King Gillian, Desmarais Chantal, Lindsay Sally, Piérart Geneviève, Tétreault Sylvie
Bloorview Research Institute, University of Toronto , Toronto, Ontario , Canada .
Disabil Rehabil. 2015;37(15):1372-81. doi: 10.3109/09638288.2014.972580. Epub 2014 Oct 17.
Delivering pediatric rehabilitation services to immigrant parents of children with disabilities requires the practice of culturally sensitive care. Few studies have examined the specific nature of culturally sensitive care in pediatric rehabilitation, especially the notions of effective communication and client engagement.
Interviews were held with 42 therapists (10 social workers, 16 occupational therapists and 16 speech language pathologists) from two locations in Canada (Toronto and Quebec City). Data were analyzed using an inductive content analysis approach.
Study themes included the importance and nature of effective communication and client engagement in service delivery involving immigrant parents. Participants discussed using four main types of strategies to engage immigrant parents, including understanding the family situation, building a collaborative relationship, tailoring practice to the client's situation and ensuring parents' understanding of therapy procedures.
The findings illuminate the importance of effective, two-way communication in providing the mutual understanding needed by therapists to engage parents in the intervention process. The findings also richly describe the engagement strategies used by therapists. Clinical implications include recommendations for strategies for therapists to employ to engage this group of parents. Furthermore, the findings are applicable to service provision in general, as engaging families in a collaborative relationship through attention to their specific situation is a general principle of good quality, family-centered care. Implications for Rehabilitation Effective communication permeates the delivery of culturally sensitive care and provides mutual understanding, which is fundamental to client engagement. The findings illuminate the nature of "partnership" by indicating the role of collaborative therapist strategies in facilitating engagement. Four main strategies facilitate effective communication and client engagement, including understanding the family situation, building a collaborative relationship, tailoring practice to the client's situation and ensuring parents' understanding of therapy procedures. Engaging families in a collaborative relationship through attention to their specific situation is a general principle of good quality, family-centered care.
为残疾儿童的移民父母提供儿科康复服务需要实施具有文化敏感性的护理。很少有研究探讨儿科康复中具有文化敏感性护理的具体性质，尤其是有效沟通和与服务对象互动的概念。
对来自加拿大两个地点（多伦多和魁北克市）的42名治疗师（10名社会工作者、16名职业治疗师和16名言语语言病理学家）进行了访谈。使用归纳性内容分析法对数据进行了分析。
研究主题包括在涉及移民父母的服务提供中有效沟通和与服务对象互动的重要性及性质。参与者讨论了使用四种主要策略来与移民父母互动，包括了解家庭情况、建立合作关系、根据服务对象的情况调整实践以及确保父母理解治疗程序。
研究结果阐明了有效双向沟通在提供治疗师与父母互动所需的相互理解方面的重要性。研究结果还详细描述了治疗师使用的互动策略。临床意义包括为治疗师与这类父母互动时应采用的策略提供建议。此外，这些研究结果适用于一般的服务提供，因为通过关注家庭的具体情况使其建立合作关系是优质家庭为中心护理的一项普遍原则。对康复的意义有效沟通贯穿于具有文化敏感性护理的提供过程中，并提供相互理解，这是与服务对象互动的基础。研究结果通过指出治疗师合作策略在促进互动中的作用，阐明了“伙伴关系”的性质。四种主要策略促进有效沟通和与服务对象互动，包括了解家庭情况、建立合作关系、根据服务对象的情况调整实践以及确保父母理解治疗程序。通过关注家庭的具体情况使其建立合作关系是优质家庭为中心护理的一项普遍原则。
