本研究以創傷知情照顧（Trauma-Informed Care，TIC）為理論視角，採質性訪談法，訪談七位任職於區域醫院及醫學中心的醫務社工，探討其職場創傷經驗、自我照顧歷程與組織支持。研究提出三個主要發現，第一，醫務社工的職場創傷並非源於單一事件，而是角色邊緣化、制度壓迫與情緒勞動等多重風險長期交織累積所致；第二，自我照顧歷程涵蓋覺察、調節與界限三個面向，工作者透過運動、正念、藝術創作與社會支持等策略，來維持身心平衡；第三，組織若能落實 TIC 六大原則可有效緩衝創傷影響，反之則可能造成制度性創傷。本研究建議，職前與在職教育應強化情緒管理與自我覺察訓練；組織應建構創傷知情文化，推動團體督導與員工支持機制，以促進醫務社工專業永續與組織韌性。

This study adopts Trauma-Informed Care (TIC) as its theoretical framework to investigate medical social workers’ workplace trauma, self-care processes, and organizational support within clinical and institutional contexts. Using qualitative interviews with seven medical social workers from regional hospitals and medical centers, the study proposes three key findings. First, workplace trauma results not from isolated incidents but from the long-term accumulation of multiple risks, including role marginalization, institutional oppression, and emotional labor. Second, self-care involves three dimensions, including awareness, regulation, and boundary-setting, sustained through strategies such as exercise, mindfulness, and social support. Third, organizations practicing TIC’s six core principles can effectively mitigate trauma impact; their absence may lead to institutional trauma. The study recommends strengthening emotional management and self-awareness training in professional education, and fostering trauma-informed organizational cultures through group supervision and employee support mechanisms.