信任的情境化建构——以柳州市L医院肿瘤科为例

The Contextual Construction of Trust—Taking the Oncology Department of L Hospital in Liuzhou City as an Example

摘要: 随着整体护理理念与多学科团队协作模式在肿瘤治疗领域日益受到重视，医务社会工作者成为提供心理社会支持的重要专业力量。本研究基于自身实践与互动秩序理论的信任建构洞察，探讨男性医务社会工作者进入妇科肿瘤病房这一特殊场域时，如何通过情境化实践建立专业信任关系。研究发现，信任的生成依赖于“制度身份”“共情节奏”与“知识展示”等多重边界的持续协商，并深受疾病私密性、空间属性及社会期待的影响。本研究揭示了医务社工在敏感医疗场景中建立信任的动态性与关系性本质，其价值在于为护理及其他医疗团队成员理解医务社工角色的建立机制提供实证参照，有助于促进多学科协作中的角色互认与团队融合，从而提升对妇科肿瘤患者的整体支持效能。

Abstract: With the increasing emphasis on the holistic care concept and the multi-disciplinary team collaboration model in the field of oncology treatment, medical social workers have become an important professional force in providing psychosocial support. This study, based on the author’s own practice and the trust-building insights of the interaction order theory, explores how male medical social workers establish professional trust relationships in the special context of gynecological oncology wards through contextualized practices. The research findings reveal that the generation of trust depends on the continuous negotiation of multiple boundaries such as “institutional identity”, “co-episode rhythm”, and “knowledge display”, and is profoundly influenced by the privacy of the disease, spatial attributes, and social expectations. This study uncovers the dynamic and relational nature of trust-building by medical social workers in sensitive medical settings. Its value lies in providing empirical references for nursing and other medical team members to understand the establishment mechanism of the medical social worker’s role, which is conducive to promoting role recognition and team integration in multi-disciplinary collaboration, thereby enhancing the overall support effectiveness for gynecological oncology patients.