1 2 3 寧療度度療療若理易寧練力度更度力來寧率力療率療行度寧療寧例說度省力領理念來療若度力度寧療 Key Words supervision training medical team

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1 安寧緩和醫療團隊督導制度之探討與應用 Discussion and Application of Supervisory System for Palliative Care doi: /tjhpc (1).6 安寧療護雜誌, 14(1), 2009 Taiwan Journal of Hospice Palliative Care, 14(1), 2009 作者 /Author: 蔡佩真 (Pei-Jen Tsai); 蔡佩渝 (Pei-Yu Tsai); 鄭適芬 (Syi-Fen Chang) 頁數 /Page: 出版日期 /Publication Date: 2009/03 引用本篇文獻時, 請提供 DOI 資訊, 並透過 DOI 永久網址取得最正確的書目資訊 To cite this Article, please include the DOI name in your reference data. 請使用本篇文獻 DOI 永久網址進行連結 : To link to this Article: DOI 是數位物件識別碼 (Digital Object Identifier, DOI) 的簡稱, 是這篇文章在網路上的唯一識別碼, 用於永久連結及引用該篇文章若想得知更多 DOI 使用資訊, 請參考 For more information, Please see:

2 1 2 3 寧療度度療療若理易寧練力度更度力來寧率力療率療行度寧療寧例說度省力領理念來療若度力度寧療 Key Words supervision training medical team # pj1965@csmu.edu.tw 62 寧療年 3

3 度寧療療來例療療倫理力理度度療良寧療練度來力寧不更勞度臨寧療療勞勞若理易寧練力度更 supervision 度力 supervisor 不理不力來靈來來行寧率力療率療行理率 (1) supervisor 臨行療來狀度來度刺療不不寧度寧來不 Holloway (2) Middleman Rhodes 理行 (3) Kadushin 類行 (1) 行了寧療年 3 63

4 行力領識力行識理理勵度度寧療寧例說度省度了寧療度例年寧落老寧不來寧寧力年寧理不理力理來良靈寧理理力練連理說寧年行力來寧寧理若寧療療 64 寧療年 3

5 度寧療來年臨寧老年不不不臨寧立來度行念量立不行來行理論參數行來行類來例論論行歷例論論力狀療倫理靈寧療力行論行論力論不不論論度省 1. 理理靈狀來度 2. 立論 3. 勵省更更勵狀理更理年來寧寧療年 3 65

6 省 4. 論論易流論識寧度來不落 5. 勵論論論論例勵不 6. 力不輪勵來寧來樂例論識練了領療行例練理更刺論寧見不理行論寧力領女怒不力了來療 healing 寧輪理寧療理念參寧療來 66 寧療年 3

7 度力歷力量力量理療 1 2 力 3 量 4 (behind closed doors) 力了行不力留 (4) 念立不不 empower 力寧療度度寧療離離寧來 5 立來省不度來力歷理念理論寧寧療年 3 67

8 理理力行力力力利利理力行來行行理利行力行行力行了了量力領理念來療力量若度力度 1. Kadushin, A Supervision in social work. 3rd ed. NY Columbia University Press Holloway,W.L. Clinical supervision A systems approach. Sage publications Middleman, Ruth R. & Rhodes, Gary B. Competent supervision : making imaginative judgments. Englewood Cliffs, N.J. : Prentice-Hall Itzhaky, Haya The secret in supervision: An integral part of the social worker's professional development. Families in Society (5) Catherine,N. Dependence and Independence in clinical supervision An application of Vygotsky s Developmental Learning Theory. The Clinical Supervisor (1/2) 寧療年 3

9 度 CME Discussion and Application of Supervisory System for Palliative Care Pei-Jen Tsai 1 Pei-Yu Tsai 2 Syi-Fen Chang 3 ABSTRACT Palliative care is the medial care that s not only highly specialized but also loaded with patient-and-caregiver contacts and as a result it consumes a great deal of caregivers emotional energy. If emotional burdens weren t managed properly, it is easy to turn emotional consumption into emotional exhaustion. Therefore, it is a matter of importance and urgency to have educational training and human resource system in place. In additional, supervisory system ensures quality job training and talents development whether it is conducted through inner staffs or contractors in a one-by-one or group setting. Specifically for palliative care, short-term supervised job training program can boost caregivers performance, facilitate team growth, and provide a work environment that supports and motivates caregivers. The question then remains: How to practically apply supervisory system in palliative care? This article will use the example from a palliative care hospital in Taichung to answer this question with details, including assessing the caregivers needs, finding the right supervisor, and establishing proper supervisory boundaries, and evaluating on the execution of the system. There are also several factors contributing to the team growth hospital s investment in maintaining palliative care human resource, team leader s vision, resource management, and caregiver s willingness to learn. This report hopes to better prepare any palliative care hospital that wants to implement supervisory system tailored to its unique environment and infrastructure. (Taiwan J Hosp Palliat Care ) 練療 1 Department of Medical Sociology & Social Work, Chung Shan Medical University 2 Department of Community Medicine, Changhua Christian Hospital 3 Division of Hospice-palliative Care, Changhua Christian Hospital 寧療年 3 69