本研究在探討醫務社會工作者其自身對醫務社會工作理解,及其瞭解的脈絡、歷程。以立意選樣方式,選取四名南部醫學中心資歷八年以上之醫務社工做為研究對象。本研究以訪談方式進行蒐集資料,採敘事取向探究醫務社會工作者如何認知醫務社會工作專業。在他們的敘說內容中我與他們共同再建構醫務社會工作的樣貌。 從四位醫務社工敘說內容分析發現在他們的醫務社會工作實務中有各自相同與不同的境遇,在同樣面臨大醫院裡小社工困境中,他們有自的生存之道,他們不斷從實務中建構專業價值與自信,在逆境中找到持續的力量。在他們的故事中醫務社工有角色的模糊、政策體制下的無奈,也有著專業價值的榮耀,而這就是他們的醫務社會工作多元樣貌。
This study investigated the understanding of the medical social workers to their own work. Four medical social workers of eight years experience at the medical center of Southern Taiwan were interviewed as the main reporters of this study. The information gathered from the interviews were narratied to become pictures of how medical social workers recognize their professional work. From the analysis of the narrative contents obtained from the four medical social workers, it is found that they have something in common and something different in experience the medical social work. When facing the conflicts of the priorities between social workers and the hospital, they have their own way of survival. They always are capable of constructing professional image and confidence from practical work and to find the power to carry on under the unfavorable circumstances. From their story, I realize that medical social workers have difficulty defining their roles and are relatively helpless under the government policy system; nevertheless, they are proud of the professional image they built up, which bring out the multiple images of their medical social work.