醫務社工人員處遇兒童虐待個案的經驗

Medical social workers' experiences in managing child abuse

本研究之研究目的為了解醫務社工處遇兒童虐待個案的經驗。研究設計以描述現象學為基礎，採立意選樣，對象為6位於醫院擔任社工且曾處理過兒童虐待事件者。資料蒐集方法為深度訪談法，並採Colaizzi資料分析法進行分析。研究結果指出，醫務社工處遇兒虐個案的經驗包括三個主題：一、通報抉擇的困境；二、心繫受虐兒的後續照顧；三、與其他專業的合作經驗。此經驗涵蓋了社工對受虐個案及家庭的評估到考量通報後續照護之過程，而在個案處遇之外，醫務社工與其他專業人員合作的過程也會影響其處遇的經驗。因此，從社工的觀點瞭解其處遇兒虐個案的經驗可提供給社工及兒童保護網絡中其他專業人員深化對社工專業角色與內涵的了解，進而促進網絡間彼此的合作關係。

The purpose of this study was to explore medical social workers' experiences in managing child abuse. Descriptive phenomenology was the research design. Purposive sampling was used to recruit 6 medical social workers who have encountered and managed child abuse cases. Data were collected by in-depth interviews, and analyzed using Colaizzi's method. Three themes emerged from data: reporting dilemma, concern about follow-up care after report and multidisciplinary collaboration experiences. Medical social workers cared for the abused children throughout the whole process of managing the child and continued even after report. Other professionals' attitudes towards child abuse management play an important role in this process. The finding of this study provides a base for professionals working with abused children to communicate and develop strategies for better collaboration.