的日常防疫行為:媒體，情緒與風險認知的作用〉，《新聞學研究》，(148)：153-196。 韋苡爭(2011)。〈憂鬱症風險感知影響因素之探討〉，《危機管理學刊》，8(2)：43-54。 張卿卿(2014)。〈從認知與情感雙歧檢視台灣民眾的廣告規避與趨近行為〉，《中華傳播學刊》，(25)：71-98。 張卿卿(2016)。〈以網路購物為例探討媒介作為娛樂的功能〉，《中華傳播學刊》，(29)：3-43。 張卿卿(2017)。〈政黨雙歧不確定的糾結:成因，決策過程，媒體接收與行為意向〉，《中華傳播學刊》，(32)：167-202。 楊意菁、徐美苓(2010)。〈風險社會概念下的風險溝通與網路傳播:以全球暖化議題為例〉，《中華傳播學刊》，(18)：151-191。 廖士程、李明濱、李宇宙、吳佳璇、曾美智(2005)。〈知情同意與術前矛盾之相關聯〉，《醫學教育》，9(1)：80-90。 描述 碩士
國立政治大學
傳播學院傳播碩士學位學程
108464052資料來源 http://thesis.lib.nccu.edu.tw/record/#G0108464052 資料類型 thesis dc.contributor.advisor 施琮仁 zh_TW dc.contributor.advisor Shih, Tsung-Jen en_US dc.contributor.author (Authors) 陳彥任 zh_TW dc.contributor.author (Authors) Chen, Yen-Jen en_US dc.creator (作者) 陳彥任 zh_TW dc.creator (作者) Chen, Yen-Jen en_US dc.date (日期) 2023 en_US dc.date.accessioned 2-Jan-2024 15:35:09 (UTC+8) - dc.date.available 2-Jan-2024 15:35:09 (UTC+8) - dc.date.issued (上傳時間) 2-Jan-2024 15:35:09 (UTC+8) - dc.identifier (Other Identifiers) G0108464052 en_US dc.identifier.uri (URI) https://nccur.lib.nccu.edu.tw/handle/140.119/149061 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 傳播學院傳播碩士學位學程 zh_TW dc.description (描述) 108464052 zh_TW dc.description.abstract (摘要) 本研究從雙歧態度的觀點出發探討醫護人員在新冠疫情期間持續救護意願與染疫風險的掙扎，並試圖透過不同衝突型態去梳理雙歧態度形成的原因以及探討雙歧態度如何影響醫護人員的持續救護意願。 本研究以全台灣醫護人員為研究對象，蒐集共401份的樣本進行分析，研究發現醫護人員對新冠疫情普遍抱有雙歧態度，而其通過風險感知與職業責任所形成的衝突(研究中稱為:風險-責任衝突)程度越高，雙歧態度越高、持續救護意願越低。且無論人際溝通衝突程度的高低，對於雙歧態度的程度並無太顯著的關係。此外雙歧態度作為中介變項在感知責任衝突與持續救護意願之間存在部分的中介效果。在測量雙歧態度上，主觀的方式比起客觀的無論是與衝突或是救護意願的關係上都更具顯著性。本研究不僅是少數針對醫護人員的雙歧研究，在醫護人員面對風險及人際傳播等相關領域也有所貢獻。 zh_TW dc.description.abstract (摘要) This study investigates the ambivalent attitudes of 401 healthcare professionals in Taiwan during the COVID-19 pandemic. Findings suggest that conflict arising from their perceptions of risk and professional responsibilities significantly correlates with heightened ambivalence and reduced willingness to provide aid. Moreover, these ambivalent attitudes partially mediate the relationship between perception-responsibility conflict and the willingness to offer assistance. In measuring ambivalence, subjective methods were found to be more significant than objective ones, both in relation to conflict and willingness to rescue. This study not only represents one of the few focused on healthcare professionals' ambivalence but also contributes to understanding healthcare professionals' attitudes in areas such as risk and interpersonal communication. en_US dc.description.tableofcontents 第一章 緒論 8 第一節 研究背景與動機 8 第二章 文獻探討 12 第一節 形成雙歧態度的相關因素與研究 12 一、 雙歧態度的產生-風險感知與職業責任的衝突 12 二、雙歧態度的產生-人際溝通間的衝突 16 第二節 雙歧態度與持續救護意願間的關係與研究 19 一、 雙歧態度的定義與相關研究 19 二、影響雙歧態度的認知與情感 20 三、醫護人員的雙歧態度與持續救護意願間的關係與研究 22 第三節 影響醫護人員持續救護意願的相關因素與研究 24 一、風險-責任衝突與持續救護意願間的關係與研究 24 二、人際溝通衝突與持續救護意願間的關係與研究 27 第四節 研究架構論述 29 第三章 研究方法 32 第一節 研究流程 32 一、 資料來源 32 三、 問卷設計與研究流程 33 第二節 變數的測量與問卷構面的定義 34 一、 人口變項 34 二、 風險-責任衝突 34 三、 人際溝通衝突 36 四、 雙歧態度 37 五、 持續救護意願 38 第三節 問卷前測與相關分析 39 一、問卷前測 39 二、信度分析 39 第四章 分析結果 41 第一節 描述性統計 41 第二節 雙歧態度測量的過程與結果 43 第三節 控制變項和主要變項的關連性 44 第四節、假說檢定 45 第五節 中介效果 49 一、客觀雙歧 49 二、主觀雙歧 49 第五章 研究討論 51 第一節 研究發現與相關討論 51 第二節 研究限制 58 第六章 結論與建議 60 第一節 研究貢獻與期望 60 第二節 未來研究方向與建議 62 第七章 參考文獻 64 一、英文文獻 64 二、中文文獻 73 zh_TW dc.format.extent 2412433 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0108464052 en_US dc.subject (關鍵詞) 新冠疫情 zh_TW dc.subject (關鍵詞) 雙歧態度 zh_TW dc.subject (關鍵詞) 救護意願 zh_TW dc.subject (關鍵詞) 風險感知 zh_TW dc.subject (關鍵詞) 人際溝通 zh_TW dc.subject (關鍵詞) COVID-19 en_US dc.subject (關鍵詞) Ambivalence en_US dc.subject (關鍵詞) Willingness to work en_US dc.subject (關鍵詞) Perception of risk en_US dc.subject (關鍵詞) Interpersonal communication en_US dc.title (題名) 救護意願與染疫風險的掙扎-新冠疫情間醫護人員雙歧態度的成因與影響 zh_TW dc.title (題名) Feeling Ambivalent between Willingness to Work and Risk of Infection-Causes and Effects of Ambivalence among Healthcare Workers during the COVID-19 Epidemic en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 一、英文文獻 Ainslie, G. (1986). Beyond microeconomics: Conflict among interests in a multiple self as a determinant of value. The Multiple Self, 133-175. Armitage, C. J., & Conner, M. (2000). Attitudinal ambivalence: A test of three key hypotheses. Personality and Social Psychology Bulletin, 26(11), 1421-1432. Bargh, J. A., Chaiken, S., Govender, R., & Pratto, F. (1992). The generality of the automatic attitude activation effect. Journal of Personality and Social Psychology, 62(6), 893. Barnett, D. J., Balicer, R. D., Thompson, C. B., Storey, J. D., Omer, S. B., Semon, N. L., Bayer, S., Cheek, L. V., Gateley, K. W., & Lanza, K. M. (2009). Assessment of local public health workers' willingness to respond to pandemic influenza through application of the extended parallel process model. Plos One, 4(7), e6365. Bauer, R. A. (1967). Consumer behavior as risk taking. Marketing: Critical Perspectives on Business and Management, 13-21. Benedek, D. M., Fullerton, C., & Ursano, R. J. (2007). First responders: mental health consequences of natural and human-made disasters for public health and public safety workers. Annu. Rev. Public Health, 28, 55-68. Breckler, S. J., & Wiggins, E. C. (1989). Affect versus evaluation in the structure of attitudes. Journal of Experimental Social Psychology, 25(3), 253-271. Brückner, H., Martin, A., & Bearman, P. S. (2004). Ambivalence and pregnancy: adolescents' attitudes, contraceptive use and pregnancy. Perspectives on Sexual and Reproductive Health, 36(6), 248-257. Bui, M., Droms, C. M., & Craciun, G. (2014). The impact of attitudinal ambivalence on weight loss decisions: Consequences and mitigating factors. Journal of Consumer Behaviour, 13(4), 303-315. Chan, A. K., Nickson, C. P., Rudolph, J. W., Lee, A., & Joynt, G. M. (2020). Social media for rapid knowledge dissemination: early experience from the COVID‐19 pandemic. Anaesthesia, 75(12), 1579. Chang, C. (2011). Feeling ambivalent about going green. Journal of Advertising, 40(4), 19-32. Chang, C. (2014). The influence of ambivalence toward a communication source: Media context priming and persuasion polarization. Communication Research, 41(6), 783-808. Chang, C. (2020). How branded videos can inspire consumers and benefit brands: Implications for consumers’ subjective well-being. Journal of Advertising, 49(5), 613-632. Clark, J. K., Wegener, D. T., & Fabrigar, L. R. (2008). Attitudinal ambivalence and message-based persuasion: Motivated processing of proattitudinal information and avoidance of counterattitudinal information. Personality and Social Psychology Bulletin, 34(4), 565-577. Conner, M., & Sparks, P. (2002). Ambivalence and attitudes. European Review of Social Psychology, 12(1), 37-70. Cox, C. L. (2020). ‘Healthcare Heroes’: problems with media focus on heroism from healthcare workers during the COVID-19 pandemic. Journal of Medical Ethics, 46(8), 510-513. Davies, H., & Cheung, M. (2022). COVID-19 and first responder social workers: An unexpected mental health storm. Social Work, 67(2), 114-122. Dryhurst, S., Schneider, C. R., Kerr, J., Freeman, A. L., Recchia, G., Van Der Bles, A. M., Spiegelhalter, D., & Van Der Linden, S. (2022). Risk perceptions of COVID-19 around the world. In COVID-19 (pp. 162-174). Routledge. Eagly, A. H., & Chaiken, S. (1993). The psychology of attitudes. Harcourt brace Jovanovich college publishers. Fingerman, K. L., Pitzer, L., Lefkowitz, E. S., Birditt, K. S., & Mroczek, D. (2008). Ambivalent relationship qualities between adults and their parents: Implications for the well-being of both parties. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(6), P362-P371. Gardner, P. (1987). Measuring ambivalence to science. Journal of Research in Science Teaching, 24(3), 241-247. Gardner, R. C. (1988). Attitudes and motivation. Annual Review of Applied Linguistics, 9, 135-148. Gee, S., & Skovdal, M. (2017). The role of risk perception in willingness to respond to the 2014–2016 West African Ebola outbreak: a qualitative study of international health care workers. Global Health Research and Policy, 2(1), 1-10. Gupta, S., & Sahoo, S. (2020). Pandemic and mental health of the front-line healthcare workers: a review and implications in the Indian context amidst COVID-19. General Psychiatry, 33(5). Hartley, P. (2002). Interpersonal communication. Routledge. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press. Hendrickson, R. C., Slevin, R. A., Hoerster, K. D., Chang, B. P., Sano, E., McCall, C. A., Monty, G. R., Thomas, R. G., & Raskind, M. A. (2022). The impact of the COVID-19 pandemic on mental health, occupational functioning, and professional retention among health care workers and first responders. Journal of General Internal Medicine, 37(2), 397-408. Holt-Lunstad, J., & Uchino, B. N. (2019). Social ambivalence and disease (SAD): A theoretical model aimed at understanding the health implications of ambivalent relationships. Perspectives on Psychological Science, 14(6), 941-966. Horan, K. A., Marks, M., Ruiz, J., Bowers, C., & Cunningham, A. (2021). Here for my peer: The future of first responder mental health. International Journal of Environmental Research and Public Health, 18(21), 11097. Jonas, K., Broemer, P., & Diehl, M. (2000). Attitudinal ambivalence. European Review of Social Psychology, 11(1), 35-74. Jonas, K., Diehl, M., & Brömer, P. (1997). Effects of attitudinal ambivalence on information processing and attitude-intention consistency. Journal of Experimental Social Psychology, 33(2), 190-210. Kasperson, R. E., & Kasperson, J. X. (1996). The social amplification and attenuation of risk. The Annals of the American Academy of Political and Social Science, 545(1), 95-105. Kotera, Y., Ozaki, A., Miyatake, H., Tsunetoshi, C., Nishikawa, Y., Kosaka, M., & Tanimoto, T. (2022). Qualitative investigation into the mental health of healthcare workers in Japan during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(1), 568. Kronenberg, M., Osofsky, H. J., Osofsky, J. D., Many, M., Hardy, M., & Arey, J. (2008). First responder culture: Implications for mental health professionals providing services following a natural disaster. Psychiatric Annals, 38(2). Lavine, H., Thomsen, C. J., Zanna, M. P., & Borgida, E. (1998). On the primacy of affect in the determination of attitudes and behavior: The moderating role of affective-cognitive ambivalence. Journal of Experimental Social Psychology, 34(4), 398-421. Littlejohn, S. W., & Foss, K. A. (2010). Theories of human communication. Waveland press. MacDonald, T. K., & Zanna, M. P. (1998). Cross-dimension ambivalence toward social groups: Can ambivalence affect intentions to hire feminists? Personality and Social Psychology Bulletin, 24(4), 427-441. Maio, G. R., Esses, V. M., & Bell, D. W. (2000). Examining conflict between components of attitudes: Ambivalence and inconsistency are distinct constructs. Canadian Journal of Behavioural Science/Revue Canadienne des Sciences du Comportement, 32(1), 58. Masterson, L., Steffen, C., Brin, M., Kordick, M. F., & Christos, S. (2009). Willingness to respond: of emergency department personnel and their predicted participation in mass casualty terrorist events. The Journal of Emergency Medicine, 36(1), 43-49. McGregor, B. A., Bowen, D. J., Ankerst, D. P., Andersen, M. R., Yasui, Y., & McTiernan, A. (2004). Optimism, perceived risk of breast cancer, and cancer worry among a community-based sample of women. Health Psychology, 23(4), 339. Morton, T. A., & Duck, J. M. (2001). Communication and health beliefs: Mass and interpersonal influences on perceptions of risk to self and others. Communication Research, 28(5), 602-626. Murray, E. J., Mason, M., Sparke, V., & Zimmerman, P.-A. P. (2021). Factors influencing health care workers’ willingness to respond to duty during infectious disease outbreaks and bioterrorist events: an integrative review. Prehospital and Disaster Medicine, 36(3), 321-337. Ogedegbe, C., Nyirenda, T., DelMoro, G., Yamin, E., & Feldman, J. (2012). Health care workers and disaster preparedness: barriers to and facilitators of willingness to respond. International Journal of Emergency Medicine, 5(1), 1-9. Passi, V., Doug, M., Peile, E., Thistlethwaite, J., & Johnson, N. (2010). Developing medical professionalism in future doctors: a systematic review. International Journal of Medical Education, 1, 19. Priester, J. R., & Petty, R. E. (1996). The gradual threshold model of ambivalence: relating the positive and negative bases of attitudes to subjective ambivalence. Journal of Personality and Social Psychology, 71(3), 431. Priester, J. R., & Petty, R. E. (2001). Extending the bases of subjective attitudinal ambivalence: Interpersonal and intrapersonal antecedents of evaluative tension. Journal of Personality and Social Psychology, 80(1), 19. Rubinelli, S., Myers, K., Rosenbaum, M., & Davis, D. (2020). Implications of the current COVID-19 pandemic for communication in healthcare. Patient Education and Counseling, 103(6), 1067. Salehi, G., Soto, C. D., & Amani, R. (2020). HOW HIGHLY EDUCATED CANADIAN WOMEN (HCW) PERCEIVE FOLLOWING VEGAN DIET (FVD): A QUALITATIVE QUESTIONNAIRE. Shaffer, H. J., & Simoneau, G. (2001). Reducing resistance and denial by exercising ambivalence during the treatment of addiction. Journal of Substance Abuse Treatment, 20(1), 99-105. Shreffler, J., Petrey, J., & Huecker, M. (2020). The impact of COVID-19 on healthcare worker wellness: a scoping review. Western Journal of Emergency Medicine, 21(5), 1059. Sparks, P., Hedderley, D., & Shepherd, R. (1992). An investigation into the relationship between perceived control, attitude variability and the consumption of two common foods. European Journal of Social Psychology, 22(1), 55-71. Swick, H. M. (2000). Toward a normative definition of medical professionalism. Academic Medicine, 75(6), 612-616. Thompson, M. M., Zanna, M. P., & Griffin, D. W. (1995). Let’s not be indifferent about (attitudinal) ambivalence. Attitude Strength: Antecedents and Consequences, 4, 361-386. Tortella-Feliu, M., Fullana, M. A., Pérez-Vigil, A., Torres, X., Chamorro, J., Littarelli, S. A., Solanes, A., Ramella-Cravaro, V., Vilar, A., & González-Parra, J. A. (2019). Risk factors for posttraumatic stress disorder: An umbrella review of systematic reviews and meta-analyses. Neuroscience & Biobehavioral Reviews, 107, 154-165. Toth-Manikowski, S. M., Swirsky, E. S., Gandhi, R., & Piscitello, G. (2022). COVID-19 vaccination hesitancy among health care workers, communication, and policy-making. American Journal of Infection Control, 50(1), 20-25. Tourangeau, R., Rasinski, K. A., Bradburn, N., & D'ANDRADE, R. (1989). Carryover effects in attitude surveys. Public Opinion Quarterly, 53(4), 495-524. Turner, J. A., Rebmann, T., Loux, T. M., & Charney, R. L. (2020). Willingness to respond to radiological disasters among first responders in St. Louis, Missouri. Health Security, 18(4), 318-328. Veenema, T. G., Walden, B., Feinstein, N., & Williams, J. P. (2008). Factors affecting hospital-based nurses' willingness to respond to a radiation emergency. Disaster Medicine and Public Health Preparedness, 2(4), 224-229. Vigil, N. H., Grant, A. R., Perez, O., Blust, R. N., Chikani, V., Vadeboncoeur, T. F., Spaite, D. W., & Bobrow, B. J. (2018). Death by suicide—The EMS profession compared to the general public. Prehospital Emergency Care, 61, 185–196. 二、中文文獻 王金蓮、邱淑媞、簡莉盈、黃心苑(2018)。〈探討台灣臨床護理人員工作待遇滿意度與離職及轉業意念之相關因素〉，《澄清醫護管理雜誌》，14(2)：27-39。 姜恬、宛小燕(2011)。〈淺議如何定義醫學職業素養〉，《中國醫學倫理學》，6：815-817。 施琮仁(2021)。〈新冠肺炎的日常防疫行為:媒體，情緒與風險認知的作用〉，《新聞學研究》，(148)：153-196。 韋苡爭(2011)。〈憂鬱症風險感知影響因素之探討〉，《危機管理學刊》，8(2)：43-54。 張卿卿(2014)。〈從認知與情感雙歧檢視台灣民眾的廣告規避與趨近行為〉，《中華傳播學刊》，(25)：71-98。 張卿卿(2016)。〈以網路購物為例探討媒介作為娛樂的功能〉，《中華傳播學刊》，(29)：3-43。 張卿卿(2017)。〈政黨雙歧不確定的糾結:成因，決策過程，媒體接收與行為意向〉，《中華傳播學刊》，(32)：167-202。 楊意菁、徐美苓(2010)。〈風險社會概念下的風險溝通與網路傳播:以全球暖化議題為例〉，《中華傳播學刊》，(18)：151-191。 廖士程、李明濱、李宇宙、吳佳璇、曾美智(2005)。〈知情同意與術前矛盾之相關聯〉，《醫學教育》，9(1)：80-90。 zh_TW
