探討醫護團隊對家庭暴力防治責任通報制度之調查研究-以北部區域醫院為例

文化大學機構典藏 CCUR > 社會科學院 > 社會福利學系暨社會福利學系碩士班 > 博碩士論文 > Item 987654321/52811

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題名:	探討醫護團隊對家庭暴力防治責任通報制度之調查研究-以北部區域醫院為例 Study on The Implementation of The Responsibility Notification System for The Prevention and Treatment of Domestic Violence by Medical Personnel
作者:	林欣儀
貢獻者:	社會福利學系
關鍵詞:	家庭暴力法定責任通報醫護人員
日期:	2023
上傳時間:	2023-08-01 13:09:22 (UTC+8)
摘要:	台灣家庭暴力防治法，是亞洲第一個立法之國家，以社政主導、跨域整合及全面通報為三大特色，而法定責任通報制度，明定醫療人員為責任通報人員，對於知悉或疑似病患有家庭暴力之情況就須進行通報，故本研究想探討身為第一線的醫護人員對於法定責任通報的知識、態度及操作實務成效的效果為何，故透過台灣大學社會工作系劉淑瓊教授授權，以其在2000年曾進行「責任通報制度對我國家庭暴力防治工作推動之評估研究」之政府委託研究計畫案中，摘錄醫護人員研究問卷，經過實務專家進行檢測後進行修改，利用網絡問卷以滾雪球方式發放給醫護人員，共回收到212份問卷，扣除非醫護工作人員及未居住北部地區共有156份有效問卷，問卷使用率為73.6%。研究發現:1.醫護人員對於家庭暴力責任制度的法規知識是可了解的，但對於細節部分需要進一步宣導，其對於家庭暴力責任通報制度了解程度與態度認同是沒有呈現相關性。2.對家庭暴力責任通報制度「認同程度」與「教育訓練」是呈現正相關3.在阻礙責任通報的因素中「與被害人本身相關」是通報中最大阻礙4.醫護人員對於家庭暴力責任通報執行的程序不清楚5. 對於責任通報執行的評價呈現正向效益6. 對於目前配套措施皆是感到有部分做到，且認為須依被害人的危險程度來進行通報7.「過去是否通報經驗」、「是否有受過家庭暴力相關教育訓練」及「是否有接觸受害者」三者呈現正相關。針對研究結果提出以下建議；1. 在教育訓練方面，依風險單位、納入教育訓練並透過多元教學方式傳遞；2.在制度層面上，健全保護機制、即通報危險分級建構及鼓勵通報為主。本研究為國內第一個探討醫護人員對於家庭暴力責任通報制度的主題，期希望研究結果的發現及建議，可做為未來研究及實務運作之參考。 Taiwan's Domestic Violence Prevention Act is the first country in Asia to enact legislation, with three characteristics of social and political leadership, cross-domain integration, and comprehensive reporting. The statutory responsibility reporting system clearly stipulates that medical personnel are the responsible reporting personnel, and they must report the situation of knowing or suspicious patients with domestic violence. Therefore, this study wanted to explore the effects of the knowledge, attitudes and practical effects of the legal responsibility reporting on the frontline medical personnel. Therefore, under the authorization of Professor Shuqiong Liu of the Department of Social Work, National Taiwan University, we used the government-commissioned research project of "Evaluation Research on the Promotion of the Responsibility Reporting System to the Domestic Violence Prevention in Taiwan" that she conducted in 2000, and extracted the research questionnaire for medical personnel. After being tested and modified by practical experts, the online questionnaire was distributed to medical personnel in a snowball sampling manner. A total of 212 questionnaires were recovered and excluding non-medical personnel and those who did not live in the northern region, there were 156 valid questionnaires. The questionnaire usage rate was 73.6% The study found: 1. Medical personnel are familiar with the laws and regulations of the domestic violence responsibility system, but they need to further publicize the details. There is no correlation between their understanding of the domestic violence responsibility reporting system and their attitudes identification. 2. There is a positive correlation between the "degree of identity" and "education and training" of the domestic violence responsibility reporting system. 3. Among the factors that hinder the responsibility reporting, "related to the victim itself" is the biggest obstacle in the reporting. 4. Medical personnel are not clear about the implementation procedures for the responsibility reporting of domestic violence. 5. The evaluation of the implementation of responsibility reporting shows positive benefits. 6. The medical personnel feel that the current supporting measures are only partially implemented, and they believe that the reporting must be made according to the degree of danger of the victim. 7. "Whether you have reported experience in the past", "Whether you have received education and training related to domestic violence" and "Whether you have contact with victims" are positively correlated. Based on the study results, the following recommendations are made; 1. In terms of education and training, according to risk units, incorporate into education and training and pass it on through multiple teaching methods; 2. At the system level, a sound protection mechanism, that is, a hierarchical structure for reporting risks and encouraging reporting should be given priority. This study is the first in Taiwan to discuss medical personnel on the topic of "Domestic Violence Responsibility Reporting System". It is hoped that the findings and recommendations of the study results can be used as a reference for future research and practical operations.
顯示於類別:	[社會福利學系暨社會福利學系碩士班] 博碩士論文

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