護理之家社會工作人員專業角色之初探

臺灣進入高齡化社會，老年人口逐年攀升，而生理功能老化伴隨的慢性疾病及功能障礙需求逐漸浮現且快速增加。護理之家社工人員的角色、專業自我期許頗為重要。本研究目的係瞭解護理之家中社工人員的專業角色與功能，期待本研究結果能使護理之家的實務工作者關注社工人員在護理之家的專業角色與困境，並助益社工作專業發展。本研究採用質性研究方法，並透過閱讀文獻、以半結構式訪談大綱進行深度訪談，研究對象以研究者自身服務經驗出發選取六位受訪者。本研究發現，護理之家中社工人員具有多元化角色，且分別有其功能，研究者認為此些角色可以鉅視、居間、微視三方面來分類呈現之。最後，研究者根據研究發現，對於社工專業社群與護理之家機構端分別提出研究建議。

關鍵字

護理之家；長期照顧；社工人員；專業角色；專業發展

並列摘要

According to statistics show that total 1,046 elderly welfare agencies under social policy system. On the other hand, manpower and consistent investment in long-term care is not only necessary but also crucial. As a former social worker, the research will discuss what roles do social workers play in nursing homes, their expectation and self-awareness according to own experience. The purpose of this research is to illustrate for four following topics: First of all, to understand the professional role and functions of NHSWs; secondly, to discuss what kind of difficulties that NHSW face during servicing process; thirdly, to figure up action plans for HNSWs who might face difficulties in a process of providing services; and finally, to propose comprehensive suggestions to improve NHSWs working conditions. This study was conducted with qualitative methods and literatures reviewing, and incorporated with semi-structured interview outline. The experienced researcher selected six interviewees which were social workers or department managers from independent agencies or nursing homes attached to hospitals, all of them were received a in-depth interview till data saturation. The researcher studied macro, intermediate, and micro perspectives, and summed up the result that indicated NHSWs usually acting different roles with specific functions, and moreover, the difficulties that they faced in nursing homes.