Fellin Melissa, Desmarais Chantal, Lindsay Sally
a Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada .
Disabil Rehabil. 2015;37(21):1961-9. doi: 10.3109/09638288.2014.993434. Epub 2015 Jul 25.
Although collaborative, culturally competent care has been shown to increase positive health outcomes and client satisfaction with services, little is known about the ways that clinicians implement service delivery models with immigrant families having a child with a disability. The purpose of this study is to examine the experiences of clinicians working with immigrant families raising a child with a physical disability and to examine the views and experiences of clinicians providing collaborative, culturally competent care to immigrant families raising a child with a physical disability.
This study draws on in-depth interviews with 43 clinicians within two pediatric centers in Toronto and Quebec.
Our findings show that clinicians remove or create barriers for immigrant families in different ways, which affect their ability to provide culturally competent care for immigrant families raising a child with a physical disability.
Our findings suggest that there is a need for more institutional support for collaborative, culturally competent care to immigrant families raising a child with a physical disability. There is a lack of formal processes in place to develop collaborative treatment plans and approaches that would benefit immigrant families. Implications for Rehabilitation Clinicians need greater institutional support and resources to spend more time with families and to provide more rehabilitative care in families' homes. Building rapport with families includes listening to and respecting families' views and experiences. Facilitate collaboration and culturally competent care by having team meetings with parents to formulate treatment plans.
尽管协作性的、具备文化能力的护理已被证明能改善健康状况并提高服务对象对服务的满意度，但对于临床医生如何为有残疾儿童的移民家庭实施服务提供模式，我们却知之甚少。本研究的目的是考察与抚养身体有残疾儿童的移民家庭合作的临床医生的经历，并探讨为抚养身体有残疾儿童的移民家庭提供协作性、具备文化能力护理的临床医生的观点和经历。
本研究采用对多伦多和魁北克两个儿科中心的43名临床医生进行深入访谈的方法。
我们的研究结果表明，临床医生以不同方式为移民家庭消除或制造障碍，这影响了他们为抚养身体有残疾儿童的移民家庭提供具备文化能力护理的能力。
我们的研究结果表明，需要为抚养身体有残疾儿童的移民家庭提供更多机构支持，以开展协作性、具备文化能力的护理。目前缺乏制定能使移民家庭受益的协作治疗计划和方法的正规流程。对康复的启示临床医生需要更多机构支持和资源，以便有更多时间与家庭相处，并在家庭中提供更多康复护理。与家庭建立融洽关系包括倾听和尊重家庭的观点和经历。通过与家长举行团队会议来制定治疗计划，促进协作和具备文化能力的护理。
