Lindsay Sally, Tétrault Sylvie, Desmaris Chantal, King Gillian A, Piérart Gènevive
Can J Occup Ther. 2014 Apr;81(2):114-23. doi: 10.1177/0008417413520441.
The important place of culture within occupational therapy is widely recognized, and there is increasing emphasis on addressing the diversity of clients.
This study explores how occupational therapists perform cultural brokerage when providing culturally sensitive care to immigrant families.
A descriptive qualitative methodology was used for this study. A purposive sample of 17 occupational therapists from two Canadian paediatric rehabilitation centres were interviewed.
Participants encountered several cultural and structural constraints in providing culturally sensitive care. To overcome these constraints, clinicians used four strategies: (a) translating between health systems for clients, (b) bridging different meanings of occupational therapy to make it relevant for clients, (c) establishing long-term relationships by building trust and rapport, and (d) working with clients' relational networks to help them navigate the health system.
Occupational therapists should advocate for both the individual needs of immigrant families and for institutional level resources to better meet the needs of diverse clients.
文化在职业治疗中的重要地位已得到广泛认可，并且越来越强调应对服务对象的多样性。
本研究探讨职业治疗师在为移民家庭提供具有文化敏感性的护理时如何进行文化斡旋。
本研究采用描述性定性方法。对来自两个加拿大儿科康复中心的17名职业治疗师进行了目的抽样访谈。
参与者在提供具有文化敏感性的护理时遇到了一些文化和结构上的限制。为克服这些限制，临床医生采用了四种策略：(a) 为服务对象在医疗系统之间进行翻译，(b) 弥合职业治疗的不同含义以使其与服务对象相关，(c) 通过建立信任和融洽关系建立长期关系，以及 (d) 与服务对象的关系网络合作以帮助他们在医疗系统中找到方向。
职业治疗师应倡导满足移民家庭的个人需求，并争取机构层面的资源，以更好地满足不同服务对象的需求。
