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

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