(3.234.221.162) 您好!臺灣時間:2021/04/14 15:06
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:于宗梅
研究生(外文):Tsung-Mei Yu
論文名稱:人工流產諮商機制與運作模式中諮商心理師於跨領域合作中的工作經驗與專業認同
論文名稱(外文):The professional identity and working experience of counseling psychologist in the Interidisciplinary team of “the counseling and service model of induced abortion”
指導教授:李玉嬋李玉嬋引用關係
指導教授(外文):Yu-Chan Li
口試委員:陳秉華洪雅琴
口試日期:2014-07-30
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:生死教育與輔導研究所
學門:社會及行為科學學門
學類:心理學類
論文種類:學術論文
論文出版年:2014
畢業學年度:102
語文別:中文
論文頁數:133
中文關鍵詞:諮商心理師人工流產諮商機制與運作模式跨領域合作工作經驗專業認同
外文關鍵詞:counseling psychologistthe counseling and service model of induced abortioninterdisciplinary collaborationworking experienceprofessional identity
相關次數:
  • 被引用被引用:1
  • 點閱點閱:419
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:31
  • 收藏至我的研究室書目清單書目收藏:1
本研究旨在探討在「人工流產諮商機制與運作模式」中諮商心理師於跨領域合作的工作經驗與專業認同。本研究採質性取向,邀請四位曾於95-97年期間參與「人工流產諮商機制與運作模式」科技研究計畫,在婦產科醫療院所從事人工流產諮商服務的諮商心理師為訪談對象,進行深度訪談,以內容分析法進行編碼及分析,研究結果如下:
一、人工流產諮商機制與運作模式是跨領域合作的重要典範,勘為諮商心理專業進入醫療場域建立新的工作模式的範式。
二、人工流產諮商機制與運作模式發展出不同的跨領域合作模式:諮商心理師採跟診特約服務方式的屬於跨領域團隊(interdisciplinary team)合作模式,採約診服務方式的屬於多領域團隊(multidisciplinary team)合作模式,形成不同的運作模式主要與機構的人力配置有關。
三、「人工流產諮商服務機制與運作模式」已建立明確的服務流程及詳盡的流程說明,包括跨專業間的角色分工與工作指引等,研究顯示諮商心理師對人工流產諮商服務機制可有共識,也有一致的角色定位。
四、人工流產諮商實務中諮商心理師呈現的角色功能:包括:能倡導與行銷諮商專業、能以身心靈社全人健康照護為服務範疇、能執行急性醫療決策、具備快速與個案建立關係的能力、具教導和訓練醫護人員諮詢的能力、幫助醫護人員能更友善的對待人工流產的婦女、能從價值倫理衝突中找到出路並作出醫療決策、能減輕醫護人員的心理負擔,具有獨特性。
四、諮商心理師在人工流產諮商機制與運作模式中可展現跨領域合作的作為,特別是彈性調整的能力。
五、諮商心理師在人工流產諮商機制與運作模式中具有穩定的專業認同,但專業角色社會化的程度尚有待努力。
六、進入婦產科執業的諮商心理師應補強學校養成教育的不足,須具有跨專業團隊合作的能力,及應有決策諮商與多元諮商的訓練。
本研究針對上述結果加以討論,並提供若干建議作為醫療諮商實務工作者及未來研究的參考。

The purposes of the study was to explore the professional identity and working experience of counseling psychologist in the Interdisciplinary team of “the counseling and service model of induced abortion”
A qualitative research by using depth interview and content analysis was conducted. Four counseling psychologists who joined the counseling and service model of induced abortion research projects during 2009 to 2009 were interviewed. The findings of the research are as follows:
1.The counseling and service model of induced abortion demonstrate a good practices paragon of counseling psychologist collaboration with in medical setting.
2.Both interdisciplinary model and multidisciplinary model are adopted in the counseling and service model of induced abortion projects base upon the medical setting organization and personnel characteristic.
3.The counseling and service model of induced abortion had detail working instructions and procedures. The study showed the counseling psychologist joined had a consistency consensus of the professional role.
4.The professional role of counseling psychologist including: an initiator and advocator of abortion counseling, the provider of well-being service, the counselor of medical emergency decision-making, can build up a professional prelateship with client in a short period, providing counselling skill training programs to medical personnel, help medical personnel more friendly to interact with patient, can making proper professional decision in a dilemma, can reduce medical personnel’s psychological stress about the induced abortion surgery.
5.The counseling psychologist working with the counseling and service model of induced abortion had stable professional identity.
6.Counseling psychologist want to working in gynecology and obstetrics medical setting need to take some interprofessional education programs and have cross culture and decision making counseling skill training.
A discussion base on above findings was concluded some suggestions for further research.

中文摘要 III
英文摘要 V
圖表索引 VII
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 5
第三節 研究問題 5
第四節 名詞釋義 6
第二章 文獻探討 8
第一節 醫療場域中的心理健康照護與實務發展 8
第二節 人工流產醫療諮商 17
第三節 「人工流產諮商機制與運作模式」的相關研究與實務 25
第四節 跨領域合作 31
第五節 專業認同 41
第三章 研究方法 45
第一節 研究取向 45
第二節 研究設計 46
第三節 研究對象及研究場所的選定 47
第四節 研究參與者 47
第五節 研究工具 51
第六節 資料處理與分析 53
第七節 研究嚴謹度 56
第八節 研究倫理 58
第四章 研究結果與討論 60
第一節 四位諮商心理師的人工流產諮商服務工作經驗 60
第二節 建立人工流產諮商服務機制所面臨的挑戰 71
第三節 人工流產諮商服務機制的跨領域合作模式與諮商實務概況 76
第四節 人工流產諮商機制與運作模式中呈現的跨領域合作面向 88
第五節 諮商心理師在人工流產諮商機制與運作模式中專業認同內涵 97
第六節 進入婦產科執業的諮商心理師應備的知識及訓練 104
第七節 綜合討論 107
第五章 研究結論與建議 120
第一節 研究結論 120
第二節 研究建議 123
參考文獻 126
附錄一 130
附錄二 131
附錄三 132
附錄四 133

APA. (1996). Recognition of health service providers. from http://www.apa.org/about/policy/chapter-10.aspx#recognition-service
APA. (2013). Guidelines for psychological practice in health care delivery systems. The American psychologist, 68(1), 1.
Baker, A. (1995). Abortion and options counseling: A comprehensive reference: Hope Clinic for Women.
Baker, P. G. (2010). Framework for action on interprofessional education and collaborative practice.
Belar, C. D., & Geisser, M. E. (1995). Roles of the clinical health psychologist in the management of chronic illness.
Bronstein, L. R. (2003). A model for interdisciplinary collaboration. Social work, 48(3), 297-306.
Brott, P. E., Myers, J. E., Brott, P., & Myers, J. (1999). Development of professional school counselor identity. Development, 9(7), 9.
Brown, G. F. C. (1995). Factors that facilitate or inhibit interdisciplinary collaboration within a professional bureaucracy. University of Arkansas, Fayetteville.
Creswell, J. W. (2013). Research design: Qualitative, quantitative, and mixed methods approaches: Sage.
D'Amour, D., Ferrada-Videla, M., San Martin Rodriguez, L., & Beaulieu, M.-D. (2005). The conceptual basis for interprofessional collaboration: core concepts and theoretical frameworks. Journal of Interprofessional Care, 19(S1), 116-131.
D'amour, D., & Oandasan, I. (2005). Interprofessionality as the field of interprofessional practice and interprofessional education: An emerging concept. Journal of Interprofessional Care, 19(S1), 8-20.
Denzin, N. K. (1978). The research act: A theoretical orientation to sociological methods: New York: McGraw-Hill.
Denzin, N. K. (1989). Interpretive interactionism. Applied social research methods series: Newbury Park: Sage.
Engel, G. L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196(4286), 129-136.
Gatchel, R. J., & Oordt, M. S. (2003). Clinical health psychology and primary care: Practical advice and clinical guidance for successful collaboration: American Psychological Association.
Hall, P. (2005). Interprofessional teamwork: Professional cultures as barriers. Journal of Interprofessional Care, 19(S1), 188-196.
Hord, S. M. (1986). A Synthesis of Research on Organizational Collaboration. Educational Leadership, 43(5), 22-26.
Johnson, L. J., & LaMontagne, M. (1993). Research methods using content analysis to examine the verbal or written communication of stakeholders within early intervention. Journal of Early Intervention, 17(1), 73-79.
Kaczmarek, L., Pennington, R., & Goldstein, H. (2000). Transdisciplinary consultation: A center-based team functioning model. Education and Treatment of Children, 23(2), 156-172.
Kaplan, A., & Goldsen, J. M. (1965). The reliability of content analysis categories. Language of politics: Studies in quantitative semantics, 83-112.
Karademas, E. C. (2009). Counselling Psychology in Medical Settings: The Promising Role of Counselling Health Psychology. European Journal of Counselling Psychology, 1(1), 18.
Krippendorff, K. (2013). Content analysis: An introduction to its methodology (Third Edition ed.): Sage.
LaFleur, L. B. (2007). Counselors' perceptions of identity and attitudinal differences between counselors and other mental health professionals.
Lincoln, Y. S., & Guba, E. G. (1994). Competing paradigms in qualitative research. Handbook of qualitative research, 105-117.
Link, B. G., Struening, E. L., Rahav, M., Phelan, J. C., & Nuttbrock, L. (1997). On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behavior, 177-190.
Lonsdale, S., Webb, A., & Briggs, T. L. (1980). Teamwork in the personal social services and health care: British and American perspectives: Taylor & Francis.
Major, B. (2008). Report of the APA task force on mental health and abortion.
Major, B., & Association, A. P. (2008). Report of the APA task force on mental health and abortion.
Major, B., & Cozzarelli, C. (1992). Psychosocial predictors of adjustment to abortion. Journal of Social Issues, 48(3), 121-142.
Major, B., Cozzarelli, C., Sciacchitano, A. M., Cooper, M. L., Testa, M., & Mueller, P. M. (1990). Perceived social support, self-efficacy, and adjustment to abortion. J Pers Soc Psychol, 59(3), 452-463.
Major, B., & HGramzow, R. (1999). Abortion as stigma: cognitive and emotional implications of concealment. Journal of personality and social psychology, 77(4), 735.
Major, B., Richards, C., Cooper, M. L., Cozzarelli, C., & Zubek, J. (1998). Personal resilience, cognitive appraisals, and coping: an integrative model of adjustment to abortion. J Pers Soc Psychol, 74(3), 735-752.
Mattessich, P. W., & Monsey, B. R. (1992). Collaboration: what makes it work. A review of research literature on factors influencing successful collaboration: ERIC.
McLeod, J. (2001). Developing a research tradition consistent with the practices and values of counselling and psychotherapy: Why counselling and psychotherapy research is necessary. Counselling and Psychotherapy Research, 1(1), 3-11.
Meyer, J. P., Allen, N. J., & Smith, C. A. (1993). Commitment to organizations and occupations: Extension and test of a three-component conceptualization. Journal of applied psychology, 78(4), 538.
Paul, M., Lichtenberg, S., Borgatta, L., Grimes, D. A., Stubblefield, P. G., & Creinin, M. D. (2011). Management of unintended and abnormal pregnancy: comprehensive abortion care: John Wiley & Sons.
Pistole, M. C., & Roberts, A. (2002). Mental health counseling: Toward resolving identity confusions. Journal of Mental Health Counseling.
Remley, T. P., & Herlihy, B. (2001). Ethical, legal, and professional issues in counseling: Merrill Prentice Hall.
Robinson Kurpius, S., & Vaughn Fielder, K. (1998). Ethical issues and the health care setting. The emerging role of counselling psychology in health care, 55-73.
Rozensky, R. H. (2006). Clinical psychology in medical settings: Celebrating our past, enjoying the present, building our future. Journal of Clinical Psychology in Medical Settings, 13(4), 343-352.
Singer, J. (2004). Options counseling: Techniques for caring for women with unintended pregnancies. Journal of Midwifery & Women’s Health, 49(3), 235-242.
Speckhard, A., & Rue, V. (1993). Complicated mourning: Dynamics of impacted post abortion grief. Pre-and Peri-Natal Psychology Journal, 8(1), 5.
Steele, C. M., & Aronson, J. (1995). Stereotype threat and the intellectual test performance of African Americans. Journal of personality and social psychology, 69(5), 797.
Tangney, J. P., & Dearing, R. L. (2004). Shame and guilt: Guilford Press.
Taylor, J., Henderson, D., & Jackson, B. B. (1991). A holistic model for understanding and predicting depressive symptoms in african‐american women. Journal of Community Psychology, 19(4), 306-320.
Tovian, S. M. (2006). Interdisciplinary collaboration in outpatient practice. Professional Psychology: Research and Practice, 37(3), 268.
WHO. (2001). The World health report: 2001: Mental health: new understanding, new hope.
Woolfe, R., Strawbridge, S., Douglas, B., & Dryden, W. (2010). Handbook of Counselling Psychology 3rd Edition: SAGE Publications.
余仁龍. (2010). 諮商心理人員與公共衛生護理人員之跨領域合作經驗初探—以北市健康服務中心糖尿病自我效能團體輔導為例.
吳芝儀,& 廖梅花. (2001). 質性研究入門: 紮根理論研究方法. 臺北: 濤石文化.
李玉嬋. (2008a). 醫療諮商概論: 天馬.
李玉嬋. (2008c). 懷孕諮商室中可進行的醫療諮商與家庭諮詢工作. 諮商與輔導(265),52-58.
李玉嬋. (2008e). 醫療場域諮商工作的倫理疑義~懷孕諮商實作時的倫理問題. 諮商與輔導(273),53-59.
李玉嬋、蔡育倫、黃俊喨、高美玲、林綺雲、方俊凱、李璽正、林麗玲、劉仲冬. (2009). 人工流程諮商機制配套措施與資源整合運用模式之建立.
李玉禪. (2006). 人工流產諮商機制探討與運作模式建立. 行政院衛生署.
李玉禪. (2009). 人工流產諮商機制配套措施與資源整合運用模式之建立. (DOH97-HP-1203). 行政院衛生署.
李玉嬋. (2011). 從人工流產醫療決策難題反思醫病關係的影響力. 應用倫理評論, (50), 91-105.
李華璋. (2001). 諮商人員專業認同歷程分析研究. (博士),彰化師範大學,彰化縣.
林家興,謝昀蓁,& 孫正大. (2008). 諮商心理師執業現況調查研究. 中華輔導與諮商學報(23),117-145.
林惠珊. (2012). 醫療場域諮商心理師之專業能力分析.
管珮君. (2012). 專業認同的內涵及其形塑─以跨社工與諮商專業工作者為例. (碩士),國立嘉義大學,嘉義市.
衛生福利部. (2010). 精神醫療及心理衛生政策綱領.
賴玉珊. (2008). 影響新手諮商心理師專業認同的關鍵事件之分析研究. (碩士),國立臺南大學,台南市.
黃瑞琴. (1997). 幼兒讀寫萌發課程: 五南圖書出版股份有限公司.
黃致慧. (2008). 藝術治療師專業認同之研究. (碩士),高雄師範大學,高雄市.

QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔