對於醫檢師專業素養能力的調查

Investigation on Professionalism of Clinical Laboratory Scientist

檢驗醫學在醫療衛生系統的角色日益重要，但關於醫檢專業素養的研究卻很少，特別是醫檢領域中的複雜倫理道德爭議問題。為了了解台灣醫檢師專業素養能力，本研究建構10題倫理道德的情境問卷，評估醫檢實習生及在職醫檢師是否能夠選擇符合專業素養的正確答案。結果發現醫檢實習生答對比率為40%至 88%，在職醫檢師則為56%至97%，其中在利益交換、性騷擾、免於傷害、誠實紀錄、不適當醫療要求五個情境中，在職醫檢師的正確率明顯優於醫檢實習生。進一步的分析顯示在七個情境中回答的正確率與醫檢師的職級呈現正相關，而男性在個人自律及誠實紀錄的情境問題中，正確率則明顯較女性低。本研究對於台灣醫檢師專業素養能力的調查結果，或可以提供作為政府組織或學會未來舉辦課程訓練及訂定倫理道德政策之參考依據。

Nowadays, the role of clinical laboratory science in the healthcare system is becoming more and more important, however, very few studies were conducted to explore the professionalism of clinical laboratory scientists. In particular, the complicated ethical and mora l issues in the field of clinical laboratory science have been less explored. In this study, aiming to understan d the professionalism of Taiwan clinical laboratory scientists, clinical laboratory interns and on-the-job clinical laboratory scientists were evaluated through answering a 10-question questionnaire which contains ethical and moral scenarios. We found that the correct rates of the clinical laboratory interns and the on-the-job clinical laboratory scientists were 40% to 88% and 56% to 97%, respectively. Compared to clinical la boratory interns, on-the-job clinical scientists had significantly higher correct rates of answering the f ive following scenarios: Interest exchange, sexual harassment, do not harm, honest record, and inappropriate medical requirements. Further analysis showed that the correct rate of answers in the seven scenarios was positively correlated with the rank of the clinical laboratory scientists, while the correct rate of men in the context of personal self-discipline and honest records was significantly lower than that of women. Herein, the i nvestigation on the professionalism of Taiwan clinical laboratory scientists from this study may provide as a valid reference for government organizations or academic associations to organize training programs or develop ethical policies by in the future.