為機構導入「以個人為中心的計畫」之行動研究
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2016
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Abstract
本研究旨在探討為住宿型機構導入以個人為中心的計畫之歷程。透過行動研究的方式蒐集相關資料，如：會議紀錄、訪談相關人士及專家，輔以研究者的省思、觀察記錄及相關文件資料，透過NVivo第十版質性軟體進行分析，研究結果如下：
一、籌備PCP的歷程中發現，服務提供者對從抗拒到逐漸可以接受、甚至鼓勵服務使用者倡議，並瞭解到ISP不應被課程所框架；服務使用者從倡議困難到可形成自己的生命圖像，而服務使用者的轉變與服務提供者會互相影響。此階段中主要的助力包括上級人員的支持，以及一些有正確觀念的服務提供者；而主要的阻力來自服務提供者保守觀念，以及服務提供者存有ISP與PCP無法相互配合的迷思。
二、導入PCP的歷程中，服務提供者保守的觀念逐漸產生鬆動，並從服務使用者的成就獲得回饋、成就感；服務使用者在語言、溝通及自我決策能力方面都獲改善與提升。此階段相關人員的積極作為與支持化為助力，化解服務使用者倡議上的困難、記憶力不佳以及服務提供者過於保守的阻力。歷程中也發現服務使用者之間出現主動互助情形、服務使用者發展成一位有貢獻的人、改善了組織內缺乏橫向連結的延伸效益。
The purpose of this research was to explore the process of initial person-centered planning for an institution for providing residential care. The research was conducted through action research, which included interviews, on the job training, implementing person-centered planning. The collected information analyzed by NVivo 10, and results were as follows: On the stage of preparing PCP: (a) Some members of service provider changed their attitude from the resistance to acceptance and even encouraged users to learn. (b) Understanding ISP should not fix to group curriculum framework. (c) Service users started to express their own expectations of life. (d) Service users and service providers affected each other. At this stage, the support from the higher-level staff member was highly helpful; and the main resistances come from stereotype of members of the service provider, and ISP could not act in concert with PCP. On the stage of implementing PCP: (a) some of members of the service provider changed their concepts because of active feedback from service users. (b) The service user's performance of language, communication skills, and decision making had progressed. At his stage, members of service provider played an important role to resolve the advocacy, poor memory difficulties of service users, as well as stereotype problems of members of service providers.
The purpose of this research was to explore the process of initial person-centered planning for an institution for providing residential care. The research was conducted through action research, which included interviews, on the job training, implementing person-centered planning. The collected information analyzed by NVivo 10, and results were as follows: On the stage of preparing PCP: (a) Some members of service provider changed their attitude from the resistance to acceptance and even encouraged users to learn. (b) Understanding ISP should not fix to group curriculum framework. (c) Service users started to express their own expectations of life. (d) Service users and service providers affected each other. At this stage, the support from the higher-level staff member was highly helpful; and the main resistances come from stereotype of members of the service provider, and ISP could not act in concert with PCP. On the stage of implementing PCP: (a) some of members of the service provider changed their concepts because of active feedback from service users. (b) The service user's performance of language, communication skills, and decision making had progressed. At his stage, members of service provider played an important role to resolve the advocacy, poor memory difficulties of service users, as well as stereotype problems of members of service providers.
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以個人為中心計畫, 機構, Person-Centered Planning, welfare institutions providing residential care