醫務社工於性侵害驗傷採證歷程的角色省思

Role Reflection of Medical Social Workers during the Evidence Collection and Medical Examination Process of Sexual Assault Cases

在性侵害案件的介入歷程中，醫務社工陪同驗傷採證乃是重要環節|醫務社工不僅要熟悉醫院內部流程、扮演醫師與被害人的溝通橋梁，也要做為醫院外部相關單位的連繫窗口|驗傷採證過程的每一個細節皆攸關其品質與案主福祉，故頗需實踐醫務社工介入性侵案件的專業思維。惟到目前為止，醫務社工陪同驗傷採證的議題卻仍未受到應有的關注，為了補強此一缺漏，本研究遵循建構主義研究典範，進行紮根理論取向的資料蒐集與開放編碼的分析方法，邀請六位目前仍在醫院擔任醫務社工、且主要負責急診業務者，進行半結構式的訪談，再以協同分析的策略來提升分析的嚴謹度，試圖深入釐清醫務社工在陪同驗傷採證的實務經驗、遭逢的挫折、以及可行的突破之道。本研究結果共彙整出四個主題，包括「醫務社工全程陪同工作之釐清」、「醫務社工陪同工作之角色任務」、「醫務社工之困境來源」以及「醫務社工專業省思與期待」。綜觀本研究結果與現有文獻，顯示醫務社工若欲在性侵陪同驗傷採證歷程中展現專業，則有必要先清楚定位醫務社工的陪同內涵，進而倡議性侵採證流程的人性化本位，藉以消弭不同專業間的本位思維。

In the course of intervention into sexual assault cases, the medical social workers' engagement of the evidence collection and medical examination is a key part| medical social workers not only need to be familiar with the hospital internal process and act as the communication bridge between the physician and the victim, but also serve as a window of contact for the relevant departments other than the hospital| since every detail of the evidence collection and medical examination process bears on its quality and well-being of the client, medical social workers' professional practices of intervention into sexual assault cases are necessary. Up to now, however, the issue of medical social workers' engagement of the evidence collection and medical examination process has not been given due attention. In order to fill this gap, this study follows the paradigm of constructivism, adopts the methods of data collection and analysis from the grounded theory, invites six medical social workers who are working in the hospital and are mainly responsible for the emergency treatment to conduct semi-structured interviews, and then uses the strategy of collaborative analysis to enhance the rigor of the analysis, so as to deeply clarify medical social workers' practical experiences, setbacks and feasible solutions concerning the evidence collection and medical examination process. The results of this study are summarized into four themes, namely the clarification of medical social workers' engagement during the whole process, the role and task of medical social workers' engagement, the source of dilemma of medical social workers, and the reflection and expectation concerning the professionalism of medical social workers. The results of this study and the existing literature indicate that if medical social workers want to show their professionalism in the evidence collkeection and medical examination process of sexual assault cases, it is necessary to clearly define the connotation of medical social workers' engagement, and accordingly advocate the humanization-based evidence collection process of sexual assault cases, eliminating the departmentalism thinking among different professions.