[[alternative]]Professional Competency Analysis Of Counseling Psychologist At Medical-settings

[[abstract]]本研究之目的即了解在醫院執業的諮商心理師所應俱備的專業能力及所執行的專業工作項目。研究方法採修正型德菲法，共邀請二十位分屬自殺防治單位、癌症與安寧類科、醫院附設諮商中心、身心科、一般科的諮商心理師參與兩回合之問卷調查，所有專業能力項目經過重要性、一致性、穩定性的分析篩選後，確認出醫療諮商心理師的專業能力及專業工作項目。研究結果顯示醫療諮商心理師的必備能力有「基本態度與執業倫理」、「評估-診斷-概念化」，「諮商介入」、「諮詢」四項，應備能力有「心理衛生推廣工作」、「督導教學」、「在職進修」三項，可備能力有「行政業務」一項。其中，醫療諮商心理師所執行的評估除了心理評估與概念化，亦需執行壓力、自殺危險性、疾病心理適應、悲傷、睡眠評估以及心理衡鑑工作;諮商介入工作則可區分為生活適應、疾病心理適應、員工職場適應三個面向。再者，個案管理、提供心理專業諮詢、召開跨專業/團隊個案處遇會議、講座宣導與撰寫並發表文章的心理衛生工作皆是應俱備的能力。此外，醫療諮商心理師也須視實務現場之需求擔任諮商心理見/實習生之督導、擔任院內員工繼續教育或相關心理課程講師、參與繼續教育課程、出席例行會議、配合院內評鑑需求繳交相關資料等。研究結果可提供欲進入醫療場域執業的心理師自我準備以及醫療諮商心理師培育課程參考之用。關鍵詞：諮商心理師、醫療場域、專業能力、德菲法[[abstract]]This research aims to determine the professional competencies and work projects as counseling psychologists at the medical settings. Research method adopted a modified Delphi technique¬, were invited to 20 counseling psychologists at medical settings, which from suicide prevention department, oncology and palliative care, counseling center in medical-setting, psychiatric departments and general medicine were participated in two rounds of questionnaires. All professional competencies to ensure the importance, consistency and stability analysis, identified the competencies and work projects of counseling psychologists at medical settings.Research found that the necessary competencies of a counseling psychologists were having "general working attitudes and medical ethics", "assessment-diagnosis-case conceptualization", "counseling intervention" and "consultation skills". Required the competeny of "mental health promotion", "supervision-teaching" and "in-service training", can be prepared by the competency of "administration".All need to execute the assessment in addition to mental state assessment and conceptualization should also required to execute various assesments including the stress, suicidal risk, patients’mental adaptation, grief, sleep and psychological assesments; Besides, counseling intervention could be divided into three parts, including life event adaption, patients’mental adaptation difficulties, employees’mental health. In addition, competency dimensions shoud be required including case management, providing professional psychological consultation, cross-disciplinary or professional meeting for case-intervention, has given mental health lectures and has written and published an article. Furthurmore, one may also supervised counseling psychological interns , as hospital employees' continuing education or related psychological courses lecturer,participated in contunuing education courses,attend regular meeting, and presented the hospital accrediation requirements. The result may provide useful reference for counseling psychologists those who want to work at the medical-settings and the training courses for the counseling psychologist.Keywords: counseling psychologist, medical-settings, professional competency, Delphi techniqu