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物理治疗师在为难民服务时的核心能力:范围综述。

Core competencies for physiotherapists working with refugees: a scoping review.

机构信息

Discipline of Physiotherapy, Trinity College, The University of Dublin, Dublin, Ireland.

Physiopedia, UK.

出版信息

Physiotherapy. 2020 Sep;108:10-21. doi: 10.1016/j.physio.2020.04.004. Epub 2020 Apr 30.

DOI:10.1016/j.physio.2020.04.004
PMID:32693237
Abstract

OBJECTIVE

To summarise the existing knowledge base that can inform the development of a core competency profile for physiotherapists to support and deliver rehabilitation services to refugees.

METHOD

In this scoping review, a comprehensive search of peer-reviewed and grey literature was conducted. The search parameters included studies relevant to the physiotherapy profession and published between 2000 and 2019. MEDLINE, EMBASE, CINAHL, PEDro, and Ovid PsycINFO databases were searched. Grey literature was accessed through website searches, Google Scholar, and direct requests.

FINDINGS

Three themes were identified in the literature. The first theme encompassed the physical and mental health of refugees. The second theme explored the cultural competence physiotherapists need to work with refugees. This theme included the cultural influences on health and healthcare and communication strategies that could be used to optimise healthcare for refugees. The last theme described refugees and the healthcare system which encompassed the challenges that refugees face in accessing healthcare and navigating the healthcare system. The main physiotherapy competencies detected in the literature were an understanding of refugee health, the administration of culturally competent care and knowledge of healthcare systems as they relate to refugees.

CONCLUSION

This comprehensive search identified three themes that can be used to inform the development of a competency profile for physiotherapists working with refugees. These themes are, however, rather vague and non-specific and signal the need for research to further examine the physiotherapy competencies necessary to provide the highest quality of care for this growing population.

摘要

目的

总结现有的知识库,为物理治疗师制定核心能力档案提供信息,以支持和提供难民的康复服务。

方法

在这项范围综述中,对同行评议和灰色文献进行了全面检索。检索参数包括与物理治疗专业相关的、发表于 2000 年至 2019 年期间的研究。检索了 MEDLINE、EMBASE、CINAHL、PEDro 和 Ovid PsycINFO 数据库。通过网站搜索、Google Scholar 和直接请求获取灰色文献。

结果

文献中确定了三个主题。第一个主题包括难民的身心健康。第二个主题探讨了物理治疗师与难民合作所需的文化能力。这一主题包括健康和医疗保健的文化影响以及可以用来优化难民医疗保健的沟通策略。第三个主题描述了难民和医疗保健系统,其中包括难民在获得医疗保健和在医疗保健系统中导航方面面临的挑战。文献中检测到的主要物理治疗能力包括对难民健康的理解、提供文化上合适的护理的管理以及与难民相关的医疗保健系统的知识。

结论

这项全面搜索确定了三个主题,可以为与难民合作的物理治疗师制定能力档案提供信息。然而,这些主题相当模糊和不具体,表明需要进一步研究以进一步检查为这一不断增长的人群提供最高质量护理所需的物理治疗能力。

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