安寧療護理念重視「全人、全家、全程、全隊」四全理念，本研究探討安寧療護社會工作者參與跨專業醫療團隊之合作經驗及其主觀經驗感受，所探討的層面分成：接觸安寧療護領域經驗、參與跨專業醫療團隊合作議題對社會工作者的影響、社會工作者參與跨專業醫療團隊合作之影響因素三大面向進行研究。採用「質性研究」方法，共選取6位受訪者，其參與安寧療護跨專業醫療團隊工作年資均為1年以上，皆為女性，年齡層分佈在20至40歲之間。研究發現分成三大議題：(1)經驗生命意義與價值的「轉變」與「自我覺察」，瞭解受訪者投入安寧療護領域經驗影響往後參與跨專業醫療團隊合作的動機及態度；（2）經驗跨專業醫療團隊內的「內人」與「外人」，受限於傳統醫療場域的封閉性與權威性，社會工作者面臨既為跨專業醫療團隊成員之一，但其專業自主性仍會受到侷限，且容易在參與團隊合作時與其他成員產生角色模糊或角色重疊的情形；（3）經驗團隊內角色分工的「彈性與明確性」與合作意識的「默契與凝聚力」，適時釋放社會工作者之角色侷限及維繫團隊合作共識，藉由塑造成員間的夥伴關係、維持彼此專業地位平等、確立角色分工明確性、適時澄清與溝通及真誠態度。最終提出安寧療護社會工作實務教育及參與跨專業醫療團隊合作之研究建議，包括加強社會工作者參與跨專業團隊合作基礎訓練，提昇社會工作者對自我專業價值的認同感；重視團隊成員關係建立及維繫，促使團隊成員權力位階的平衡及建立團隊外部督導制度等實務建議。 This study explores the effect of hospice social worker participation on trans-disciplinary collaboration experience and subjective feelings. The study was divided into three areas of contact experience with with hospice social workers, the impact of collaboration issues, social worker involvement in trans-disciplinary medical team influence factors. The selection consists of six female respondents, ages ranging from 20 to 40 years olds participating in a hospice trans-disciplinary medical team for more than one year. The study's findings were as follows：(1) they experienced meaning and a value of life change and self-awareness, to understand the respondents put into into a hospice experience impact of motivation and attitude to participate in trans-disciplinary collaboration in the future；（2）they experienced trans- disciplinary teamwork with insiders and outsiders, limited to the authority of traditional medical practice, facing it as one unit, with their professional autonomy limited ,and easy to produce role ambiguity or overlapping roles when participating in teamwork with other members；(3) they had a division of labor within the team "flexibility and clarity" and conscious understanding and cohesion, releasing the limited role of social workers and maintenance of team consensus in a timely fashion.Finally, the research proposals regarding hospice social worker education and participation in trans-disciplinary teamwork practice ,including strengthening of social worker involvement in trans-disciplinary teamwork training, to enhance self-identity in social workers, emphasizing the relationship of team building, to promote a balance of power among team members and establish an external system of teamwork supervision.
