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臺灣愛滋病個案管理師核心能力初探

論文名稱(中/英文) 研究生 指導教授
臺灣愛滋病個案管理師核心能力初探
A Prelimalary Study of Core Competencies in Taiwan HIV Case Managers
徐佑慈 鍾聿琳博士
[  摘要  ]
本研究目的為探討台灣愛滋病個案管理師之核心能力,採修正型德懷術(modified Delphi method)研究方法進行橫斷式調查(cross-sectional survey),研究對象為愛滋病領域的專家,包含:愛滋病個案管理計劃主持人(感染科資深主治醫師)、愛滋病個案管理之護理/公衛專家及資深愛滋病個案管理師,共15人,本研究共經兩次問卷往返達成共識,兩回合問卷採五分量表(Liker Scale)計分方式,分數越高代表重要程度越高,最後以平均數、眾數、中位數、標準差以及四分位差進行描述性統計分析。研究結果發現兩回合問卷共獲得9層面,18項核心能力,其中有13項(72%)之標準差小於或等於前一回合之標準差,9項(50%)四分位差小於或等於0.0,在本研究分析中,專家認為最為重要的前五項核心能力為;能主動了解並尊重同志族群/藥癮族群的文化及價值觀並保護其隱私;能經由會談內容進行全面性評估並正確記錄;能評估個案的需求並協助其尋求資源;危急狀況發生時能即時尋求可運用資源;能協助個案向家屬/伴侶進行愛滋病病情告知並給予心理支持,本研究結果可做為未來規劃愛滋病個管師教育訓練課程之依據及人才發展之參考。 
[ Abstract ]

Background:
Taiwan started to promote AIDS case manager program since 2007, and began cultivating AIDS case managers to promote their professional competencies and to establish an effective AIDS case management system, The AIDS-associated Society (such as: Taiwan AIDS Society, the AIDS Nursing Association, etc.) and major hospitals hold lots of continuing education training courses about AIDS cares.HIV case managers is to provide holistic care for HIV patients in a professional role. However, the systems of AIDS case managers in Taiwan are not complete, and the competencies of HIV case managers are not to defined clearly yet.

Purpose:
The purpose of this study is to survey the core competencies in HIV case managers through senior case managers, experts and scholars, this research result are serve as reference for the development of future talent.

Methods:
This is a Delphi technique study. We will use cross-section survey to collect datas from a sample of AIDS case Management program directors (Department of Infectious Diseases, senior attending physician), the specialists of AIDS case management and senior AIDS case managers, each of group have 5 people, a totally sample size is15 in this study. The questionnaire included 18 items of core competencies seperated into 9 dimensions and 5 Liker scales was used, the higher the score, the more importance it was. The descriptive statistical to analysis the research results.

Result:
The results showed that two rounds of questionnaires to obtain 9 dimensions and18 core competencies, which 13 items(72%) standard deviation is less than or equal to the previous round, 9 items(50%) interquartile range is less than or equal to 0.0. In this study analysis, the most five important core competencies include: be able to understand and respect the culture and values of MSM / drug users populations and protect their privacy; be able to do and record comprehensive assessment by talking with the cases; be able to assess the needs of the case and assist them to research the resources they need; be able to seek the resourse immediately when emergency situation happen; be able to assist cases to inform HIV disease to their family or partners and give them mental support. the results of this study can be refer to plan tranning program of HIV case managers and develope of future talent.