物理治疗中的LGBTQIA+文化能力:从临床医生的角度进行的探索性定性研究
Melissa C Hofmann1, Nancy F Mulligan1, Karla A Bell2
1School of Physical Therapy, Regis University, Denver, Colorado, USA.
Physical therapy
|February 1, 2024
概括
物理治疗师在为女同性恋,男同性恋,双性恋,跨性别者,奇异性恋者,跨性别者,异性恋者和其他性别和性多样性 (LGBTQIA+) 个人提供文化合格的护理方面面临挑战. 解决人内,人际,组织和政策因素对于改善LGBTQIA+健康平等至关重要.
科学领域:
- 健康 专业 教育 卫生 专业 教育
- 物理疗法物理治疗
- 健康 公平 卫生 公平
背景情况:
- 文化能力对于解决不同人群中的健康差异至关重要.
- 了解LGBTQIA+个人的独特医疗保健经验对于公平的医疗保健提供至关重要.
- 物理治疗师对LGBTQIA+文化能力的看法未被充分探索.
研究的目的:
- 探索女同性恋,男同性恋,双性恋,跨性别者,酷尔,跨性别者,agender以及其他性别和性多样性 (LGBTQIA+) 个人的医疗保健经验.
- 评估物理治疗师在为LGBTQIA+患者提供护理方面的文化能力.
- 在物理治疗实践中识别LGBTQIA+文化能力的障碍和促进者.
主要方法:
- 使用半结构焦点小组和采访进行的探索性定性研究.
- 美国有71名执业的物理治疗师参与了这项研究.
- 文化能力的Campinha-Bacote模型指导了采访协议.
主要成果:
- 在社会生态模型中出现的关键主题是:人内 (压力,偏见),人际 (接受,能力),组织 (经验),社区 (倡导) 和社会/政策 (偏见,政策).
- 心理压力,有限的意识,接受度下降和经验不足阻碍了LGBTQIA+文化能力.
- 缺乏宣传和更广泛的社会/政策问题也构成了重大障碍.
结论:
- 物理治疗中的文化能力是多因素的,受个人,人际关系,组织和社会因素的影响.
- 解决已识别的障碍对于改善物理治疗师为LGBTQIA+患者提供肯定护理的能力至关重要.
- 需要进一步的研究,以纳入学生,教育工作者和患者的观点,以提高LGBTQIA+在物理治疗中的文化能力.
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