构建治疗联盟的组织和结构因素 在北克省与受伤的移民工人进行工作康复计划中的治疗联盟
Daniel Côté1,2, Maude Arsenault2, Jessica Dubé1,3
1Robert Sauvé Research Institute for Occupational Health and Safety, Montreal, Quebec, Canada.
概括
治疗联盟对于职业康复中的移民工人至关重要. 诸如行政复杂性和文化刻板印象等系统性问题可能会阻碍这种联盟,延长残疾.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 康复医学是康复的医学.
- 劳动社会学工作的社会学.
背景情况:
- 治疗联盟在职业康复中至关重要.
- 移民工人在社会和职业融合中遇到独特的挑战.
- 了解这个群体的联盟发展对于有效的康复至关重要.
研究的目的:
- 探索治疗联盟的发展和维护.
- 确定影响工伤移民工人和他们的护理提供者之间的联盟的因素.
主要方法:
- 定性案例研究设计.
- 采用了民族学,半结构面试和焦点小组.
- 涉及7名受伤的移民工人和他们的跨学科临床团队.
主要成果:
- 确定了几个因素,削弱了治疗联盟.
- 其中包括行政复杂性,对疼痛/残疾的不同看法,文化刻板印象和沟通问题.
- 许多挑战是系统和结构性的,发生在临床环境之外.
结论:
- 系统性和结构性问题严重复杂化了移民工人的职业康复.
- 这些外部因素可以延长残疾的持续时间.
- 解决这些更广泛的问题对于改善移民工人的康复结果至关重要.
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