本論文研究是一個探索性的研究，其主要目的在於探討醫學圖書館員參與實證醫學推動工作之知識活動現況，以窺探醫學圖書館員參與實證醫學工作知識流之面貌，並歸納其工作知識流元素及其促進與阻礙因素。
本研究針對八名具有實際參與推動實證醫學經驗之醫學圖書館員進行深度訪談後，將其資料予以歸納分析、編碼與詮釋，最後以工作現況分析、工作知識及轉化歷程以及工作知識流之元素分析三部份做結果呈現。
根據研究結果，研究者提出七項結論，分別為：一、醫學圖書館員在參與實證醫學工作中的專業定位需提昇；二、醫學圖書館員在參與實證醫學工作中之困難，主因在背景知識不足，但情境困境卻更具關鍵性且難以解決；三、醫學圖書館員參與實證醫學工作知識流是以垂直、水平與網絡知識流為主要組成之模式；四、在參與實證醫學推動工作知識流中，醫學圖書館員為知識接收者的角色比為知識來源者的情形多；五、知識流通路有組織內多於組織外的傾向；六、知識流情境脈絡以積極學習的組織文化及強而有力的領導者態度為關鍵；七、工作知識流之促進與阻礙因素多數與人際網絡有關。

This thesis is an exploratory study on knowledge flow of medical librarians participating work of evidence-based medicine. The main goals of this research are to describe styles of medical librarians’ knowledge flow at work and analyze knowledge flow elements of enhances and barriers base on the findings from this study.
Eight medical librarians who have practical participated the work of impelling evidence-based medicine have been interviewed. Answers from the interviewers are examined and analyzed. The data are analyzed in three categories: current work situations, work knowledge with process of transformation, and elements of knowledge flow.
Seven findings of this project are as following. First, the librarian’s professional position in the evidence-based medicine needs to be promoted. Second, the major difficulty for librarian participating evidence-based medicine is the lack of background knowledge, but the situational difficulty is more crucial and hard to solve. Third, three major patterns of knowledge flow for medical librarians participating evidence-based medicine are longitudinal, lateral and network knowledge flow. Fourth, often librarian plays the role as a knowledge receiver rather than a knowledge source. Fifth, there is more knowledge channels within the organization than outside the organization. Sixth, culture within organization and leadership are two factors affecting knowledge context. Finally, enhances and barriers of knowledge flow are closely related to social networks.

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