新進醫務社工經歷個案死亡之經驗

The Experience About Death Of Clients : Perspective From Junior Medical Social Workers

余易儒(YI-RU YU)

指導教授 ： 鄭凱芸

國立臺北大學/社會科學學院/社會工作學系/碩士(2016年)

摘要

本研究旨在瞭解新進醫務社工面臨個案死亡的經驗；探索新進醫務社工因應個案死亡的策略；建構新進醫務社工對死亡意義的詮釋。
　　文獻探討從死亡意涵著手，並由醫療專業人員和新進專業人員面對死亡和工作環境衝擊時的反應、壓力、因應策略進行探討，以及角色期待和悲傷剝奪對新進醫務社工之影響。
　　研究方法採立意抽樣取得七位受訪者，受訪的條件為初次進入醫療體系工作且年資在三年以內，並以深度訪談進行資料蒐集。
　　研究結果有三：第一，在死亡面前的自我渺小與無能為力，內在情感與工作職責的拉鋸；第二，過去生命經驗的貢獻，內在資源與外在訓練對新進醫務社工經歷個案死亡時的助益；第三，死亡的經歷重整了過去，開啟了未來。最後依據研究呈現的結果，分別對督導、新進醫務社工、學校教育提出相關研究建議。

關鍵字

個案死亡經驗 ； 醫務社工 ； 新進人員

並列摘要

This research aims to understand junior medical social workers’ experience of facing the death of their clients, to investigate their strategies to respond, and additionally to construct their interpretations of death.
The literature review was commenced with the meanings of death, and then medi-cal workers’ and junior ones’ responses, confronted pressure, and strategies when en-countering challenging events during work, especially clients’ death and the following trauma were mentioned. This review also covered the impact of role expectation and disenfranchised grief on junior medical social workers.
Seven participants were recruited by purposive sampling. The inclusion criteria were social workers who first enrolled in the medical care system, and their seniority was less than three years. The data were collected by in-depth interviews.
Our results revealed three phenomena. First, the self-negligibility and powerless-ness towards death, and the cliffhanger between inner emotion and job responsibility were found. Next, we also found how the junior medical social workers can be helped by past experience, inner resources, and explicit training. Finally, the experience of oth-ers’ death rebuilt the past, and unveiled the future. Suggestions for supervisors, junior medical social workers, and educational institutions were given respectively according to this study.

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