在物理治疗师教育和实践中的LGBTQIA+文化能力:从患者的角度进行定性研究
Melissa C Hofmann1, Nancy F Mulligan1, Kelly Stevens1
1School of Physical Therapy, Regis University, Denver, Colorado, USA.
Physical therapy
|April 16, 2024
概括
对于女同性恋,男同性恋,双性恋,跨性别者,酷尔,跨性别者和无性恋者 (LGBTQIA +) 个人来说,物理治疗经验是由提供者的接受和权力动态所塑造的. 改善物理治疗师的文化能力提高了患者的护理和信任.
科学领域:
- 质量健康研究 质量健康研究
- 卫生社会学 卫生社会学
- 物理治疗实践 物理治疗实践
背景情况:
- 文化能力和谦卑对于公平的医疗保健服务至关重要.
- 女同性恋者,男同性恋者,双性恋者,跨性别者,奇异性恋者,跨性别者和无性恋者 (LGBTQIA+) 社区在获得医疗保健方面面临着独特的挑战.
- 了解患者的体验对于改善文化响应性物理治疗服务至关重要.
研究的目的:
- 在物理治疗中探索女同性恋,男同性恋,双性恋,跨性别者,酷尔,跨性别者和无性 (LGBTQIA +) 个人的文化能力和谦卑经验.
- 了解LGBTQIA+成年人关于他们的物理治疗护理的观点.
- 确定影响LGBTQIA+社区物理治疗质量的因素.
主要方法:
- 采用了一种现象学定性方法.
- 25名LGBTQIA+成年人参加了重点小组和个人采访.
- 数据收集以Campinha-Bacote的文化能力领域为指导.
主要成果:
- 关键主题包括提供者文化接受,社会影响,隐式/显式偏见和权力动态.
- 参与者报告说,由于组内/组外动态,他们对"异性"的意识提高了.
- 确定了以政策,培训和卫生保健提供者的教育为中心的解决方案.
结论:
- 提供者文化接受显著影响LGBTQIA+患者的舒适度,信任度和护理感知.
- 高水平的提供者教育和与LGBTQIA+社区的经验与增强的患者体验相关.
- 物理治疗师和助理需要在文化能力方面的系统性改进,以便更好地服务于LGBTQIA+人口.
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