探討跨專業團隊醫療事件合作經驗──以精神醫療社工為例

Exploring Medical Incident Cooperation Experience in Trans Disciplinary Team-taking Mental Health Social Workers as an Example

跨專業團隊模式旨在透過不同專業間之合作溝通，提供病人整合性的服務，而於精神醫療體系中更是注重病人生理－心理－社會三層面交互作用之影響，並以醫師、護理師、職能治療師、心理師及社工師五大專業，以跨團隊合作的模式提供病人完善之精神醫療處遇。在強調多專業合作的情形下，各專業間如何相互合作便成為重要議題。本研究目的在整理我國精神科社工於臨床工作中與團隊合作的狀況，並以精神醫療中之異常事件處理為主軸，整理精神醫療社會工作者於遇到異常事件時，與跨專業團隊合作之現況，從精神醫療體制面、醫療體制化下的精神社工處境與精神醫療團隊合作模式等三方面進行探討，藉以定位精神醫療社工之專業角色。本研究將以目前任職於精神醫療場域工作的6位社會工作者為研究對象，透過質性研究法的方式進行半結構式的訪談，以如實的蒐集及整理當前於精神醫療頜域之社會工作者的經驗及執行狀況。研究結果呈現專業教育訓練對職場工作的正向幫助，以及反思目前的工作經驗，特別是在醫療異常事件社工角色、定位，以及跨專業的合作經驗部分。最後希冀團隊透過跨專業團隊合作模式的方式，借助其他專業的協助以達到問題的解決，進而維持良善的醫病關係。

The trans-disciplinary team model aims to provide patients with integrated services through cooperation and communication between different professions. In the psychiatric medical system, it pays more attention to the interaction of the three levels of the patient's bio-psycho-social model. Psychiatrist, nurses, occupational therapist, psychologist and social worker provide patients with comprehensive psychiatric medical treatment in a cross-team cooperation mode. In the case of emphasizing multi-professional cooperation, how to cooperate with each other has become an important issue. The purpose of this research is to sort out the situation of psychiatric social workers' cooperation with teams in clinical work in my country, and focus on the treatment of abnormal events in psychiatry, and to sort out how psychiatric social workers cooperate with multi-professional teams when encountering abnormal events. The current situation is discussed from three aspects: the psychiatric medical system, the situation of psychiatric social workers under the system of medical treatment, and the cooperation mode of psychiatric team, so as to locate the professional role of psychiatric social workers. This study will take 6 social workers currently working in the field of psychiatry as the research object, and conduct semi-structured interviews through the method of qualitative research, so as to collect and organize the current psychiatric social workers' experience and implementation status in the field of psychiatry truthfully. The results of research is that professional training can positively help worker, as well as reflect on current work experience, especially in the part of social worker roles, positioning, and trans-professional cooperation experience in medical events. Finally, it is hoped that can through the inter-professional team cooperation model with the help of other professionals, and then maintain a good doctor-patient relationship.