諮商心理師進入醫療跨專業團隊之調適經驗探索：以安寧團隊為例

The Counseling Psychologists' Adjustment Experiences in Interdisciplinary Teams: Using the Hospice Team as An Example

越來越多諮商心理師進入醫療機構，在醫療場域中，疾病的發生與介入往往相當複雜，其中安寧療護領域的癌症更是尤甚，因此跨專業團隊的介入也就頗為司空見慣，但是這卻讓較少涉足醫療體系的諮商心理師面臨諸多的挑戰。本研究目的為探索在安寧領域工作的諮商心理師，於進入跨專業團隊之初，其經歷與調適經驗。研究採質性研究，藉由深度訪談4位於安寧團隊年資1-3年的諮商心理師，探索其調適經驗。訪談內容藉由質性內容分析法進行文本分析。研究結果呈現諮商心理師進入跨專業團隊的調適經驗分別為：1.步步驚心的踏入：帶著謹慎與壓力，進入獨特的醫療場域。2.支持的源頭：諮商心理師仰賴督導者與同儕的督導、支持。3.學習的需求：在專業深化與團隊合作方面，有進修教育的需求。4.合作的成形：擁有界線的專業間連結，並認識團隊的不同專業。5.重新定位跨專業團隊裡的專業認同。最後，依據研究結果，針對教育訓練、專業合作、及督導制度等提出建議。 There are more and more counseling psychologists working in hospital settings. Because the occurrences of diseases and interventions are usually quite complicated, especially in cancer and hospicewards, interdisciplinary interventionsare common. Counseling psychologists tend to have less involvement with the medical system; working in an interdisciplinary team may be challenging for counseling psychologists. The purpose of this research is to investigate the experiences of counseling psychologists when they first worked in the interdisciplinary teams in hospice wards. This study used qualitative research methods to explore their adjustment experiences by conducting in-depth interviews with 4 hospice counseling psychologists who worked in hospice team from 1 to 3 years. These interviews were analyzed by qualitative content analysis. The adjustment experiences of counseling psychologists demonstrated by the results included: (1)entering the unique medical settings with cautions and pressures; (2) the sources of support: counseling psychologists relying on the guidance and support of supervisors and peers; (3) the needs of learning: the continuous development in professional enhancement and interdisciplinary collaboration; (4) formation of collaboration: adaptation with the connections with boundaries and the understanding of different professions; and (5) relocating professional identity in the interdisciplinary team.Finally, suggestions regarding education and training of counseling psychologists, interdisciplinary collaboration, and supervision are offer based on the findings.