Vazir Shrey, Newman Kaela, Kispal Lara, Morin Amanda E, Mu Yang Yusuf, Smith Meredith, Nixon Stephanie
Department of Physical Therapy, University of Toronto, Toronto.
Physiother Can. 2019 Fall;71(4):335-345. doi: 10.3138/ptc-2018-39.
We explored the perspectives of racialized physiotherapists in Canada on their experiences of racism in their roles as physiotherapists. This qualitative descriptive cross-sectional study used semi-structured, one-on-one interviews. Data were organized using NVivo qualitative analysis software and analyzed using inductive and deductive coding following the six-step DEPICT method. Twelve Canadian licenced physiotherapists (four men and eight women, three rural and nine urban, from multiple racialized groups) described the experiences of racism they faced in their roles as physiotherapists at the institutionalized, personally mediated, and internalized levels. These experiences were shaped by their personal characteristics, including accent, geographical location, and country of physiotherapy (PT) education. Participants described their responses to these incidents and provided insight into how the profession can mitigate racism and promote diversity and inclusion. Participants described interpersonal racism often mediated by location and accent and experiences of internalized racism causing self-doubt, but they most commonly detailed institutionalized racism. PT was experienced as being infused with Whiteness, which participants typically responded to by downplaying or ignoring. The findings from this study can be used to stimulate conversations in the Canadian PT community, especially among those in leadership positions, about not only acknowledging racism as an issue but also taking action against it with further research, advocacy, and training.
我们探讨了加拿大种族化物理治疗师对其在物理治疗师角色中遭遇种族主义经历的看法。这项定性描述性横断面研究采用了半结构化的一对一访谈。数据使用NVivo定性分析软件进行整理,并按照六步DEPICT方法采用归纳和演绎编码进行分析。十二名加拿大持牌物理治疗师(四名男性和八名女性,三名来自农村,九名来自城市,来自多个种族化群体)描述了他们在机构层面、个人层面和内化层面作为物理治疗师所面临的种族主义经历。这些经历受到他们个人特征的影响,包括口音、地理位置和物理治疗(PT)教育的国家。参与者描述了他们对这些事件的反应,并深入探讨了该职业如何减轻种族主义并促进多样性和包容性。参与者描述了人际种族主义,其往往由地点和口音介导,以及内化种族主义导致自我怀疑的经历,但他们最常详细描述的是制度化种族主义。参与者认为PT行业充斥着白人特质,对此他们通常通过淡化或忽视来回应。这项研究的结果可用于激发加拿大物理治疗界的对话,尤其是在领导层中,不仅要承认种族主义是一个问题,还要通过进一步的研究、宣传和培训采取行动反对种族主义。