School of Health Sciences, Western Sydney University, Penrith, Australia.
Physiother Theory Pract. 2022 Jun;38(6):782-793. doi: 10.1080/09593985.2020.1799459. Epub 2020 Jul 30.
Upon entering the workforce, physiotherapists are required to provide safe and effective care toward people from culturally and linguistically diverse (CALD) communities. : To explore new graduate physiotherapists' perceptions and experiences when working with people from CALD communities in Australia.
A phenomenological framework guided this qualitative study. Seventeen new graduate physiotherapists who had experience working with people from CALD communities were interviewed. Interviews were audio-recorded, transcribed verbatim, and then thematically analyzed.
New graduate physiotherapists felt challenged when they encountered people from CALD communities. Although they had good intentions, their healthcare approach was limited. Their perceived approach to care was unidirectional and anchored in a western healthcare framework, and they used superficial strategies for cultural adaptation. Perceptions that people from CALD communities were passive recipients to healthcare also underpinned their practices. While participants described pockets of patient-centered care, their perceived healthcare approach lacked appropriate consideration and integration of their patients' cultural perspective.
New graduate physiotherapists may need support with effectively integrating different cultural perspectives into their care and adapting their practices and interventions for people from CALD communities. Education and training at entry-level and after graduation should address these learning needs. However, there is limited research on how to culturally adapt physiotherapy practices and interventions that impact patient engagement outcomes. Thus, research is needed to understand how current evidence-based interventions can be culturally adapted to integrate patients' cultural perspectives into care.
新进入职场的物理治疗师需要为来自文化和语言多样化（CALD）社区的人群提供安全有效的护理。本研究旨在探讨澳大利亚新毕业的物理治疗师在与来自 CALD 社区的人群合作时的看法和经验。
本研究采用现象学框架进行定性研究。共对 17 名有与来自 CALD 社区的人群合作经验的新毕业物理治疗师进行了访谈。访谈进行了录音、逐字转录，并进行了主题分析。
新毕业的物理治疗师在遇到来自 CALD 社区的人群时感到受到挑战。尽管他们有良好的意图，但他们的医疗保健方法有限。他们认为的护理方法是单向的，并以西方医疗保健框架为基础，并且他们使用表面的文化适应策略。认为来自 CALD 社区的人群是被动接受医疗保健的观念也影响了他们的实践。尽管参与者描述了一些以患者为中心的护理点，但他们认为的医疗保健方法缺乏对患者文化观点的适当考虑和整合。
新毕业的物理治疗师可能需要支持，以便将不同的文化观点有效地融入他们的护理中，并调整他们的实践和干预措施，以适应来自 CALD 社区的人群。在入职前和毕业后的教育和培训中应解决这些学习需求。然而，关于如何文化适应物理治疗实践和干预措施以影响患者参与结果的研究有限。因此，需要研究如何将基于现有证据的干预措施进行文化适应，以将患者的文化观点融入护理中。
