{"id":10108,"date":"2024-03-18T09:03:09","date_gmt":"2024-03-18T01:03:09","guid":{"rendered":"https:\/\/newsletter.cgust.edu.tw\/?p=10108"},"modified":"2024-03-18T09:03:13","modified_gmt":"2024-03-18T01:03:13","slug":"%e6%87%89%e7%94%a8chatgpt%e8%a9%95%e4%bc%b0%e8%ad%b7%e7%94%9f%e4%b9%8b%e8%ad%b7%e7%97%85%e6%ba%9d%e9%80%9a%e8%83%bd%e5%8a%9b","status":"publish","type":"post","link":"https:\/\/newsletter.cgust.edu.tw\/?p=10108","title":{"rendered":"\u61c9\u7528ChatGPT\u8a55\u4f30\u8b77\u751f\u4e4b\u8b77\u75c5\u6e9d\u901a\u80fd\u529b"},"content":{"rendered":"\n<p>\u81e8\u5e8a\u6280\u80fd\u4e2d\u5fc3\u694a\u99a5\u5b87\u52a9\u7406\u7814\u7a76\u54e1\u3001\u5433\u7f8e\u73b2\u526f\u6559\u63882024-03-15 15:20:59<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"494\" height=\"500\" src=\"https:\/\/newsletter.cgust.edu.tw\/wp-content\/uploads\/2024\/03\/2024031801.jpg\" alt=\"\" class=\"wp-image-10109\" srcset=\"https:\/\/newsletter.cgust.edu.tw\/wp-content\/uploads\/2024\/03\/2024031801.jpg 494w, https:\/\/newsletter.cgust.edu.tw\/wp-content\/uploads\/2024\/03\/2024031801-296x300.jpg 296w\" sizes=\"(max-width: 494px) 100vw, 494px\" \/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">\u57161. GPT-4\u7e6a\u88fd\u7684\u6a19\u6e96\u5316\u75c5\u4eba\u9673\u6843\u5973\u58eb<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">\u8b77\u7406\u904e\u7a0b\u662f\u7531\u8a55\u4f30\u3001\u8a3a\u65b7\u3001\u898f\u5283\u3001\u5be6\u65bd\u548c\u8a55\u4f30\u9019\u4e94\u500b\u9023\u7e8c\u6b65\u9a5f\u7d44\u6210\uff08Whiteman et al., 2021\uff09\uff0c\u800c\u6e9d\u901a\u662f\u9019\u4e9b\u6b65\u9a5f\u7684\u57fa\u790e\uff08Mousavinasab et al., 2020\uff09\u3002\u8b77\u751f\u5fc5\u9808\u5728\u5b78\u6821\u5b78\u7fd2\u8b77\u75c5\u6e9d\u901a\u7684\u5c08\u696d\u6280\u80fd\uff0c\u5c0d\u75c5\u60a3\u5177\u5099\u8db3\u5920\u7684\u89c0\u5bdf\u529b\u8207\u6e9d\u901a\u6280\u5de7\uff0c\u624d\u80fd\u5728\u554f\u8a3a\u5f8c\u53ca\u6642\u4e14\u6b63\u78ba\u5730\u8a55\u4f30\u548c\u5224\u65b7\u60a3\u8005\u7684\u75c5\u60c5\u8cc7\u8a0a\u8207\u611f\u53d7\uff0c\u5c55\u958b\u6b63\u5411\u7684\u8b77\u75c5\u95dc\u4fc2\uff08Kirca &amp; Bademli\uff0c2019 \uff1bToney-Butler &amp; Unison-Pace, 2019 \uff09\uff0c\u4e26\u63d0\u4f9b\u60a3\u8005\u5c08\u696d\u4e14\u6b63\u78ba\u7684\u885b\u6559\u77e5\u8b58\u3002<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">\u8b77\u7406\u8ab2\u7a0b\u96d6\u7136\u6709\u6559\u5c0e\u5b78\u751f\u5982\u4f55\u554f\u8a3a\u548c\u885b\u6559\uff0c\u4e14OSCE\u8003\u8a66\u4e5f\u6703\u8003\u5b78\u751f\u7684\u8b77\u75c5\u6e9d\u901a\u80fd\u529b\uff0c\u4f46\u662f\u5b78\u751f\u5728\u8ab2\u5802\u80fd\u5be6\u969b\u7df4\u7fd2\u7684\u6a5f\u6703\u6bd4\u8f03\u5c11\uff0c\u6240\u4ee5\u7576\u4ed6\u5011\u9762\u5c0dOSCE\u8003\u8a66\u6216\u9032\u5165\u91ab\u9662\u81e8\u5e8a\u5be6\u7fd2\u6642\uff0c\u5f80\u5f80\u8655\u65bc\u4e0d\u6562\u8b1b\u6216\u4e0d\u6703\u8b1b\u7684\u72c0\u614b\uff08\u856d\u96c5\u7af9\u3001\u5433\u9e97\u745c\u3001\u912d\u5e78\u5b9c\u3001\u5289\u78a7\u971e\uff0c2012\uff09\u3002<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">\u8fd1\u4f86\u751f\u6210\u5f0fAI\u5927\u884c\u5176\u9053\uff0cOpenAI\u516c\u53f8\u767c\u5c55\u7684ChatGPT (Generative Pretrained Transformer)\u66f4\u662f\u5c0d\u696d\u754c\u548c\u5b78\u8853\u754c\u62cb\u4e0b\u4e00\u9846\u9707\u64bc\u5f48\u3002\u751f\u6210\u5f0fAI\u904b\u7528\u6df1\u5ea6\u5b78\u7fd2\u6280\u8853\u3001\u81ea\u7136\u8a9e\u8a00\u8655\u7406\u6a21\u578b(natural language processing model, NLP model) (OpenAI, 2023)\uff0c\u4eba\u5011\u53ea\u8981\u4f7f\u7528\u985e\u4eba\u985e\u8a9e\u8a00\u5c31\u53ef\u4ee5\u548c\u6a5f\u5668\u4eba\u6e9d\u901a\uff0c\u5c0dChatGPT\u4e0b\u63d0\u793a\u8a9e\u6307\u4ee4\uff0c\u7522\u751f\u6587\u5b57\u3001\u4ee3\u78bc\u6216\u5716\u5f62\u7b49\u5404\u7a2e\u5f62\u5f0f\u5167\u5bb9\uff0c\u7121\u8ad6\u662f\u7a0b\u5f0f\u8a9e\u8a00\u5b78\u7fd2\u3001\u6a21\u64ec\u5c0d\u8a71\u3001\u5275\u610f\u751f\u6210\u9ede\u5b50\u3001\u6458\u8981\u3001\u7ffb\u8b6f\u3001\u8a55\u91cf\u3001\u51fa\u984c\u7b49\u7b49\uff0c\u90fd\u6709\u76f8\u95dc\u61c9\u7528\u7814\u7a76\uff08AlAfnan, et al., 2023\uff09\u3002\u96d6\u7136\u76ee\u524dChatGPT\u5728\u8b77\u7406\u6559\u80b2\u591a\u534a\u8655\u65bc\u8003\u984c\u6e2c\u8a66\u968e\u6bb5\uff0c\u4f46\u5df2\u6709\u5c11\u6578\u8b77\u7406\u6559\u80b2\u5c07ChatGPT\u61c9\u7528\u5728\u8ab2\u7a0b\u7684\u7814\u7a76\uff0c\u4f8b\u5982\u57f9\u990a\u5b78\u751f\u7684\u554f\u984c\u89e3\u6c7a\u80fd\u529b(Chang et al., 2024)\u3002\u672c\u7814\u7a76\u70ba\u63d0\u9ad8\u8b77\u7406\u7cfb\u5b78\u751f\u8b77\u75c5\u6e9d\u901a\u8207\u885b\u6559\u77e5\u8b58\u719f\u7a14\u5ea6\u8207\u7cbe\u78ba\u6027\uff0c\u8a2d\u8a08\u5c07OSCE\u6559\u6848\u878d\u5165GPT-4\u63d0\u793a\u8a9e\uff0c\u63a2\u7a76\u8b77\u751f\u8207GPT-4\u6a21\u64ec\u7684\u6a19\u6e96\u5316\u75c5\u4eba\uff08Standardized Patient, SP\uff09\u7684\u8b77\u75c5\u6e9d\u901a\u60c5\u5f62\u3002<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\"><strong>\u65b9\u6cd5\uff1a<\/strong>\u672c\u7814\u7a76\u4f7f\u7528GPT-4\u7e6a\u88fd\u6a19\u6e96\u5316\u75c5\u4eba\u7684\u5916\u89c0\uff0c78\u6b72\u9ad8\u9f61\u7684\u9ad8\u8840\u7cd6\u75c5\u60a3\u9673\u6843\u5973\u58eb\uff0c\u7531\u5b78\u751f\u5c0d\u5176\u9032\u884c\u8b77\u75c5\u6e9d\u901a\u7684\u4efb\u52d9\u3002\u5be6\u9a57\u4eff\u7167\u6b63\u5f0fOSCE\u7684\u8003\u8a66\u6642\u9593\uff0c\u8b93\u5b78\u751f\u8b80\u984c1\u5206\u9418\uff0c\u63a5\u8457\u9032\u884c8\u5206\u9418\u7684\u554f\u8a3a\u3001\u8a55\u4f30\u548c\u885b\u6559\uff0c\u4e26\u56de\u7b54\u7531GPT-4\u626e\u6f14\u7684\u6a19\u6e96\u5316\u75c5\u4eba\u6240\u63d0\u51fa\u7684\u554f\u984c\u3002\u5e0c\u671b\u900f\u904e\u9019\u6a23\u7684\u6e2c\u8a66\uff0c\u77ad\u89e3\u8b77\u751f\u7684\u8b77\u75c5\u6e9d\u901a\u80fd\u529b\u3001\u6e9d\u901a\u7279\u5fb5\u8207\u56f0\u96e3\uff0c\u85c9\u6b64\u4fee\u6b63\u8207\u8a13\u7df4GPT-4\u7684\u8b77\u75c5\u6e9d\u901a\u5c0d\u8a71\u80fd\u529b\u8207\u6e9d\u901a\u8a55\u4f30\u6210\u6548\u3002<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\"><strong>\u672c\u7814\u7a76\u6a23\u672c\u70ba<\/strong>3\u4f4d\u6709OSCE\u7d93\u9a57\u3001\u5e73\u5747\u5e74\u9f61 22.67 \u6b72\u7684\u5b78\u751f\uff0c\u5169\u4f4d\u70ba\u8b77\u7406\u4e94\u5c08\u61c9\u5c46\u7562\u696d\u751f\uff0c\u5176\u4e2d\u4e00\u4f4d\u67094\u5e74\u81e8\u5e8a\u5de5\u4f5c\u7d93\u9a57\uff0c\u4ed6\u5011\u5747\u8981\u8207\u626e\u6f14\u6a19\u6e96\u5316\u75c5\u4eba\u7684GPT-4\u9032\u884c\u8b77\u75c5\u6e9d\u901a\uff0c\u4e4b\u5f8c\u7531\u5169\u4f4d\u5c08\u5bb6\u5c0d\u5b78\u751f\u7684GPT-4\u5c0d\u8a71\u6b77\u53f2\u7d00\u9304\u9032\u884c\u7368\u7acb\u8a55\u5206\uff0c\u5176\u8a55\u5206\u4e00\u81f4\u6027\u4fe1\u5ea6Kappa\u503c=0.80\uff0c<em>p<\/em>&lt;.001\u3002<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\"><strong>\u7d50\u679c\uff1a<\/strong>\u5b78\u751f\u57288\u5206\u9418\u5167\u5e73\u5747\u5c0d\u8a7110\u6b21\uff0c\u5e73\u5747\u5206\u65785.67\u5206\uff0c\u4e26\u672a\u9054\u9810\u8a2d\u7684\u53ca\u683c\u5206\u657814\u5206\uff0c\u5176\u4e2d\u6709\u81e8\u5e8a\u5de5\u4f5c\u7d93\u9a57\u7684\u8b77\u751f\u6e9d\u901a\u6b21\u6578\u6700\u591a\uff0c\u6982\u5ff5\u7bc4\u570d\u4e5f\u8f03\u5ee3\u3002\u5b78\u751f\u96d6\u7136\u89ba\u5f97GPT-4\u5f88\u8070\u660e\uff0c\u53ef\u4ee5\u7cbe\u78ba\u8aaa\u51fa\u91ab\u7642\u7528\u85e5\u548c\u63d0\u554f\uff0c\u4f46\u8207GPT-4\u4e92\u52d5\u7f3a\u4e4f\u8ddf\u771f\u5be6\u75c5\u4eba\u7684\u4e92\u52d5\u611f\uff0c\u4e0d\u592a\u80fd\u5c07GPT-4\u8996\u70ba\u6a19\u6e96\u5316\u75c5\u4eba\uff0c\u4e5f\u6bd4\u8f03\u5c11\u4f7f\u7528\u8001\u4eba\u6e9d\u901a\u539f\u5247\u3002\u6b64\u5916\uff0c\u5b78\u751f\u5927\u90e8\u5206\u6642\u9593\u82b1\u5728\u554f\u8a3a\u8a55\u4f30\uff0c\u8457\u91cd\u65bc\u75c5\u60a3\u6703\u4e0d\u6703\u6216\u6709\u6c92\u6709\u91cf\u8840\u7cd6\u3001\u904b\u52d5\u3001\u5403\u85e5\u4e4b\u4e8b\uff0c\u4e0d\u592a\u6703\u6df1\u5165\u8a62\u554f\u6642\u9593\u3001\u983b\u7387\u3001\u5c08\u696d\u91ab\u7642\u7528\u8a9e\u53ca\u8a55\u4f30\u6578\u503c\u662f\u5426\u5408\u5b9c\uff0c\u4e5f\u6c92\u6709\u63d0\u5230\u9ad8\u3001\u4f4e\u8840\u7cd6\u7684\u7570\u5e38\u75c7\u72c0\uff0c\u53ea\u6709\u81e8\u5e8a\u5de5\u4f5c\u7d93\u9a57\u7684\u5b78\u751f\u6709\u63d0\u5230\u7cd6\u5c3f\u75c5\u5408\u4f75\u75c7\u3002<br><strong>&nbsp;&nbsp;&nbsp; <\/strong><strong>\u7d50\u8ad6\uff1a<\/strong>\u8b77\u751f\u9700\u8981\u52a0\u5f37\u8b77\u7406\u80cc\u666f\u77e5\u8b58\u8207\u81e8\u5e8a\u6e9d\u901a\u6280\u80fd\u7df4\u7fd2\uff0c\u5c24\u5176\u662f\u6642\u9593\u898f\u5f8b\u3001\u91ab\u7642\u5c08\u696d\u6578\u64da\u65b9\u9762\u3002\u5efa\u8b70\u672a\u4f86\u8981\u56e0\u61c9AI\u53ef\u8a55\u4f30\u9762\u5411\u8abf\u6574\u8a55\u5206\u9805\u76ee\u548c\u6a19\u6e96\uff0c\u8b77\u7406\u6388\u8ab2\u8001\u5e2b\u8981\u91dd\u5c0d\u8001\u4eba\u6e9d\u901a\u539f\u5247\u9032\u4e00\u6b65\u6559\u5b78\uff0c\u57f9\u990a\u5b78\u751f\u7684\u89c0\u5bdf\u529b\u8207\u8b77\u7406\u6280\u80fd\uff0c\u4e26\u591a\u63d0\u9192\u5b78\u751f\u554f\u8a3a\u548c\u885b\u6559\u6e9d\u901a\u7684\u5c08\u696d\u5167\u5bb9\u3002\u4e4b\u5f8c\u4e5f\u53ef\u4ee5\u7d50\u5408VR\u5f71\u50cf\uff0c\u63d0\u5347\u6a19\u6e96\u5316\u75c5\u4eba\u7684\u771f\u5be6\u6027\u8207\u4e92\u52d5\u6027\u3002\u800cGPT-4\u4e5f\u9700\u8981\u4fee\u6539\u63d0\u793a\u8a9e\u548c\u518d\u6b21\u8a13\u7df4\uff0c\u4ee5\u589e\u9032\u5176\u5c0d\u8a71\u8207\u8a55\u4f30\u7684\u6b63\u78ba\u6027\u3002<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\"><strong>\u53c3\u8003\u6587\u737b\uff1a<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">\u856d\u96c5\u7af9\u3001\u5433\u9e97\u745c\u3001\u912d\u5e78\u5b9c\u3001\u5289\u78a7\u971e\uff082012\uff09\u3002\u8b77\u7406\u5b78\u751f\u6e9d\u901a\u80fd\u529b\u4e4b\u57f9\u80b2\u53ca\u7701\u601d\u3002\u9577\u5e9a\u8b77\u7406\uff0c23(4)\uff0c464-475\u3002<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">AlAfnan, M. A., Dishari, S., Jovic, M., &amp; Lomidze, K. (2023). Chatgpt as an educational tool: Opportunities, challenges, and recommendations for communication, business writing, and composition courses. <em>Journal of Artificial Intelligence and Technology, 3<\/em>(2), 60-68.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">Chang, C. Y., Yang, C. L., Jen, H. J., Ogata, H., &amp; Hwang, G. H. (2024). Facilitating nursing and health education by incorporating ChatGPT into learning designs. <em>Educational Technology &amp; Society, 27<\/em>(1), 215-230.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">Kirca, N., &amp; Bademli, K. (2019). Relationship between communication skills and care behaviors of nurses. Perspectives in psychiatric care, 55(4), 624-631.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">Mousavinasab, E. S., Kalhori, S. R. N., Zarifsanaiey, N., Rakhshan, M., &amp; Ghazisaeedi, M. (2020). Nursing process education: A review of methods and characteristics. Nurse Education in Practice, 48, 102886.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">OpenAI (2023). ChatGPT: Optimizing Language Models for Dialogue. Retrieved 15\/03\/2024 from. https:\/\/openai.com\/blog\/chatgpt\/.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">Toney-Butler, T. J., &amp; Unison-Pace, W. J. (2019). Nursing admission assessment and examination. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island (FL); 2024 [cited 2024 Jan 17]. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK493211\/<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-medium-font-size\">Whiteman, K., Yaglowski, J., &amp; Stephens, K. (2021). Critical Thinking Tools for Quality Improvement Projects. <em>Critical Care Nurse, 41<\/em>(2).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u81e8\u5e8a\u6280\u80fd\u4e2d\u5fc3\u694a\u99a5\u5b87\u52a9\u7406\u7814\u7a76\u54e1\u3001\u5433\u7f8e\u73b2\u526f\u6559<\/p>\n","protected":false},"author":1,"featured_media":10109,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"colormag_page_container_layout":"default_layout","colormag_page_sidebar_layout":"default_layout","_eb_attr":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-10108","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-teaching"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>\u61c9\u7528ChatGPT\u8a55\u4f30\u8b77\u751f\u4e4b\u8b77\u75c5\u6e9d\u901a\u80fd\u529b - 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