醫事人員處理婚姻暴力的困境與需求

Abstract

本研究目的在探索醫事人員與組織間的互動，瞭解醫事人員在婚姻暴力的處理上，遭遇到怎樣的困境以及他們需求。 本研究採用質性深度訪談方法進行，研究的對象為有處理婚姻暴力經驗的醫事人員，有四位護士，一位社工和三位醫師。 研究結果顯示，急診醫事人員面臨最大的困擾是人力不足的問題、受到施暴者的暴力威脅以及政府的配套不足，同時他們也質疑政府沒有做好暴力的預防。研究也發現部份醫護人員對於受暴辨識的能力不足，男性的醫護人員還是抱持著這是家務事的想法。 研究的建議是，在政府的運作上應確保預算充足和足夠的配套，醫事人員則應加強婚暴辨識、提升服務的意願以及處理的能力。

This study aims to identify the dilemma and needs of medical personnel when dealing with cases of domestic violence. Analysis was based on in-depth interview with four nurses, one social workers, and three doctors. Interactions among the professional team were also explored. The results indicated that shortage of manpower, exposure to perpetrator's violence, and lack of supportive public policy were most concerned by personnel in the setting of emergency room. they also questioned about government's role in prevention of domestic violence. In addition, it was found that some personnel were not well-trained enough to identify victims, or considered domestic violence as family matters with no need of intervention, particularly for male workers. The findings recommend that government should secure budgets to the prevention and intervention of domestic violence. On the other hand, we need to improve the sensitivity of front-line workers in identifying victims, strengthen their willingness to provide adequate services, and strengthen their ability in dealing with it.