運用個案研討會建構充權式的居家服務督導模式

The development of a home care supervision model with empowerment through case conferencing

10.6737/JDP.201609_(13).04

林哲瑩(Lin, Che-Ying)；鄭晏甄(Cheng, Joyce Yen-Chen)

居家服務 ； 個案研討會 ； 充權 ； 督導模式 ； home care ； case conference ； empowerment ； supervision model

發展與前瞻學報

13期（2016 / 09 / 01）

51 - 66

繁體中文

受到政策上的歧視和壓迫，使得在居家服務體系中照顧服務員被視為低專業能力的勞力工作者，因而被排除於可以學習專業處遇知能的個案研討會之外。為了提升照顧服務員的處遇能力與自信心，有必要辦理屬於照顧服務員的個案研討會，進而建構一個充權合作的督導關係與制度。本研究採用The New World Kirkpatrick Model所建議的評估項目，來蒐集參與小團體同儕督導的六次個案研討會後的27位居家服務督導員和180位照顧服務員的資料，以評估辦理照顧服務員的個案研討會的成果。本研究發現：參加照顧服務員的個案研討會後之居家服務督導員和照顧服務員，給予辦理個案研討會正面的評價，且在反應、學習、行為、和結果等四層次，均受到個案研討會的顯著影響。因此，建議全面性地推動以辦理照顧服務員的個案研討會作為居家服務主要的督導方式，以建構充權式的居家服務督導模式。

Home care workers have been treated as manual labors at lower end of profession due to policy discrimination and oppression. Home care workers have often been excluded from the learning opportunities in case conferences. It is necessary to conduct case conferences for home care workers to increase their problem solving ability and confidence and subsequently to empower and collaborate supervised relationship and system. This study employed the New World Kirkpatrick Model to collect quantitative data from 27 supervisors and 180 home care workers involved in 6 small group peer case conferences. All supervisors and home care workers gave positive feedback from case conferences in the study. The significant effect is on 4 levels. They are reaction, learning, behaviors, and result. Therefore, it can be used to initiate generalized case conferences for all home care workers in order to construct a home care supervision model with empowerment.

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