The study of medical social workers'' perception of professional empowerment to influence their attitudes toward for intervening the medical dispute

• Main Authors: Wan-Yu Lau, 賴宛瑜
• Other Authors: Wu-Tsung Chen
• Format: Others
• Language: zh-TW
• Published: 2005
• Online Access: http://ndltd.ncl.edu.tw/handle/84458048030652641831

碩士 === 高雄醫學大學 === 行為科學研究所碩士班 === 93 === Abstract The purposes of this study were to understand the current operational mechanisms of the medical dispute situation in hospitals, and how the social work department to intervene the medical dispute, and try to understand the differences perception of professional empowerment and the attitudes toward for intervening the medical dispute between the different organizational and individual characteristics, and then find the medical social workers’ perception of professional empowerment to influence theirs attitudes toward for intervening the medical dispute. The survey questionnaires was implemented through mailed to all general, the medical social workers who worked in the social work department of 87 hospitals, which were accredited as the level of medical centers and district hospitals. Finally, 333 questionnaires were returned ,and 330 among these were valid. The return rate of hospitals was 80.46%, the return rate of samples was 65.29％. The study was analysed with the statistic methods of frequency distribution, factor analysis, t-test, ANOVA, Pearson correlation and multiple regression analysis. The results of the study are as follows： 1. The 91.43 percent hospitals built the operational mechanism of the medical dispute situation , included setting specific committees or task force or setting the specific duty units or the specific duty staffs. 2. The 82.86 percent hospital social work departments intervened the medical dispute. However in these hospitals, there were 63.79 percent social work department directors. The 98.28 percent situation of the intervening stage was the stage of knowing the initial conflict situation. The most intervening service was offered by medical social worker to pacify the families and patients emotional problems. 3. There was a significant difference between organizational characteristics and perception of professional empowerment in different educational background of the social work department directors . 4. There were significant differences between individual characteristics and perception of professional empowerment in different age, sex, marital condition, religious belief, total medical social work seniority, work position and the experiences of intervening the medical dispute. 5. There were no significant differences between organizational characteristics and the attitudes toward for intervening the medical dispute. 6. There were significant differences between individual characteristics and the attitudes toward for intervening the medical dispute in different age, sex, religious belief and work position. 7. The perception of professional empowerment and the attitudes toward for intervening the medical dispute both trended positive, and there was significant correlation between them. The best factors among perception of professional empowerment to forecast the attitudes toward for intervening the medical dispute were professional impact and professional self-efficacy. According to the results of study, I came up with some suggestion to social work managers, clinical social workers, social worker associations and social work educators.