病友組織社會工作人員核心能力之研究

A Study on the Core Competencies of Social Workers at Patients' Organizations

10.29650/TCUJHSS.201904_(23).0001

溫信學(Hsin-Hsueh Wen)；侯建州(Chien-Chou Hou)

病友組織 ； 病友社會工作 ； 核心能力 ； 社會工作專業 ； 健康照顧社會工作 ； patient organization ； patient social work ； core competency ； social work profession ； health care social work

慈濟大學人文社會科學學刊

23期（2019 / 04 / 01）

2 - 33

繁體中文

罹病常是無法預知的風險，確診後病友在身心情緒適應上多需接受協助。基於病友及家屬的需求，有愈來愈多的病友組織成立並運作，以提供罹病的病友與家屬心理關懷與社會資源，因此有愈來愈多病友組織僱用社會工作人員，故其核心能力值得探究。本研究於臺灣北、中、南三區辦理病友組織工作者的焦點團體，計北區3場、中區1場、南區1場，各場分別有3-8位成員，共計25位。本研究發現，病友組織社會工作人員的核心能力包含四大面向。第一是病友背景及需求面向，包含（1）運用疾病醫療與照護知識的能力、（2）瞭解病友特殊文化之能力。第二係個案處遇面向，包括（1）執行個案會談的能力、（2）發揮陪伴與初階介入的能力、（3）催化家庭、催化病友志工之能力、（4）提供福利諮詢的能力、（5）獲得病友喜愛的能力。第三，團體工作面向，包含（1）實施團體活動設計與帶領之能力、（2）運作病友團體之能力。最後，第四是團隊整合面向。基於研究發現與討論，本研究建議：（1）病友組織社會工作人員的教育養成，從課程、實習、產學合作等來使未來工作者有身教與境教之學習；（2）病友組織的職場應有更多實務訓練；（3）病友組織社會工作人員的專業職業應被組織，或有病友聯盟成立，以利專業發展。

Suffering from a disease is usually an unpredictable risk. Upon confirmation of a diagnosis, patients need a lot of assistance in physical, psychological, and emotional adaptation. To meet the needs of patients and their family, an increasing number of patients' organizations have been established and operated to provide patients suffering from diseases and their family with psychological care and social resources. As a result, an increasing number of patients' organizations have employed social workers, whose core competencies are worthy of investigation. This study conducted focus groups on workers at patients' organizations in the northern, central, and southern Taiwan, with 3 focus groups in the northern Taiwan, 1 focus group in the central Taiwan, and 1 focus group in the southern Taiwan. 3-8 members participated in each focus group, with a total of 25 members. This study found that the core competencies of social workers at patients' organizations include 4 major dimensions: firstly, the dimension of patients' background and needs, including (1) the ability to apply the knowledge about disease treatment and care; (2) the ability to understand the unique culture of patients. Secondly, the dimension of patient treatment, including (1) the ability to perform interviews with patients; (2) the ability to accompany patients and implement preliminary intervention; (3) the ability to catalyze family and patient volunteers; (4) the ability to provide welfare-related consultations; (5) the ability to be likable to patients. Thirdly, the dimension of group work, including (1) the ability to implement group activities design and lead group activities; (2) the ability to operate patient groups. Lastly (fourthly), the dimension of group integration. Based on the research findings and discussions, this study suggested that: (1) the educational training of social workers at patients' organizations should include courses, internship, and industry-academia cooperation to enable future workers to learn and experience patient care; (2) the workplaces of patients' organizations should offer more practical trainings; (3) the professional training of social workers at patients' organizations should be organized or patient alliance should be established to facilitate professional development.

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