社會工作是一份以自己為工具，透過互動、經驗與態度來影響服務對象的工作。因此專業承諾便顯得十分重要，這牽涉到社工對於專業價值、倫理的高度認同，進而願意投入心力、發自內心願意繼續留在專業中，共同和服務使用者面對生命的困境，甚至透過自身或社群力量改變整個社會處境。
本研究透過質性深度訪談，了解身處醫務場域的6位資深社會工作者其專業承諾內涵，並探索他們在工作過程中的自我成長及專業生涯發展。其中包含服務過程中的自我定位、專業認同以及受訪者對於專業的投入，進一步看見受訪者們一路上對專業承諾的追尋與堅持，最後透過經驗統整，對新手社工、專業發展提出建議。
研究者依據6位受訪者經歷，發現專業發展歷程分成三個階段，每個階段皆有其挑戰與成長，並成為了滋養自我的一部分，能在專業中持續學習、嘗試與進步。進一步探究其專業承諾內涵則發現，在醫療環境當中，受訪者們都已有一套應對方法，能夠靈活運用專業、適時展現能力，並受到他人需要。這背後需有深厚基礎去長期經營團隊關係，經由碰撞跟合作重新確認專業價值與目標，最後清楚資源、制度與社工專業之間的關係，在其中力求平衡與折衝。而受訪者都帶著關注專業發展的心情投入公共事務，在心有餘力的時候也會進行教育與研究工作，並把握學習機會、使自己不斷成長。最後與受訪者共同回顧一路上的留任與堅持，可發現他們對於社工是發自內心的熱愛，無論在哪個位置上，都能充分發揮使命，在生命經驗與專業的交織下，這份專業承諾是超越了生存，而能發掘成就感與意義所在。

Social work is work in which social workers use themselves as a tool to influence the subjects they serve. Through interaction, experience and attitude. Therefore, professional commitment becomes very important. Professional commitment involves the social workers’ high recognition of professional values and ethics and their further willingness to invest their effort in this profession and their voluntary commitment to the profession. They face the dilemma of life with the users they serve, and even change the situation of the entire society through themselves or the power of the community.
In this study, qualitative in-depth interviews were used to understand the connotation of professional commitment of six senior social workers in the medical field over ten years, and explored their personal growth and professional career development during their work, including self-positioning in the service process, professional identification and investment in the specialty. We saw the interviewees’ pursuant and persistence in professional commitment along the way. Finally, through integration of experience, this study provided suggestions for novice social workers and professional development.
Based on the experience of the six interviewees, the author found that professional development process is divided into three stages, each of which has its own challenges and growth. The challenges and growth become part of self-nourishment, allowing the social workers to continue to learn, try and progress in their specialized field. Further exploration into the connotation of professional commitment showed that the interviewees have developed a set of coping method in the medical field, and can flexibly use their expertise, demonstrate their ability at the right moment and are needed by others. This requires a deep foundation for long-term management of team relationship. The professional values and goals are reconfirmed through collision and cooperation. Finally, the relationship among resources, systems and specialty of social workers was understood, and the balance and negotiation were sought. The interviewees were engaged in public affairs with a focus on professional development. They also carried out education and research work when possible, and took the chance to learn and grow. Finally, the author and the interviewees reviewed the interviewees’ decisions on staying in the course and their persistence along the way, and found that the interviewees are truly passionate for social work. Regardless of their position, they were able to fulfill their missions. Under the interweaving of life experience and specialty, this professional commitment went beyond survival so that they were able to discover their sense of accomplishment and significance.

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